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相關文獻
- Surgical Treatment of Morbid Obesity with Vertical Banded Gastroplasty: A Comparison between TA90-4.8 and TA90-B
- Vertical Banded Gastroplasty: A Simple, Effective and Safe Surgery for Morbid Obesity
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- 病態肥胖症的麻醉評估
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- 最新控制病態肥胖症的外科手術方法:胃隔間法
頁籤選單縮合
題名 | Surgical Treatment of Morbid Obesity with Vertical Banded Gastroplasty: A Comparison between TA90-4.8 and TA90-B=病態肥胖症之垂直帶結胃成形術:比較TA90-4.8及TA90-B之結果 |
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作者 | 周逢復; 謝焜州; 吳志雄; Chou, Fong-fu; Hsieh, Kun-chou; Wu, Chih-hsiung; |
期刊 | 長庚醫學 |
出版日期 | 19990300 |
卷期 | 22:1 1999.03[民88.03] |
頁次 | 頁76-81 |
分類號 | 415.599 |
語文 | eng |
關鍵詞 | 病態肥胖症; 垂直帶結胃成形術; 釘針失效; Morbid obesity; Vertical banded gastroplasty; Staple failure; |
中文摘要 | 背景:用於病態肥胖是相當好的手術方法。它所產生併發症及死 亡率均極低並且有效的減少病人體重。本研究目的以垂直帶結胃形成術的手術來治療病態肥 胖患者的長期結果並比較 TA90-4.8 與 TA90-B 之結果。 方法:研究對象是以體重超過理想體重的100%或是超過45公斤或是體容積指數(BMI)超過40 kg╱m�插B或超過35kg╱m�捶皉傢鷏`炎、靜脈鬱積、睡眠中斷以及經常流產者。手術是以二 排的 TA90-4.8 ( N = 26 )或是單排的 TA90-B ( N = 24 )進行,依病人願意多自付 10000 元或美金 375 元為後者而決定。胃囊袋的出口控制在 10--12 公釐並且以 1.5 公分 長條狀的 Marlex 來強化以使得外徑為 5.5 公分。 術後並比較兩組之間體重變化和超過理 想體重的百分比,結果區分為優良、良、好、差、壞等。 結果:結果顯示對於年齡、性別、術前體重等,都沒有差異,手術時間在A組(175±39分鐘 )較 B 組( 140 ± 23 分鐘)( p < 0.0001 )為多。 追�j時間分別為 A 組 23.5 ± 10.8 月、B 組 20.8 ± 6.4 月。術後體重以及體容積指數、超過的重量在兩組之間並無差 異。 在 A 組中有 4 例結果為差的,其中有 3 例是由於釘針的脫裂、1 例是因喜好甜食。 在 B 組有 1 例因胃囊袋口狹窄而需要再次手術以解除狹隘。因而在此研究共 5 例失敗。 結論:以垂直帶結胃成形的手術方式對於巨大肥胖症的患者是一項有效的手術方式,只有極 少數的併發症。兩排並列的 TA90-4.8 因容易造成釘針脫落,應該放棄使用。 |
英文摘要 | Background: In this study, we wanted to determine the results of vertical banded gastroplasty for morbid obesity and compare the results of using the TA90-4.8 with using the TA90-B instrument. Methods: Patients with body weight over 100% of or 45 kg above their ideal body weight, body mass index (BMI) over 40 kg/m ��, or BMI over 35 kg/m �� with osteoarthritis, venous stasis, sleep apnoea, or frequent abortion were selected for surgical intervention. They were purposely divided into two groups. Vertical banded gastroplasty was performed in group A with two applications of TA90-4.8 (N=26) and in group B with one application of TA90-B (N=24). The outlet of the gastric pouch was 10 to 12 mm and reinforced with a 1.5 cm strip of Marlex to give a circumference of 5.5 cm. The follow-up body weight, BMI, and percentage of weight in excess of the ideal weight were compared between the two groups. The results were classified as excellent (0 to 25% excess weight), fair (26 to 50% excess weight), good (51 to 75% excess weight), poor (76 to 100% excess weight), and worse (>100% excess weight). A failure was defined as a body weight of greater than 76% excess weight and a repeated operation being needed regardless of the ultimate outcome. Results: There were no differences between the two groups regarding age, gender, preoperative body weight, BMI, and excess weight. The operative time was longer for group A (175 ± 39 min) than for of group B (140 ± 23 min) (p<0.0001). In the follow-up period, the postoperative body weight, BMI, and excess weight showed no differences between the two groups. Four patients in group A had poor results, three due to staple disruption and one due to sweet-eating. One patient in group B had stenosis of the stomach pouch and needed another operation to release the stenosis. Thus, five failures (10%) were found in this study. Conclusion: Vertical banded gastroplasty is an effective modality for treating morbid obesity. Two applications of TA90-4.8 are not recommended because they result in frequent staple disruption. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。