Abstract
背景:本研究的目的,在於分析92位病人接受垂直帶結成形術治療病態肥胖症之資料,以期證明垂直帶結果手術對一有經驗之胃腸外科醫師而言,是一簡單、有效且安全治療病態肥胖症之手術式。
方法:從1994年1月至2000年6月,共計92位病態肥胖症病人接受垂直帶結成形術。所有相關資料均予以分析。胃囊代以EEA-31及TA90-4.8或TA90-B造成,其開口內徑為10至12公厘。術後結果分為極優、優、普通、差、極差等。
結果:胃囊袋自動縫合處脫落發生於4名病人,其均使用TA90-4.8。所有病人均未因手術致死。手術結果極優者有15名,優者38名,結果普通者有23名,結果為差或極差者有16名。
結論:垂直帶結成形術對一有經驗之胃腸外科醫師而言,是一簡單、有效且安全的治療療態肥胖症的術式,其相關的併發症及死亡率均低且效果良好。
Backrdound: The purpose of this study was to analyze the data of 92 patients who were treated with vertical banded gastroplasty (VBGP) for morbid obesity. We wanted to show the VBGP is a simple, effective and safe surgery for an experienced gastrointestinal surgeon. Methods: From January 1994 through June 2000, 92 patients with morbid obesity who were treated with VBGP were enrolled into this study. All associated data were corrected and analyzed. The gastric pouch was created with end-to-end anastomosis instrucment (EEA-31) and two applications of thoracic anastomosis instrument (TA)90-4.8 or TA90-B. The outlet of the gastric pouch was 10to 12 mm in diameter. The results were classified as excellent, good, fair, poor, and bad. Results: Staple disruption occurred in four patients with two applications of TA90-4.8 at the beginning of the series. No surgical deaths occurred. Fifteen patients had excellent results. Thirty-eight patients had good results. Twenty-three patients had fair results. Only 16 patients had poor or bad results. Conclusions: VBGP is a simple, effective and safe surgery for an experienced gastrointestinal surgeon in management of morbid obesity. The associated morbidity and mortality rates are low and the results are good.
Backrdound: The purpose of this study was to analyze the data of 92 patients who were treated with vertical banded gastroplasty (VBGP) for morbid obesity. We wanted to show the VBGP is a simple, effective and safe surgery for an experienced gastrointestinal surgeon. Methods: From January 1994 through June 2000, 92 patients with morbid obesity who were treated with VBGP were enrolled into this study. All associated data were corrected and analyzed. The gastric pouch was created with end-to-end anastomosis instrucment (EEA-31) and two applications of thoracic anastomosis instrument (TA)90-4.8 or TA90-B. The outlet of the gastric pouch was 10to 12 mm in diameter. The results were classified as excellent, good, fair, poor, and bad. Results: Staple disruption occurred in four patients with two applications of TA90-4.8 at the beginning of the series. No surgical deaths occurred. Fifteen patients had excellent results. Thirty-eight patients had good results. Twenty-three patients had fair results. Only 16 patients had poor or bad results. Conclusions: VBGP is a simple, effective and safe surgery for an experienced gastrointestinal surgeon in management of morbid obesity. The associated morbidity and mortality rates are low and the results are good.
Original language | American English |
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Pages (from-to) | 754-760 |
Journal | 長庚醫學 |
Volume | 26 |
Issue number | 10 |
State | Published - 2003 |