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首页> 外文期刊>Surgical Endoscopy >Esophageal dilation after laparoscopic adjustable gastric banding.
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Esophageal dilation after laparoscopic adjustable gastric banding.

机译：腹腔镜可调整胃束带后食管扩张。

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BACKGROUND: Esophageal dilation can occur after laparoscopic adjustable gastric banding (LAGB). There are few studies in the literature that describe the outcomes of patients with esophageal dilation. The aim of this article is to evaluate weight loss and symptomatic outcome in patients with esophageal dilation after LAGB. METHODS: We performed a retrospective chart review of all LAGBs performed at Columbia University Medical Center from March 2001 to December 2006. Patients with barium swallow (BaSw) at 1 year after surgery were evaluated for esophageal diameter. A diameter of 35 mm or greater was considered to be dilated. Data collected before surgery and at 6 months and 1, 2 and 3 years after surgery were weight, body mass index (BMI), status of co-morbidities, eating parameters, and esophageal dilation as evaluated by BaSw. RESULTS: Of 440 patients, 121 had follow-up with a clinic visit and BaSw performed at 1 year. Seventeen patients (10 women and 7 men) (14%) were found to have esophageal dilation with an average diameter of 40.9 +/- 4.6 mm. There were no significant differences in percent of excess weight lost at any time point; however, GERD symptoms and emesis were more frequent in patients with dilated esophagus than in those without dilation. Intolerance of bread, rice, meat, and pasta was not different at any time during the study. CONCLUSIONS: In our experience the incidence of esophageal dilation at 1 year after LAGB was 14%. The presence of dilation did not affect percent excess weight loss (%EWL). GERD symptoms and emesis are more frequent in patients who develop esophageal dilation.
机译：背景：腹腔镜可调胃绑扎带（LAGB）后可发生食管扩张。文献中很少有描述食管扩张患者预后的研究。本文的目的是评估LAGB后食管扩张患者的体重减轻和症状结局。方法：我们对2001年3月至2006年12月在哥伦比亚大学医学中心进行的所有LAGBs进行了回顾性图表审查。对术后1年的钡餐（BaSw）患者进行了食管直径评估。 35mm或更大的直径被认为是扩张的。术前，术后6个月以及术后1、2和3年收集的数据包括体重，体重指数（BMI），合并症，进食参数和食管扩张（通过BaSw评估）。结果：在440例患者中，有121例接受了门诊随访，并在1年时进行了BaSw。发现十七例患者（10名女性和7名男性）（14％）患有食管扩张，平均直径为40.9 +/- 4.6毫米。在任何时候，失去的多余体重百分比均无显着差异。但是，食管扩张患者的GERD症状和呕吐比无扩张患者更为频繁。在研究期间，面包，米饭，肉和面食的不耐受性没有任何不同。结论：根据我们的经验，LAGB术后1年食管扩张的发生率为14％。膨胀的存在不影响过量体重减轻百分比（％EWL）。 GERD症状和呕吐在食管扩张患者中更为常见。

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