Evolution of Operative Procedures for the Management of Morbid Obesity 1950-2000

Buchwald, Hēnry; Buchwald, J. N.

doi:10.1381/096089202321019747

Cited by 233 publications

(127 citation statements)

References 33 publications

Supporting

Mentioning

102

Contrasting

Unclassified

Order By: Relevance

“…Surgical techniques are based on food intake restriction, malabsorption, or both. On the other hand, all of the operations have some complications and the search for less aggressive treatments led to the development of sleeve gastrectomy (SG) [4]. SG decreases the gastric capacity without altering the continuity of the upper digestive tube, maintains access for endoscopic examination, and allows an additional operation in case of weight loss failure or weight regain [5].…”

Section: Introductionmentioning

confidence: 99%

Hematological, Biochemical, and Immunological Laboratory and Histomorphological Effects of Sleeve Gastrectomy on Female Rats

et al. 2013

View full text Add to dashboard Cite

Restriction of food intake leads to immunologic and histomorphological changes in rats demonstrated by Moriyama. This study is planned to show how sleeve gastrectomy restricts food intake and its effects on biochemical liver function, immunologic and hematologic laboratory parameters, and histomorphological changes in rats. We used sleeve gastrectomy model on seven young adult female rats and compared study group with sham and control groups. Food consumption of rats was measured. All rats were sacrificed on the 50th day, and blood and tissue samples were collected. There was a significant low food intake in sleeve gastrectomy group (p=0.013). No differences were observed on hematologic, biochemical, and immunologic laboratory parameters between groups. Toxicity parameters in liver samples such as cytoplasmic atrophy, single-cell hepatocellular necrosis, and necrotic eosinophilic cells were significantly high in sleeve gastrectomy group (p=0.005). Histomorphological examination of the spleen and kidneys revealed significant changes in sleeve gastrectomy and sham groups compared with controls (p=0.004 and p=0.018, respectively). Although sleeve gastrectomy does not lead to alteration in hematologic, biochemical, and immunologic laboratory parameters, it causes decreased food consumption, which results in toxicological histomorphological changes in rat liver as well as some changes in kidney and spleen samples.

show abstract

Section: Introductionmentioning

confidence: 99%

Hematological, Biochemical, and Immunological Laboratory and Histomorphological Effects of Sleeve Gastrectomy on Female Rats

et al. 2013

View full text Add to dashboard Cite

show abstract

“…This procedure has since been adapted to the laparoscopic approach in which the stomach is generally transected vertically. 17,18,19,20 This anatomic change results in early satiety with reduced meal portions.…”

Section: Vertical Banded Gastroplastymentioning

confidence: 99%

“…Armed with the knowledge that surgical manipulation of the gastrointestinal (GI) tract could lead to significant and reproducible weight loss, many surgeons embarked on this journey in pursuit of the perfect operation which could produced the desired weight loss with an acceptable complication profile. 17,18,38 …”

Section: Fig 4 Jejunoileal Bypassmentioning

confidence: 99%

See 1 more Smart Citation

Surgical Procedures to Achieve Weight Loss

Grinberg¹,

Afthinos²,

Gibbs³

2012

Advanced Bariatric and Metabolic Surgery

View full text Add to dashboard Cite

“…Before the operation is very important to inform about the surgical technique to be employed, possible complications and negative implications in the short and long term, it is also important to dialogue with the patient and their family members for deliberation of the best alternative therapy in each case. Among the methods used today, gastric bypass has earned the preference of many experts, representing 65% of bariatric operations performed in the emerging countries 3 .…”

Section: Introductionmentioning

confidence: 99%

Derivações gástricas em y- de- roux com anel de silicone para o tratamento da obesidade: estudo das complicações relacionadas com o anel

Elias¹,

Garrido-Junior²,

Berti³

et al. 2011

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

HEADINGS -Anastomosis, Roux-en-Y. Morbid obesity, Postoperative complications.ABSTRAT -Background -The silicone ring is used as containment factor of the Rouxen-Y gastric bypass to induce greater ponderal loss. However, it may have some inconveniences from this stressed restriction. Aim -To analyze the complications related to silicone ring in patients who underwent Roux-en-Y gastric bypass surgery with silicon ring. Methods -From 1994 to 2005, 7 000 patients were submitted to Roux-in-Y gastric bypass with silicone ring in order to treat morbid obesity. Only 50% were followed from two to 11 years. The mean excess weight loss was around 85%. But ring complications were registered in 160 patients (2,28% of the total and 4,56% of the followed patients). Therefore, this series consist of 38 male patients (23.8%) and 122 female patients (76.2%) with average age of 44 years old and BMI of 54.4 kg/m 2 . Results -Five types of ring complications were found. The most frequent was displacement (61%) causing obstructive symptoms. The second most frequent complication was ring erosion to the lumen (22%) causing epigastric pain and nausea. Conclusions -The ring complications occur in low frequency. Ring removal, either surgical or endoscopically done, is the most usual treatment, but tends to cause partial regain of the weight lost. ABCDDV/815 RESUMO

show abstract

Evolution of Operative Procedures for the Management of Morbid Obesity 1950-2000

Abstract: Since bariatric surgery is the only broadly successful treatment for morbid obesity, it is incumbent on all physicians to be familiar with current bariatric operations, and to understand the evolution of bariatric surgery.

Cited by 233 publications

References 33 publications

Hematological, Biochemical, and Immunological Laboratory and Histomorphological Effects of Sleeve Gastrectomy on Female Rats

Hematological, Biochemical, and Immunological Laboratory and Histomorphological Effects of Sleeve Gastrectomy on Female Rats

Surgical Procedures to Achieve Weight Loss

Derivações gástricas em y- de- roux com anel de silicone para o tratamento da obesidade: estudo das complicações relacionadas com o anel

Contact Info

Product

Resources

About