Artículos de revistas
Gastric Bypass Roux-en-y Gastrojejunostomy - Conversion To Distal Gastrojejunoileostomy For Weight Loss Failure - Experience In 41 Patients [gastroplastia Redutora Com Bypass Gastrojejunal Em Y-de-roux: Conversão Para Bypass Gastrointestinal Distal Por Perda Insuficiente De Peso - Experiência Em 41 Pacientes]
Registro en:
Arquivos De Gastroenterologia. , v. 42, n. 4, p. 196 - 200, 2005.
42803
2-s2.0-32544434541
Autor
Pareja J.C.
Pilla V.F.
Callejas-Neto F.
Coelho-Neto J.D.S.
Chaim E.A.
Magro D.O.
Institución
Resumen
Background - Surgery is the only effective treatment for morbid obesity. Gastric bypass could fail in up to 10% of the patients (excess weight loss under 50%). Aims - To evaluate the weight loss determined by reoperation performing disabsortive variation of gastric bypass. Patients and Methods - The records of 41 patients, in whom 32 were submitted to reoperation by one of three surgical techniques (Fobi, Brolin, distal gastrojejunoileal bypass) which consisted in increasing the disabsortive length of intestinal limb. Results - The patients submitted to distal gastrojejunoileal bypass showed the best results (69,7%). Conclusion - The distal gastric bypass as a revisional procedure could be done in selected cases with the aim to improve the weight loss. It is advisable to refer these patients to selected centers (known as center of excellence) with experience in this area of bariatric surgery, in order to perform a very close follow-up. 42 4 196 200 Berti, L.V., Garrido Jr., A.B., Bypass gástrico: É essencial a colocação de anel? (2003) Obesidade e Urgências Gastroenterológicas, pp. 95-108. , Savassi-Rocha PR, editor. Rio de Janeiro: Medsi Biron, S., Hould, F.S., Lebel, S., Marceau, S., Lescelleur, O., Simard, S., Marceau, P., Twenty years of biliopancreatic diversion: What is the goal of the surgery? (2004) Obes Surg, 14, pp. 160-164 Brolin, R.E., Kenler, H.A., Gorman, J.H., Cody, R.P., Long limb gastric bypass in the superobese. A prospective randomized study (1992) Ann Surg, 215, pp. 387-395 Capella, J.F., Capella, R.F., The weight reduction operation choice: Vertical banded gastroplasty or gastric bypass? (1996) Am J Surg, 171, pp. 74-79 Cowan Jr., J., Hiler, M.L., Martin, L.F., Reoperative surgery (2004) Obesity Surgery, pp. 301-334. , Martin LF, editor. New York: McGraw-Hill Fobi, M.A., Lee, H., Igwe Jr., D., Felahy, B., James, E., Stanczyk, M., Tambi, J., Eyong, P., Revision on failed gastric bypass to distal Roux-en-Y gastric bypass: A review of 65 cases (2001) Obes Surg, 11, pp. 190-195 Fox, S.R., Oh, K.H., Fox, K., Vertical banded gastroplasty and distal gastric bypass as primary procedures: A comparison (1996) Obes Surg, 6, pp. 412-425 Garrido Jr., A.B., Cirurgia em obesos mórbidos: Experiência pessoal (2000) Arq Bras Endocrinol Metabol, 44, pp. 106-113 Marchesini, J.B., Marchesini, J.C., Marchesini, S.D., "Scopinarização" - Uma proposta para correção de operações bariátricas mal-sucedidas [resumo] (1991) Anais Do Congresso Brasileiro de Cirurgia Bariátrica, , São Paulo Pareja, J.C., Pilla, V.F., Mecanismos de funcionamento da restrição gástrica, da derivação gastrojejunal e das derivações intestinais e biliopancreáticas (2003) Cirurgia Da Obesidade, pp. 129-134. , Garrido Jr AB, editor. São Paulo: Atheneu Pories, W.J., Roth, J.S., Gastric bypass (2004) Obesity Surgery, pp. 213-226. , Martin LF, editor. New York: McGraw-Hill Torres, J.C., Oca, G.F., Garrison, R.N., Gastric bypass Roux-en-Y gastrojejunostomy from the lesser curvature (1983) South Med J, 76, pp. 1216-1221 Torres, J.C., Why I prefer gastric bypass distal Roux-en-Y gastroileostomy (1991) Obes Surg, 1, pp. 189-194