Factores predictivos de pérdida ponderal tras la gastrectomía vertical. Estudio multicéntrico hispano-portugués

Santos, Raquel Sánchez; Corcelles, Ricard; Vilallonga, Ramón; Rivilla, Salvadora Delgado; Ferrer, José Vicente; Corvinos, Javier Foncillas; Noguera, Carlos Masdevall; Macías, M. Socas; Gomes, Pedro; Ponz, Carmen Balaguè; Palacios, Jorge de Tomás; Sebastián, Sergio Ortiz; Pernaute, Andrés Sánchez; Puche, José; Sabench, Fàtima; Vega, Julen Abasolo; Sala, Xavier Suñol; Navarro, Ana García; Escribano, Carlos Duran; Fernández, Norberto Cassinello; Pérez, Nieves; Solanas, José Antonio Gracia; Nisa, Francisca García‐Moreno; Matías, Alberto Hernández; Azcárate, Víctor Valentí; Folqués, José Eduardo Pérez; Garcia, Inmaculada Navarro; Lanuza, E Domínguez-Adame; Botello-Martinez, Francisco; Fernández, Jesús González

doi:10.1016/j.ciresp.2017.02.002

Cited by 16 publications

(6 citation statements)

References 32 publications

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“…A meta-analysis of Parikh et al , including 198 leaks in 8922 patients, revealed that the risk of leak decreased with a bougie ≥40 Fr, with no difference in percentage excessive weight loss between a bougie <40 Fr and a bougie ≥40 Fr up to 36 months [ 9 ]. This strong evidence supports the use of ≥40 Fr bougies to decrease the leak rates, with controversial effects on weight loss [ 9 - 11 ].…”

Section: Introductionmentioning

confidence: 55%

“…The distance from the pylorus varies from 2-6 cm and is related to a variable leak rate attributed to the higher intragastric pressure obtained after antral resection. Increasing the size of the resected antrum might be associated with better short- and mid-term weight loss results, but could increase the leak rate [ 11 - 13 ]. Recalling that the bougie is only an inferior resecting limit, the principal rule for avoiding overpressure in the sleeve is the critical orientation of the created sleeve, respecting the incisura and the staple-line orientation, together with a correct choice of bougie [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Complications of staple line and anastomoses following laparoscopic bariatric surgery

Silecchia¹,

Iossa²

2017

aog

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With over 600 million people being obese, and given the scientific demonstration of the advantages of surgical treatment, bariatric surgery is on the rise. The promising long-term results in terms of weight loss, and particularly in relation to comorbidities and the control/cure rate, mean that the number of procedures performed in all countries remains high. However, the risk of potentially complex or fatal complications, though small, is present and is related to the procedures per se. This review is a guide for bariatric and/or general surgeons, offering a complete overview of the pathogenesis of anastomosis and staple line following the most common laparoscopic bariatric procedures: sleeve gastrectomy, gastric bypass, and mini-gastric bypass. The review is divided according to the procedure and the complications (leak, bleeding and stenosis), and evaluates all the factors that can potentially improve or worsen the complication rate, representing a “unicum” in the present literature on bariatric surgery.

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Section: Introductionmentioning

confidence: 55%

Section: Introductionmentioning

confidence: 99%

Complications of staple line and anastomoses following laparoscopic bariatric surgery

Silecchia¹,

Iossa²

2017

aog

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“…Medical treatments aiming to improve these pathologies and their comorbidities have not yielded adequate results in terms of weight loss [ 3 ]. However, bariatric surgery (BS) has proven to be an effective method to lose weight over time, being widely accepted by health professionals [ 4 , 5 , 6 , 7 , 8 ]. Moreover, it is regarded as a safe, effective and replicable technique with few side effects which might decrease life quality of patients [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Physical Exercise to Improve Functional Capacity: Randomized Clinical Trial in Bariatric Surgery Population

Aguilar-Cordero

Rodríguez-Blanque

Hernández

et al. 2022

JCM

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Background: Bariatric surgery is a safe and effective method to lose weight over time. However, some patients fail to achieve healthy weight losses. We aimed to determine if a moderate-intensity physical exercise intervention in patients who underwent bariatric surgery increases their functional capacity thus improving bariatric surgery results. Methods: We conducted a parallel-group non-blinded randomized controlled trial at a surgery clinic in Talca, Chile. A total of 43 participants with obesity and scheduled bariatric surgery completed the six months follow-up. A physical exercise program was conducted in exercise group participants one month after bariatric surgery. Walked distance in the six-minute walk test, BMI, Borg scale of perceptive exertion results and cardiovascular variables were evaluated. Results: Patients’ weight significantly decreased after bariatric surgery but there was no difference between the groups of study. The exercise group progressed from a base value of 550 ± 75 m walked in the six-minute walk test to a sixth-month value of 649.6 ± 68.5 m (p < 0.05), whilst the control group yielded base values of 554.4 ± 35.1 and a sixth-month walked distance of 591.1 ± 75.34 (p > 0.05). Conclusions: Physical exercise in obese patients undergoing bariatric surgery increased functional capacity independently of weight losses resulting from bariatric surgery.

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“…Entre las técnicas bariátricas, la gastrectomía vertical es cada vez más empleada por sus buenos resultados [1][2]. Sin embargo, actualmente se están publicando resultados a largo plazo que hacen evidente que la reganancia ponderal tras gastrectomía vertical supone un porcentaje significativo de pacientes (resultados heterogéneos que suponen entre el 40-86% de porcentaje de sobrepeso perdido a los 5 años en diferentes series) [2,3,4,5]. La reganancia ponderal, definida como la ganancia de peso tras cirugía bariátrica, es una complicación que se evidencia en un decremento gradual en el porcentaje de peso perdido observado en estudios longitudinales.…”

Section: Introductionunclassified

“…La reganancia ponderal, definida como la ganancia de peso tras cirugía bariátrica, es una complicación que se evidencia en un decremento gradual en el porcentaje de peso perdido observado en estudios longitudinales. Se asocia con la recurrencia de comorbilidad asociada a la obesidad, así como gastos sanitarios adicionales [3]. Las diferencias en cuanto a los resultados encontrados podrían estar en relación a factores relacionados con la técnica, con el paciente, o a factores todavía desconocidos [8][9][10][11].…”

Section: Introductionunclassified

Reganancia ponderal a los 5 años de la gastrectomía vertical por obesidad mórbida

Ossorio¹

2022

BMI Journal

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Factores predictivos de pérdida ponderal tras la gastrectomía vertical. Estudio multicéntrico hispano-portugués

Cited by 16 publications

References 32 publications

Complications of staple line and anastomoses following laparoscopic bariatric surgery

Complications of staple line and anastomoses following laparoscopic bariatric surgery

Physical Exercise to Improve Functional Capacity: Randomized Clinical Trial in Bariatric Surgery Population

Reganancia ponderal a los 5 años de la gastrectomía vertical por obesidad mórbida

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