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首页> 外文期刊>Surgical Endoscopy >Favorable early results of gastric banding for morbid obesity: the American experience.
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Favorable early results of gastric banding for morbid obesity: the American experience.

机译：病态肥胖的胃束带的早期良好结果：美国的经验。

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BACKGROUND: In 2001 a new device for surgical weight loss was approved by the Food and Drug Administration (Lap-Band, Inamed Health). We describe initial results of laparoscopic gastric banding for morbid obesity in two American academic centers. METHODS: Prospective data was collected on consecutive morbidly obese patients undergoing laparoscopic adjustable gastric banding, and evaluated retrospectively. RESULTS: Four hundred forty-five consecutive patients underwent Lap-Band from May 2001 through December 2002. The 103 men and 341 women had an average age of 42.1 years (range 17-72 years) and an average body mass index (BMI) of 49.6 kg/m2 (range 35.2-92.2 kg/m2). One operation required conversion to laparotomy due to bleeding; the rest were completed laparoscopically. Mean length of stay was 1.1 days (range 1-10 days). There was one death. Additional complications included band slippage in 14 patients (3.1%), gastric obstruction without slip in 12 (2.7%), port migration in 2 (0.4%), tubing disconnections in 3 (0.7%), and port infection in 5 (1.1%). Two bands (0.4%) were removed due to intraabdominal abscess 2 months after placement. There was one band erosion (0.2%) and no clinically significant esophageal dilation. Ninety-nine patients have 1-year follow-up and have lost an average of 44.3% excess body weight. CONCLUSION: Laparoscopic gastric banding has much to offer the morbidly obese. We present data showing weight loss rivaling gastric bypass and acceptably low complications. These results parallel success with this device outside America.
机译：背景：2001年，一种新的用于手术减肥的设备被美国食品药品监督管理局（Lap-Band，Inamed Health）批准。我们描述了在两个美国学术中心的腹腔镜胃绑扎术用于病态肥胖的初步结果。方法：前瞻性数据收集了连续的病态肥胖患者接受腹腔镜可调胃绑扎术，并进行回顾性评估。结果：从2001年5月至2002年12月，有455例连续患者接受了Lap-Band。103名男性和341名女性的平均年龄为42.1岁（范围17-72岁），平均体重指数（BMI）为49.6 kg / m2（范围35.2-92.2 kg / m2）。一项手术由于出血需要转换为剖腹手术;其余均通过腹腔镜完成。平均住院时间为1.1天（范围1-10天）。有一个死亡。其他并发症包括带滑移14例（3.1％），胃梗阻无滑脱12例（2.7％），端口迁移2例（0.4％），输气管断开3例（0.7％）和端口感染5例（1.1％） ）。放置后2个月，由于腹腔内脓肿而去除了两条带（0.4％）。有一个条带侵蚀（0.2％），没有临床上显着的食管扩张。有99名患者接受了1年的随访，平均体重减轻了44.3％。结论：腹腔镜胃扎带可提供病态肥胖。我们提供的数据显示减肥可与胃搭桥术相媲美，并发症少。这些结果与该设备在美国以外的地区取得了成功。

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