Laparoscopic vertical banded gastroplasty -: an effective long-term therapy for morbidly obese patients?

被引:31
作者
Olbers, T
Lönroth, H [1 ]
Dalenbäck, J
Haglind, E
Lundell, L
机构
[1] Sahlgrenska Univ Hosp, Dept Surg, S-41345 Gothenburg, Sweden
[2] Frolunda Specialist Hosp, Dept Surg, Gothenburg, Sweden
关键词
morbid obesity; bariatric surgery; vertical banded gastroplasty; weight reduction; laparoscopy;
D O I
10.1381/09608920160558669
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Vertical banded gastroplasty (VBG) has previously been documented as an effective treatment for morbid obesity. We have described a laparoscopic technique to perform this operation. Followup data are now presented. Methods: A consecutive series of 139 morbidly obese patients were operated on with laparoscopic VBG. The patients were assessed with respect to peri- and postoperative morbidity, postoperative recovery and weight reduction up to 5 years thereafter. Results: Conversions to an open operation (n=6) and early reoperations (n=3) occurred in the early part of the series. Late complications were observed in 8 patients. The average weight reduction after 1 year was 50% of excess body weight, which remained also after 2 years. The continued follow-up covering 3 to 5 years postoperatively revealed a moderate weight gain in about 20% of patients. Conclusion: VBG can be safely performed by use of the laparoscopic technique. The average weight reduction after I and 2 years was 50% of excess body weight, whereafter tendency to partial weight gain was noted, suggesting an outcome comparable to that documented after the open surgical approach.
引用
收藏
页码:726 / 730
页数:5
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