Svenheden K E, Akesson L A, Holmdahl C, Näslund I
Department of Surgery, Skene Hospital Sweden.
Obes Surg. 1997 Apr;7(2):136-8; discussion 139-41. doi: 10.1381/096089297765556024.
In earlier studies of vertical banded gastroplasty (VBG), staple-line disruptions (SD) were only reported in a few per cent or less. Two recent studies have shown a significantly higher frequency of SD. To find the true frequency of SD, all patients must be examined regardless of weight outcome.
91 consecutive patients were examined by a standardized radiological method at different postoperative intervals ranging from 6 to 48 months.
41 out of 91 patients developed SD. The average diameter of the disruptions was 6 mm (range 2-16 mm). During the first 2 years of follow-up, when at least 31% of the patients had developed SD, there was no significant difference in weight loss between the group with SD and the group without SD.
SD is an inherent problem of VBG which has been underestimated for a long period of time. An SD frequency of 45% or more within the first few years is not acceptable and changes in the VBG technique must be considered.
在早期关于垂直束带胃成形术（VBG）的研究中，吻合口漏（SD）的报告仅占百分之几或更少。最近的两项研究显示SD的发生率明显更高。为了找出SD的真实发生率，必须对所有患者进行检查，而不论体重结果如何。
采用标准化放射学方法对91例连续患者在术后6至48个月的不同时间间隔进行检查。
91例患者中有41例发生了SD。漏口的平均直径为6毫米（范围为2至16毫米）。在随访的前两年中，至少31%的患者发生了SD，有SD组和无SD组之间的体重减轻没有显著差异。
SD是VBG的一个固有问题，长期以来一直被低估。在最初几年内SD发生率达到45%或更高是不可接受的，必须考虑对VBG技术进行改进。
