Single Port Laparoscopic Gastrostomy

Palermo, Mariano; Acquafresca, Pablo; Duza, Guillermo; Blanco, Luis Antonio; Domínguez, Mario; Giménez, Mariano Eduardo

doi:10.4172/2161-069x.1000175

Cited by 2 publications

(8 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…• Mini-invasivas: radiológica, endoscópica, combinada, videoasistida, ecográfica, tomográfica, laparoscópica. 1 Las primeras descripciones clásicas sobre la realización quirúrgica de gastrostomías para alimentación o descarga con incisiones medianas supraumbilicales indicaban que los pacientes eran operados con anestesia general, con tiempos quirúrgicos prolongados. 2 Estas situaciones motivaron la necesidad de generar nuevas técnicas que permitieran mantener la continuidad alimentaria, proporcionando una solución quirúrgica a un grupo de pacientes que no cubren sus requerimientos calóricos básicos ante la falta de alternativas por vía parenteral.…”

Section: Gastrostomía Laparoscópica Por Puerto úNico En Un Hospital P...unclassified

“…Se define como gastrostomía a una fístula creada entre la luz del estómago y la pared abdominal anterior con el objetivo de obtener acceso a la luz gástrica desde el exterior. 1 Estas pueden ser efectuadas como vías de descompresión o de alimentación. 1 Las vías de abordaje para las sondas de gastrostomía incluyen las laparotómicas y las que se realizan por cirugía mini-invasiva:…”

Section: Introductionunclassified

“…1 Estas pueden ser efectuadas como vías de descompresión o de alimentación. 1 Las vías de abordaje para las sondas de gastrostomía incluyen las laparotómicas y las que se realizan por cirugía mini-invasiva:…”

Section: Introductionunclassified

See 2 more Smart Citations

Single port laparoscopic gastrostomy in a public hospital

et al. 2021

View full text Add to dashboard Cite

Reporte de caso RESUMENSe define como gastrostomía a una fístula creada entre la luz del estómago y la pared abdominal anterior con el objetivo de obtener acceso a la luz gástrica desde el exterior. Se realizó confección de Gastrostomía laparoscópica por puerto único según la técnica propuesta por el Dr. Mariano Palermo y su grupo, con algunas variantes. Nuestro paciente nos permitió comprobar todos los beneficios que se describen para la técnica.Palabras clave: Gastrostomía, laparoscopía, puerto único. SUMMARYA gastrostomy is defined as a fistula created between the stomach lumen and the anterior abdominal wall with the aim of gaining access to the gastric lumen from the outside. A single-port laparoscopic gastrostomy was made according to the technique proposed by Mariano Palermo MD and his group, with some variations. Our patient allowed us to verify all the benefits described for the technique.

show abstract

Section: Gastrostomía Laparoscópica Por Puerto úNico En Un Hospital P...unclassified

Section: Introductionunclassified

See 1 more Smart Citation

Single port laparoscopic gastrostomy in a public hospital

et al. 2021

View full text Add to dashboard Cite

show abstract

“…In the absence of one or more of these feedback mechanisms, these effects would expose to exacerbated insulin hypersecretion and B-cell function and growth, with the concomitant risk of postprandial hyperinsulinemic hypoglycemia and uncontrolled B-cell proliferation. Reduction of nutrient passage and stimuli on the gut by surgical procedures that exclude parts of the foregut and the arrival of them to the handgun could restore appropriate incretin/anti-incretin balance explaining improvement of T2DM (24)(25)(26)(27)(28)(29)(30). Bile acids are now considered to be important regulators of energy balance and metabolism, primarily via de nuclear farnesoid X receptor (FXR) and the G-protein-coupled receptor (TGR5).…”

Section: Mechanisms Related To Improvement In Glucose Homeostasismentioning

confidence: 99%

“…Laparoscopic RYGB is the most accepted and effective procedure; it is also the safest and has the best long term T2DM remission rates compared with other restrictive techniques. These characteristics postulate laparoscopic RYGB as the gold standard (30,31).…”

Section: Surgical Techniquementioning

confidence: 99%

Metabolic surgery: gastric bypass for the treatment of type 2 diabetes mellitus

Quevedo

Palermo

Serra

et al. 2017

Transl. Gastroenterol. Hepatol.

Self Cite

View full text Add to dashboard Cite

Type 2 diabetes mellitus (T2DM) is one of the largest health emergencies of the 21st century given the worldwide increase of obesity during the last decades and its close association. T2DM is an inherited, polygenic and chronic disease caused by the interaction between several genetic variants in genes and the environment. The continuous search for new and more effective tools to achieve appropriate glycemic control became imperative in order to reduce long-term complications and mortality rates related to T2DM. Treatment options includes lifestyle modifications and several pharmacotherapies as first step in the therapeutical algorithm, but high corps of evidence have shown that gastrointestinal (GI) operations, especially those that involve food rerouting through the GI tract, are safe interventions and achieve superior outcomes for improvement in glucose metabolism when comparing with optimal medical and lifestyle changes. GI Surgery, specially Roux-en-Y gastric bypass (RYGB), is currently the most accepted surgical procedure to treat T2DM, and has also demonstrated to reduce significantly other cardiovascular risk factors (lipids and blood pressure control) when compared with optimal medical treatment, with good long-term effects on cardiovascular risks and mortality. Although the most effective technique in achieving diabetes remission is biliopancreatic diversion, the effectiveness-adverse effects balance is superior for RYGB. For these reasons, metabolic surgery (which was defined as "the operative manipulation of a normal organ or organ system to achieve a biological result for a potential health gain") has been considered and accepted as a new step in the therapeutic algorithm for T2DM when optimal lifestyle and medical interventions don't achieve optimal glycemic goals. for T2DM are glycated hemoglobin (A1c) <7%, low-density lipoprotein cholesterol levels <100 mg/dL and blood pressure <130-80 mmHg (3,6), and less than 20% of USA patients achieve these levels in triple target despite having the best medical treatment. Bariatric surgery was first described just for reducing weight in severely obese patients. A Swedish Obese Subjects (SOS) study, demonstrated that the surgery group arm not only had more drastic and sustainable average reduction of excess body weight but also had remarkable beneficial effects on cardiovascular risk factors, such as waist circumference, blood pressure, glucose and insulin levels, uric acid, triglyceride and HDL cholesterol levels when compared with conventionally treated patients (7-10). Even though the SOS study showed a reduction of the number of cardiovascular events and overall mortality in the surgery group (HR 0.76, CI 95%) (11,12), one of the most relevant points was the finding of absence of significant relationship between cardiovascular mortality and body mass index (BMI) (7,13).Gastrointestinal (GI) operations have demonstrated, especially those that involve food rerouting through the GI tract that are safe and provide better outcomes for weight loss and...

show abstract

Single Port Laparoscopic Gastrostomy

Cited by 2 publications

References 0 publications

Single port laparoscopic gastrostomy in a public hospital

Single port laparoscopic gastrostomy in a public hospital

Metabolic surgery: gastric bypass for the treatment of type 2 diabetes mellitus

Contact Info

Product

Resources

About