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2015, Number 4

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Med Sur 2015; 22 (4)

Simplified laparoscopic gastric bypass. 3 year experience at Medica Sur

López-Caballero C, Vélez-Pérez F, Visag-Castillo V, Correa-Rovelo JM, Torres-Villalobos GM
Full text How to cite this article

Language: Spanish
References: 19
Page: 203-207
PDF size: 159.55 Kb.


Key words:

Obesity, Bariatric surgery, Biliopancreatic bypass, Gastric remnant, Anastomotic leak.

ABSTRACT

Background. Overweight and obesity are both serious public health problems in Mexico. Gastric bypass (GBP) has demonstrated the best outcomes in regard of long term of excess weight loss (%EWL). The aim of this study was to describe the simplified laparoscopic GPB in American position, and communicate our results with a perioperative standardized protocol. Material and methods. Retrospective, descriptive, case series study. We included all GBP done form March 2013 until September 2015. Results. Twenty-six consecutive patients were included. Average body mass index (BMI) was 41 kg/m2. Surgical procedure time was 140 min, with a total 3.3 lengh of stay (LoS), none patient presented anastomotic leakage. Conclusion. GPB is a safe and effective procedure when done by experienced hands. Complication rate in our study is lower than the information published in the international literature; however we need more patients to obtain more impact with our outcomes.


REFERENCES

  1. Encuesta Nacional de Salud y Nutrición 2012. Resultados Nacionales. Instituto Nacional de Salud Pública.

  2. Obesity Update, Organización para la Cooperación y Desarrollo Económicos (OCDE) 2014. Disponible en: www.oecd.org/health/ healthdata[Consultado:noviembre 10, 2015].

  3. Wyatt SB, Winters KP, Dubbert PM. Overweight and obesity: prevalence, consequences, and causes of a growing public health problem. Am J Med Sci 2006; 331:166-74.

  4. Schauer PR, Kashyap SR, Wolski K, Breathauer SA, Kirwan JP, Pothier CE, et al. Bariatric Surgery versus Intensive Medical The rapy in Obese Patients with Diabetes. N Engl J Med 2012; 366: 1567-76.

  5. Banka G, Woodard G, Hernandez-Boussard T, Morton JM. Laparoscopic vs. Open Gastric Bypass Surgery Differences in Patient Demographics, Safety, and Outcomes. Arch Surg 2012; 147: 550-6.

  6. Wittgrove AC, Clark GW. Laparoscopic Gastric Bypass, Roux en- Y -500 Patients: Technique and Results, with 3-60 month followup. Obes Surg 2000; 10: 233-9.

  7. Obeid A, Long J, Kakade M, Clements RH, Stahl R, Grams J. Laparoscopic Roux-en-Y gastric bypass: long term clinical outcomes. Surg Endosc 2012; 26: 3515-20.

  8. Buchwald H, Oien DM. Metabolic/bariatric surgery Worldwide 2008. Obes Surg 2009; 19: 1605-11.

  9. Olbers T, Lönroth H, Fagevik-Olsén M, Lundell L. Laparoscopic gastric bypass: Development of technique, respiratory function, and long-term outcome. Obes Surg 2003; 13(3): 364-70.

  10. Zerrweck LC. Origen del “bypass gástrico simplificado”. Cirugía y Cirujanos 2015; 83(1): 87-8.

  11. Cardoso RA, Sousa SA, Galvão RM, Claros CG, Galvão NM, Almeida MM, Delmondes GT, Lemos De Souza BD. Simplified- Gastric Bypass: 13 Years Of Experience And 12,000 Patients Operated. Abcd Arq Bras Cir Dig 2014; 27: 2-8.

  12. Powell MS, Fernandez AZ. Surgical Treatment for Morbid Obesity: The Laparoscopic Roux-en-Y Gastric Bypass. Surg Clin N Am 2011; 91: 1203-24.

  13. Mason EE, Ito C. Gastric bypass in obesity. Surg Clin North Am 1967; 47: 1345-51.

  14. Schauer Pr, Ikramuddin S, Hamad G, Eid Gm, Mattar S, Cottam D, et al. Laparoscopic Gastric Bypass Surgery: Current Technique. J Laparoendosc Adv Surg Tech A 2003; 13: 229-39.

  15. Valezi Ac, Marson Ac, Merguizo Ra, Costa Fl. Roux-En-Y Gastric Bypass: Limb Length And Weight Loss. Abcd Arq Bras Cir Dig 2014; 27: 56-8.

  16. Dillemans B, Sakran N, Van Cauwenberge S, Sablon T, Defoort B, Van Dessel E. Standardization of the Fully Stapled Laparoscopic Roux-en-Y Gastric Bypass for Obesity Reduces Early Immediate Postoperative Morbidity and Mortality: A Single Center Study on 2606 Patients. Obes Surg 2009; 19: 1355-64.

  17. Iannelli A, Facchiano E, Gugenheim J. Internal hernia after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Obes- Surg 2006; 16: 1265-71.

  18. Kavuturu S, Rogers AM, Haluck RS. Routine Drain Placement In Roux-En-Y Gastric Bypass: An Expanded Retrospective Comparative Study Of 755 Patients And Review Of The Literature. Obes Surg 2012; 22: 177-81.

  19. Giovanni Quartararo G, Facchiano E, Scaringi S, Liscia G, Lucchese M. Upper Gastrointestinal Series After Roux-En-Y Gastric Bypass For Morbid Obesity: Effectiveness In Leakage Detection. A Systematic Review of The Literature. Obes Surg 2014; 24: 1096-101.




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Med Sur. 2015;22