Bakr A A, Fahim T
Faculty of Medicine, University of Cairo, Egypt.
JSLS. 1998 Jan-Mar;2(1):57-61.
Surgery has been recognized as an effective long-term treatment for morbid obesity. The purpose of this study is to present our experience of laparoscopic adjustable gastric banding (LAGB) as a safe and effective treatment for morbid obesity.
Over eight months, 39 morbidly obese patients, having a Body Mass Index (BMI) > 40 kg/m2, were included in this study. Conservative measures failed to maintain weight loss in all patients. The procedure is performed through a 5-trocar technique. The procedure involves gastric partitioning and stoma formation by an inflatable band. The stoma can be adjusted by injection of saline in the band reservoir.
The mean age of the patients was 31.3 years. The mean BMI was 44.2 Kg/m2. All procedures were completed laparoscopically. The mean hospital stay was 2.7 days. The morbidity rate was 15.32%. Patients were followed up for a mean period of 6.7 months. The mean BMI after six months (in 28 patients) was 36.6 Kg/m2.
Laparoscopic insertion of the adjustable gastric banding is a safe and effective method for the treatment of morbid obesity and should be the standard way of band insertion.
手术已被公认为是治疗病态肥胖的一种有效的长期治疗方法。本研究的目的是介绍我们使用腹腔镜可调节胃束带术（LAGB）治疗病态肥胖的经验，该方法安全有效。
在八个多月的时间里，本研究纳入了39例病态肥胖患者，其体重指数（BMI）>40kg/m²。所有患者采用保守措施均未能维持体重减轻。该手术通过五孔技术进行。手术包括用可充气束带进行胃分隔和造口形成。可通过向束带储液器中注射生理盐水来调节造口。
患者的平均年龄为31.3岁。平均BMI为44.2 Kg/m²。所有手术均通过腹腔镜完成。平均住院时间为2.7天。发病率为15.32%。患者平均随访6.7个月。六个月后（28例患者）的平均BMI为36.6 Kg/m²。
腹腔镜插入可调节胃束带是治疗病态肥胖的一种安全有效的方法，应成为束带插入的标准方式。
