PMID: 18214146Jan 25, 2008Paper

Laparoscopic gastric tubulization--sleeve gastrectomy--another option for bariatric food intake restriction in morbidly obese subjects

Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti
M KasalickýM Haluzík

Abstract

Nowadays, obesity is the commonest multifactorial metabolic disorder. The role of bariatric surgery, i.e. surgery specializing in the treatment of obesity, in the management of obese patients, where conservative therapy failed and who have high incidence of obesity relapses, or in morbidly obese subjects (BMI > 40, resp. BMI > 35), as well as in superobese subjects (BMI > 60), is irreplacable. Most of the surgical procedures for the morbid obesity treatement use miinvasive laparocopic techniques. Recent options include the method of gastric tubulization- Sleeve Gastrectomy (SG), which , as a "single procedure" has been performed in some clinics since 2003. In the 1st Surgical Clinic of the 1st Medical faculty of the Charles University and General Faculty Hospital, the authors have intensively studied the problematics of bariatric surgery since 1983. Since Janury 2006, a total of 39 morbidly obese patients (MO), where adjustable gastric bandage had not been indicated for various reasons, have been indicated for laparoscopic sleeve gastrectomy. Gastric bandage was not indicated, for instance, in cases where poor cooperation ("sweet-eaters, binge-eaters") could be expected or when good cooperation and adherence to diet restriction...Continue Reading

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