Laparoscopic biliopancreatic diversion with duodenal switch

Gautier, Michel; Matteotti, Ronald

doi:10.1016/j.suc.2004.10.003

Cited by 72 publications

(35 citation statements)

References 23 publications

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“…Loss of excess weight 12 months after the duodenal switch stays around 70% to 80% (6) , with a minimum weight loss of 30% (19,27) . The meta-analysis performed by Buchwald et al (6) demonstrated that 1 year after the postoperative period, average weight loss was similar in the two employed procedures, and that this loss was maintained up to 4 years later.…”

Section: Discussionmentioning

confidence: 99%

Mortality, weight loss and quality of life of patients with morbid obesity: evaluation of the surgical and medical treatment after 2 years

Pimenta

Saruwatari

Corrêa

et al. 2010

Arq. Gastroenterol.

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-Context -The surgical treatment for morbid obesity is becoming common in this country. Only a few papers reported the long-term results of the surgical approach for morbid obesity, mainly in terms of quality of life. Objective -To compare mortality rate, weight loss, improvement of both diabetes and hypertension, and quality of life of patients from the public healthcare in Cuiabá, MT, Brazil, who underwent either medical or surgical interventions after a minimum of 2 years. Methods -The population of this study was constituted by morbidly obese patients who initiated treatment between June 2002 and December 2006. The casuistic consisted of 89 patients submitted to medical therapy and 76 patients who underwent surgical procedures. The main variables were weight loss, improvement of hypertension and diabetes, quality of life, and mortality. Results -The overall results showed that weight loss was significant in the two groups (P<0.001); however surgical patients showed a greater loss than the medical group (P = 0.05). The improvement of diabetes and hypertension was significantly greater in the surgical group (P<0.001), in which no cases of diabetes persisted. There was an increase in cases of hypertension among patients receiving medical attention. Mortality occurred in six cases (6.7%) of the medical group and in five cases (6.6%) of the surgical group (P = 0.97). The median grade of the quality of life score obtained by surgical patients (2.37 [range: -2.50 to 3.00]) was significantly greater (P<0.001) when compared to the medical group (1.25 [range: -1.50 to 3.00]). Conclusion -The surgical group presented better results regarding the weight loss, quality of life and improvement of hypertension and diabetes. There was no significant difference in mortality rate between the two groups after a minimum of 2 years.

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Section: Discussionmentioning

confidence: 99%

Mortality, weight loss and quality of life of patients with morbid obesity: evaluation of the surgical and medical treatment after 2 years

Pimenta

Saruwatari

Corrêa

et al. 2010

Arq. Gastroenterol.

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“…The vertical sleeve gastroplasty, a restrictive operation, was popularized by Gagner as the first stage to apply the duodenal switch operation in super-obese patients or patients with high surgical risk with promising results, noting improvement in comorbidities, fewer nutritional complications and good weight loss curve, and is currently recognized as an additional surgical option for the treatment of obesity 9,10 . The aim of this study was to assess the quality of life in patients undergoing vertical sleeve gastroplasty .…”

Section: Introduction Introduction Introduction Introduction Introducmentioning

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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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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“…This was developed in the 1990s and was first described by Hess and Marceau et al [3,4]. In 1999 Ganger performed the first laparoscopic sleeve gastrectomy (LSG) and a year later he sugges -ted this procedure to be the first stage in treatment of patients with a body mass index (BMI) higher than 60 kg/m 2 [5,6]. Laparoscopic sleeve gastrectomy was adopted in 2003 as an initial surgical intervention of choice for patients with super morbid obesity (BMI greater than 50 kg/m 2 ).…”

Section: Introductionmentioning

confidence: 99%