https://scholars.lib.ntu.edu.tw/handle/123456789/312184
標題: | Laparoscopic vertical banded gastroplasty: 5-Year results | 作者: | PO-JUI YU | 關鍵字: | Laparoscopy; Morbid obesity; Quality of life; Vertical banded gastroplasty | 公開日期: | 2005 | 卷: | 15 | 期: | 9 | 起(迄)頁: | 1299-1303 | 來源出版物: | Obesity Surgery | 摘要: | Background: Vertical banded gastroplasty (VBG) has been a popular bariatric operation for the past 2 decades, and this operation has evolved into a laparoscopic procedure. However, reports of laparoscopic VBG (LVBG) from large series with longer results are limited. Methods: From October 1998 to May 2002, 612 consecutive patients underwent LVBG. Mean age was 30.1 years and mean BMI 43.0 kg/m2. Laparoscopic Mason gastroplasty was performed. The change of BMI, obesity-related co-morbidities, and GI quality-of-life index (GIQLI) were studied. Results: The major and minor complication-rate was 1.14% and 4.58% respectively. The mortality-rate was 0.16%. Mean BMI fell from 43.1 kg/m 2 to 31.2,31.3, 31.4, 32.2, and 32.8 kg/m2 at 1, 2, 3, 4, and 5 years respectively, with 93% follow-up. Revision rate was 9.2%. GIQLI decreased from 113.0 to 106.6, 110.9, 111.9, 112.1, and 106.4 at 1, 2, 3, 4, and 5 years. Conclusion: LVBG is safe and effective in weight reduction. The GIQLI failed to improve postoperatively even with good resolution of obesity-related co-morbidities. In carefully selected patients with diligent post-operative follow-up, LVBG is a bariatric surgery option. ? FD-Communications Inc. |
URI: | http://www.scopus.com/inward/record.url?eid=2-s2.0-27644481209&partnerID=MN8TOARS http://scholars.lib.ntu.edu.tw/handle/123456789/312184 |
DOI: | 10.1381/096089205774512519 | SDG/關鍵字: | adolescent; adult; article; body mass; comorbidity; follow up; gastric banding; gastroplasty; gi quality of life index; human; laparoscopic mason gastroplasty; laparoscopic surgery; laparoscopic vertical banded gastroplasty; major clinical study; morbid obesity; nonhuman; outcomes research; patient selection; postoperative care; postoperative complication; priority journal; quality of life; safety; weight reduction; Adolescent; Adult; Female; Follow-Up Studies; Gastroplasty; Humans; Laparoscopy; Male; Middle Aged; Obesity, Morbid; Quality of Life; Reoperation; Weight Loss |
顯示於: | 護理學系所 |
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