2010, Number 2
<< Back Next >>
Cir Gen 2010; 32 (2)
“Simplified” gastric bypass – 150 cases
Prieto AMR, Martínez MA, Vargas ME, Aceves VE, Aceves ÁM
Language: Spanish
References: 20
Page: 76-82
PDF size: 269.47 Kb.
ABSTRACT
Objective: To present our initial experience with the “simplified” gastric bypass.
Setting: Hospital “Puerta de Hierro Sur”, Tlajomulco de Zuñiga, Jal., Mexico.
Design: Retrospective, descriptive case report study.
Statistical analysis: Percentages as summary measure for qualitative variables and central tendency measures.
Patients and methods: We included the first 150 patients treated with the “simplified” gastric bypass technique. We evaluated the demographic characteristics of the patients, the surgical technique, the obtained results, and complications.
Results: “Simplified” gastric bypass was performed in 150 patients (91 women and 59 men), average age was of 40 years (range 18 to 65). The body mass index was of 42 kg/m
2 and the average surgical time was of 3-1 h; the average weight loss was of 72%.
Two gastrointestinal leaks, two postoperative bleedings, one patient developed pneumonia and the other pulmonary thromboembolism. Average hospital stay was of 3.2 days (range, 3 to 23). No deaths occurred.
Conclusion: The “simplified” gastric bypass is a safe, reliable, reproducible, and effective procedure. The obtained results are comparable with the diverse series published world-wide.
REFERENCES
Olaiz-Fernández G. Encuesta Nacional de Salud y Nutrición 2006. Instituto Nacional de Salud Pública 2006.
Programa Nacional de Salud 2007-2012 Por un México sano: construyendo alianzas para una mejor salud. Secretaría de Salud 2007.
Sánchez-Castillo CP, Pichardo-Ontiveros E, López-RP. [The epidemiology of obesity]. Gac Med Mex 2004; 140: S3-20.
Cordova-Villalobos JA. Sobrepeso y obesidad, problemas de salud pública en México. Cir Ciruj 2009; 77: 421-422.
Gastrointestinal surgery for severe obesity: National Institutes of Health Consensus Development Conference Statement. Am J Clin Nutr 1992; 55: 615S-619S.
Sjostrom L, Narbro K, Sjostrom CD, Karason K, Larsson B, Wdel H, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med 2007; 357: 741-52.
Brolin RE. Bariatric surgery and long-term control of morbid obesity. Jama 2002; 288: 2793-6.
Mun EC, Blackburn GL, Matthews JB. Current status of medical and surgical therapy for obesity. Gastroenterology 2001; 120: 669-81.
Cummings DE, Overduin J, Foster-Schubert KE. Gastric bypass for obesity: mechanisms of weight loss and diabetes resolution. J Clin Endocrinol Metab 2004; 89: 2608-15.
Brethauer SA, Chand B, Schauer PR. Risks and benefits of bariatric surgery: current evidence. Cleve Clin J Med 2006; 73: 993-1007.
Mason EE, Ito C. Gastric bypass in obesity. Surg Clin North Am 1967; 47: 1345-51.
Cardoso RA, Galvão NM, Galvão M, Carlo A. Simplified gastric bypass - 522 initial cases. Revista Mexicana de Cirugía Endoscópica 2004; 5: 36.
Ramos AC, Galvao Neto M, Santana Galvao M, Carlo A, Canseco E, Lima M, et al. Simplified laparoscopic duodenal switch. Surg Obes Relat Dis 2007; 3: 565-8.
NORMA Oficial Mexicana NOM-174-SSA1-1998, para el manejo integral de la obesidad, 2000.
Mason EE, Printen KJ, Hartford CE, Boyd WC. Optimizing results of gastric bypass. Ann Surg 1975; 182: 405-14.
Griffen WO, Jr., Young VL, Stevenson CC. A prospective comparison of gastric and jejunoileal bypass procedures for morbid obesity. Ann Surg 1977; 186: 500-9.
Buchwald H, Oien DM. Metabolic/bariatric surgery Worldwide 2008. Obes Surg 2009; 19: 1605-11.
Buchwald H, Estok R, Fahrbach K, Banel D, Jensen MD, Pories WJ, et al. Weight and type 2 diabetes after bariatric surgery: systematic review and meta-analysis. Am J Med 2009; 122: 248-256 e5.
Needleman BJ, Happel LC. Bariatric surgery: choosing the optimal procedure. Surg Clin North Am 2008; 88: 991-1007, vi.
Longitudinal Assessment of Bariatric Surgery (LABS) Consortium, Flum DR, Belle SH, King WC, Wahed AS, Berl P, Chapman W, et al. Perioperative safety in the longitudinal assessment of bariatric surgery. N Engl J Med 2009; 361: 445-54.