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2014, Number 3

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Cir Cir 2014; 82 (3)

Simplified laparoscopic gastric bypass. Initial Experience

Hernández-Miguelena L, Maldonado-Vázquez A, Cortés-Romano P, Ríos-Cruz D, Marín-Domínguez R, Castillo-González A
Full text How to cite this article

Language: Spanish
References: 12
Page: 262-267
PDF size: 293.80 Kb.


Key words:

Gastric bypass, morbid obesity, bariatric surgery.

ABSTRACT

Background: Obesity surgery includes various gastrointestinal procedures. Roux-en-Y gastric bypass is the prototype of mixed procedures being the most practiced worldwide. A similar and novel technique has been adopted by Dr. Almino Cardoso Ramos and Dr. Manoel Galvao called “simplified bypass”, which has been accepted due to the greater ease and very similar results to the conventional technique. The aim of this study is to describe the results of the simplified gastric bypass for treatment of morbid obesity in our institution.
Methods: We performed a descriptive, retrospective study of all patients undergoing simplified gastric bypass from January 2008 to July 2012 in the obesity clinic of a private hospital in Mexico City.
Results: A total of 90 patients diagnosed with morbid obesity underwent simplified gastric bypass. Complications occurred in 10% of patients, being more frequent bleeding and internal hernia. Mortality in the study period was 0%. The average weight loss at 12 months was 72.7%.
Conclusion: Simplified gastric bypass surgery is safe with good mid-term results and a loss of adequate weight in 71% of cases.


REFERENCES

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  2. Organización para la Cooperación y Dessarrollo Económicos (OCDE). (consultado 2012 Oct 5). Disponible en http:// www.oecd.org/health/49716427.pdf

  3. Schauer PR, Kashyap SR, Wolski K, Breathauer SA, Kirwan JP, Pothier CE, et al. Bariatric Surgery versus Intensive Medical Therapy in Obese Patients with Diabetes. N Engl J Med 2012;366:1567-1576.

  4. Buchwald H, Buchwald N. Evolution of Surgery for Morbid Obesity. In: Pitombo Cid, Jones K, Higa K, Pareja JC. Obesity surgery, principles and practice. New York: McGraw- Hill, 2008;3-13.

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  8. Schauer PR, Ikramuddin S, Gourash W, Ramanathan R, Luketich J. Outcomes After Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity. Ann Surg 2000;232:515-529.

  9. Higa KD, Boone KB, Ho T. Complications of the Laparoscopic Roux en- Y- Gastric Bypass: 1,040 Patients- What Have We Lerned? Obes Surg 2000;10:509-513.

  10. Cardoso RA, Galväo NM, Carlo A. Simplified Gastric bypass - 522 initial cases. Rev Mexicana Cir Endosc 2004;5:36.

  11. Prieto AMR, Martínez MA, Vargas ME, Aceves VE, Aceves ÁM. Bypass gástrico “simplificado” 150 casos. Cir Gen 2010;32:76-82.

  12. Martin MJ, Eckert MJ, Eggebroten WE, Beekley AC. A new and Simplified Technique for Laparoscopic Gastric Bypass in a Residency Training Program. Decreased Resource Utilization and Enhanced Training. Arch Surg 2010;145:844-851.




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Cir Cir. 2014;82