Patency of Anastomoses after Bilio-Intestinal Bypass: Radioisotope Demonstration

Badiali, M; D’Agostini, Antonio; Filippis, A. M.; Corradini, Stefano Ginanni; Spera, Antonio Grossi; Lubrano, Carla; Massa, Rita; Eramo, A.; Scopinaro, Francesco

doi:10.1381/09608920160557110

Cited by 6 publications

(7 citation statements)

References 4 publications

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“…[25][26][27][28] The cholecystojejunal anastomosis facilitates bile transit into the excluded loop and reduces bile salts malabsorption. 29 The jejunum was transected 30 cm distal to…”

Section: Description Of Surgical Interventionsmentioning

confidence: 99%

Metabolic or bariatric surgery? Long-term effects of malabsorptive vs restrictive bariatric techniques on body composition and cardiometabolic risk factors

et al. 2010

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Background: Obesity is an increasing health problem and surgery seems to be the only treatment effective in achieving weight loss without relapse. Among bariatric techniques, many differences exist in terms of weight loss and resolution of comorbidities. Up to now, there are no prospective studies comparing long-term effects of malabsorptive vs restrictive techniques. Objective: In this study, cardiometabolic risk factors and body composition changes after malabsorptive biliointestinal bypass (BIBP) and restrictive laparoscopic adjustable gastric banding (LAGB) were compared during a 4-year follow-up. Design: Prospective, case-control and cohort study. Patients: In all, 80 obese subjects, matched for weight and age. Altogether, 40 patients underwent BIBP and 40 underwent LAGB. Measurements: Weight, body composition, fasting and post-loading plasma glucose and insulin, homeostatic model assessment index (HOMA-I), lipid profile, blood pressure (BP), erythrocyte sedimentation rate and fibrinogen were monitored at baseline, 12 and 48 months. Results: At 12 months after surgery, a significant reduction in body mass index, total fat mass (FM), trunk FM (trFM), trFM/legs FM (lFM) ratio (trFM/lFM), triglycerides, BP and inflammation markers was observed in both groups. BIBP patients showed a significant reduction in total cholesterol (Tot-C), low-density lipoprotein cholesterol (LDL-C) and high-density lipoprotein cholesterol (HDL-C), whereas the LAGB group showed a significant increase of HDL-C. A further improvement of all the parameters evaluated was seen in the BIBP group at 48 months after surgery. Conclusions: Both bariatric procedures exerted positive effects on cardiometabolic risk factors and on weight loss in the population studied, but on the long-term period, HOMA-I, Tot-C/HDL-C ratio and body composition improvements were more evident after BIBP. We conclude that malabsorptive BIBP seems to be more effective than LAGB in treating visceral obesity and its metabolic complications

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“…[25][26][27][28] The cholecystojejunal anastomosis facilitates bile transit into the excluded loop and reduces bile salts malabsorption. 29 The jejunum was transected 30 cm distal to…”

Section: Description Of Surgical Interventionsmentioning

confidence: 99%

Metabolic or bariatric surgery? Long-term effects of malabsorptive vs restrictive bariatric techniques on body composition and cardiometabolic risk factors

et al. 2010

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“…After a meal, Oddi sphincter opens up, and some of the recently produced bile mixes with food. In fasting state, the sphincter remains closed, and the bile produced passes into the gallbladder and proceeds through the cholecystojejunostomy to the non-functioning area of the blind intestinal loop [10,11].…”

Section: Bariatric Surgerymentioning

confidence: 99%

Severe Obesity and P-Wave Dispersion: The Effect of Surgically Induced Weight Loss

et al. 2007

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“…21,22 Study Protocol Medical history, physical examination, anthropometric evaluation (waist circumference, waist-tohip ratio, and abdominal sagittal diameter), laboratory tests (complete blood count, electrolytes, total cholesterol, high density lipoprotein (HDL) cholesterol, low density lipoprotein (LDL) cholesterol, triglycerides and thyroid hormones) and a 12-lead surface electrocardiogram (ECG) recorded at a speed of 50 mm/s, were performed in all the morbidly obese subjects before the bariatric operation and at 12 months after the operation. The presence of fat in the intestine releases cholecystokinin, which relaxes the sphincter to discharge bile salts into the duodenum.…”

Section: Bariatric Surgerymentioning

confidence: 99%

Effect of Weight Loss following Bariatric Surgery on Myocardial Dispersion of Repolarization in Morbidly Obese Patients

et al. 2007

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Patency of Anastomoses after Bilio-Intestinal Bypass: Radioisotope Demonstration

Abstract: HC shows passage of radioactive bile through anastomoses and provides semiquantitative evaluation of bile flux diversion. Bile flux towards the gallbladder and non-functional jejunal limb far exceeds flux directed towards the duodenum via the choledochus.

Cited by 6 publications

References 4 publications

Metabolic or bariatric surgery? Long-term effects of malabsorptive vs restrictive bariatric techniques on body composition and cardiometabolic risk factors

Metabolic or bariatric surgery? Long-term effects of malabsorptive vs restrictive bariatric techniques on body composition and cardiometabolic risk factors

Severe Obesity and P-Wave Dispersion: The Effect of Surgically Induced Weight Loss

Effect of Weight Loss following Bariatric Surgery on Myocardial Dispersion of Repolarization in Morbidly Obese Patients

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