Resultados preliminares de la gastroplastía horizontal con anastomosis en Y de Roux como cirugía bariática en pacientes con obesidad severa y mórbida / Horizontal gastroplasty with Roux en Y anastomosis in morbidly obese patients: preliminary results
Rev. méd. Chile
; 127(8): 953-60, ago. 1999. ilus, tab
Article
em Es
| LILACS
| ID: lil-253162
Biblioteca responsável:
CL1.1
RESUMEN
Background:
morbidly obese subjects have a high incidence of complications. The poor results of dietary treatments, has prompted the search of new therapies for obesity and among these, surgical procedures.Aim:
To report the long term results of horizontal gastroplasty with roux en Y anastomosis in morbidly obese subjects. Patients andmethods:
fifty patients with an initial body mass index of 41.3 ñ 6 kg/m2 have been subjected to a horizontal gastroplasty with roux en Y anastomosis. During the study period, surgical techniques were modified, reducing the gastric pouch size, adding a truncal vagotomy, cholecystectomy, and increasing the length of the roux en Y loop from 70 to 100 cm. Twenty five patients have been followed for two years.Results:
There was no operative mortality and one patient had an anastomotic leak that required 35 days of hospitalization. During follow up, in one patient, the stapled suture line loosened. After two years of follow up, weight decreased from 112 ñ 19 to 77.2 ñ 14 kg.Conclusions:
horizontal gastroplasty with roux en Y anastomosis achieved an adequate weight loss with a low rate of complications in this group of morbidly obesesubjects:
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Obesidade Mórbida
/
Anastomose em-Y de Roux
/
Gastroplastia
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Idioma:
Es
Revista:
Rev. méd. Chile
Assunto da revista:
MEDICINA
Ano de publicação:
1999
Tipo de documento:
Article
País de publicação:
Chile