THE GREENVILLE GASTRIC BYPASS - PROGRESS REPORT AT 3 YEARS
THE GREENVILLE GASTRIC BYPASS - PROGRESS REPORT AT 3 YEARS
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DOI：
10.1097/00000658-198405000-00010
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发表时间：
1984-01-01
影响因子：
9
通讯作者：
THOMAS, FT
中科院分区：
文献类型：
--
作者：
FLICKINGER, EG;PORIES, WJ;THOMAS, FT
1980年2月至1983年11月间，210名病态肥胖患者接受了标准化的胃旁路手术。根据100%的随访，我们得出结论，手术是安全的（手术死亡率-1%，严重并发症-10%）和有效的（再手术率-4%）。只有一名患者未能减轻超过术前体重的25%。手术后，患者的平均体重从手术前的289磅（202-505磅）下降到手术后18个月的176磅（118-308磅）。18个月后，患者体重从术前的平均214%（153-350）下降到130%（88-189）。手术后18个月达到最大体重减轻，超过95%的患者在36个月的观察中保持体重减轻。当患者根据术前体重分为四组时，体重减轻的速度大致相似，但体重较重的患者虽然体重减轻更多，但体重稳定在高于原本较轻的患者的水平。在糖尿病、高血压、心脏病和肺功能不全患者中观察到显著和客观的益处。
Two hundred and ten morbidly obese patients underwent a standardized gastric bypass procedure between February 1980 and November 1983. We conclude, based on 100% follow-up, that the operation is safe (operative mortality--1%, significant complications--10%) and effective (reoperation rate--4%). Only one patient failed to lose more than 25% of preoperative weight. The operation produced a mean weight loss in the group from 289 pounds (202-505) before surgery to 176 pounds (118-308) at 18 months after surgery. Stated as "per cent of ideal weight," patients lost from a preoperative mean of 214% (153-350) to 130% (88-189) at 18 months. Maximum weight loss was reached by 18 months after the procedure and was maintained during 36 months of observation in over 95% of patients. When patients were divided into four groups according to preoperative weight, weight loss occurred at a roughly similar rate, but heavier patients, although they lost more weight, plateaued at a higher weight than patients originally less obese. Striking and objective benefits were seen in patients with diabetes, hypertension, heart disease, and pulmonary insufficiency.