Is Laparoscopic Sleeve Gastrectomy an Acceptable Primary Bariatric Procedure in Obese Patients? Early and 5-Year Postoperative Results

Braghetto, Italo; Csendes, Attila; Lanzarini, Enrique; Papapietro, Karin; Cárcamo, Carlos; Molina, Juan Carlos

doi:10.1097/sle.0b013e318262dc29

Cited by 132 publications

(60 citation statements)

References 62 publications

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“…Mortality after sleeve gastroplasty is small, usually less than 0.5% 13,20,29 . In our study there was a case of death due to postoperative thromboembolism, despite the use of preventive measures and anticoagulant employee.…”

Section: Discussion Discussion Discussion Discussionmentioning

confidence: 99%

“…The surgical complications most commonly encountered are: fistula, which usually occurs at the angle Table 2 Table 2 Table 2 Table 2 Table 2 Table 3 Table 3 Table 3 Table 3 Table 3 Table 4 Table 4 Table 4 Table 4 Table 4 Distribution of patients according to the quality of life after treatment. of Hiss, is difficult to treat, with an incidence ranging from 0.7 to 5.3% 14,17 ; stenosis, especially in the angular notch, due to failure when preparing the gastric tube 27 ; portals infection; hernia; cholelithiasis 3.8% 15; gastroesophageal reflux disease 28,29 ; and dilatation of the gastric pouch after two years of operation and weight regain 15,28,30,31 . The reduction of the stomach promotes reduced food intake and reduced parietal cells, resulting in decreased production of hydrochloric acid, which is important in the absorption of iron.…”

Section: Discussion Discussion Discussion Discussionmentioning

confidence: 99%

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Avaliação da qualidade de vida tardia após gastroplastia vertical

Pimenta

Moura

Filho³

et al. 2013

Rev. Col. Bras. Cir.

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Long-term quality of life after vertical sleeve gastroplasty Long-term quality of life after vertical sleeve gastroplasty Long-term quality of life after vertical sleeve gastroplasty Long-term quality of life after vertical sleeve gastroplasty Long-term quality of life after vertical sleeve gastroplasty We conducted a historical cohort study including patients with morbid obesity the in the Unified Health System (SUS), registered in the database of the General University Hospital, University of Cuiabá. All patients underwent vertical sleeve gastroplasty and were followed for at least one year after the operation. The study variables were: quality of life, weight loss, improvement of hypertension and diabetes, and mortality. Results Results ResultsResults Results: The sample comprised 41 patients, 13 (31.7%) men and 28 (61.3%) women, mean age was 37 years, the average weight was 136.4 kg and mean BMI 50.3 kg/m 2 ; mean follow-up was 19.1 months (12-32). There was a significant reduction in weight (96.7 kg, p < 0.001) and BMI (35.835 kg/m 2 , p < 0.001). The rate of blood pressure decreased from 56% to 31.7%, and diabetes from 14.6% to 4.8% (p < 0.001). Quality of life improved in 92.5% of patients. ConclusionConclusion Conclusion Conclusion Conclusion: There was an improvement in the quality of life in the majority of patients, achieved by means of weight loss and clinical improvement of diabetes and hypertension.

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Section: Discussion Discussion Discussion Discussionmentioning

confidence: 99%

Section: Discussion Discussion Discussion Discussionmentioning

confidence: 99%

Avaliação da qualidade de vida tardia após gastroplastia vertical

Pimenta

Moura

Filho³

et al. 2013

Rev. Col. Bras. Cir.

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“…first-line procedure for morbid obesity or as a rescue procedure after failed gastric banding, the incidence of this procedure is increasing. 4 When we are faced with a difficult field, our preferred approach is to use an endovascular stapler to cordon off the viscera adherent to the liver and/or hepatoduodenal ligament (Fig. 3A).…”

Section: Abdominal Organ Recovery Following Weight-loss Surgerymentioning

confidence: 99%

Techniques for safe organ recovery after endovascular aortic and bariatric operations

2014

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TO THE EDITORS:Since Starzl et al. 1 first published on organ recovery techniques, the field has changed in substantial ways. Organs are often recovered by different centers, and this requires more in situ dissection in a setting of competing interests and unfamiliarity among different surgical teams and local operating room staff. These challenges are compounded by a donor population of advanced age and with a higher prevalence of obesity; this makes reoperative fields more common and the difficulties associated with a larger body habitus more relevant. The imbalance between supply and demand makes organ damage even less excusable in modernday recovery operations.It is well recognized that any reoperative field is more complicated than a virgin abdomen. Two specific operations occurring with increasing frequency have the potential to affect the ability to safely perfuse and recover abdominal organs. Approximately 50,000 persons per year undergo elective or urgent abdominal aortic aneurysm repair. Endovascular repair is increasingly considered the first-line treatment for elective repairs, and in each year since 2003, electively performed endovascular repairs have surpassed open approaches. 2 More than 150,000 people per year undergo bariatric operations, including gastric bypass, gastric banding, and sleeve gastrectomy, in the United States. 3 These numbers reflect just 1% of the population eligible for weight-loss surgery.A preoperative plan is critical to a successful operation, and we present 2 techniques for approaching these complex reoperative patients within the normal skill set of a recovering surgeon. ABDOMINAL ORGAN RECOVERY FOLLOWING ENDOVASCULAR ANEURYSM REPAIRAn endovascular graft is a covered, self-expanding metal framework that intravascularly bridges the infrarenal aorta and iliac arteries through the aneurysm; newer fenestrated grafts may even cross the renal arteries. Traditional tube grafts used during open aneurysm repair lack a metal infrastructure and are sewn directly to the proximal aorta and distal aorta or iliacs. This is done after the aneurysm is opened, so there is no false lumen. These structural and technical contrasts are the basis for potential harm to organ perfusion.The radial strength provided by the metal framework allows proper fixation. In contrast to standard grafts, clamping or finger pinching during cannulation results in crimping and flattening of the endovascular graft (Fig. 1A). This may result in high resistance, no flow of the preservation fluid, or even inability to properly insert the aortic flush cannula. Moreover, the cannula may be inadvertently placed in the native aortic lumen outside the covered endovascular stent (Fig. 1B). Both errors risk poor graft perfusion and loss and require an alternative, safe, and easily reproducible technique in any environment without special equipment.We have used a femoral cutdown with distal ligation, through which a standard 18-Fr nasogastric tube (sump-tied) is passed into the abdominal aorta from the side with the longer...

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“…On the contrary, others have suggested a high risk of reflux after sleeve gastrectomy (SG), and it is widely recognized that some patients report worsening of their gastroesophageal reflux disease after operation. Besides, others patients develop de novo reflux [2][3][4][5][6][7][8][9][10]. Howard [11], comparing the pre and post sleeve reflux symptoms, found by radiological evaluations evidences of gastroesophageal reflux (GER) before surgery in 3.6 % which increased to 39 % after operation and worsening of disease in 23 % of cases.…”

Section: Introductionmentioning

confidence: 97%