Outcome of duodenal switch with a transitory vertical gastroplasty, in super-super-obese patients in an 8-year series

Obesity Surgery
Ernesto Di BettaBruno Salerni

Abstract

In super-super obese (SSO) patients [body mass index (BMI) superior of 60 kg/m2] results of bariatric surgery are still controversial. This study evaluated safety and efficacy of open duodenal switch associated with transitory vertical gastroplasty (DS-TVG) after 8 years of follow-up. A prospective observational study of 32 SSO patients who underwent an open DS-TVG from January 1999 till March 2006 was performed. Study endpoints included preoperative comorbidities [diabetes, hypertension, and obstructive sleep apnea syndrome (OSAS)], postoperative morbidity and mortality, and long-term results of BMI and percent of excess weight loss (%EWL) (median 48 months). Results in terms of BMI and %EWL were, respectively, after 12 months, 46.3 +/- 10.2 and 57.1 +/- 9.8; after 36 months (n = 21), 37.5 +/- 7.5 and 73.5 +/- 6.2; and after 84 months (n = 5), 31.7 +/- 2.8 and 76.0 +/- 4.1. With regard to comorbidities, we observed complete control of lipid alterations and type-2 diabetes (suspension therapy within 1 year). All patients with OSAS improved within 1 year without needing domiciliary oxygen therapy. Neither malnutrition nor mortality was observed during the follow-up. Major complications occurred in a total of 5 patients (15.6%): ...Continue Reading

References

Apr 1, 1991·Journal of Clinical Gastroenterology·I RaijmanW L Donegan
Mar 1, 1984·The American Journal of Clinical Nutrition·S M Garn, V M Hawthorne
Aug 1, 1997·The Australian and New Zealand Journal of Surgery·R V LordM J Coleman
Nov 27, 2002·Obesity Surgery·David OliakHans J Schmidt
Apr 25, 2003·The New England Journal of Medicine·Eugenia E CalleMichael J Thun
Feb 20, 2004·Current Surgery·Lev KhitinDesmond H Birkett
Nov 25, 2004·Best Practice & Research. Clinical Gastroenterology·Karl Miller
Apr 14, 2005·Obesity Surgery·Douglas S HessRichard S Oakley
Apr 14, 2005·Obesity Surgery·Alex EscalonaAntonieta Solar
Jun 11, 2005·Obesity Surgery·Daniel T FarkasJulio A Teixeira
Jan 19, 2006·Obesity Surgery·Jerome D TaylorGeorgia Panagopoulos
Aug 24, 2006·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Philip Schauer, UNKNOWN 2004 ABS Consensus Conference

❮ Previous
Next ❯

Citations

Oct 8, 2011·Journal of Autism and Developmental Disorders·Laura C EricksonBeatrice A Golomb
Jan 28, 2014·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Alfons Pomp
Jan 21, 2014·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Masoud RezvaniGintaras Antanavicius
Nov 26, 2011·Transplantation Reviews·Joseph R Scalea, Matthew Cooper
Jan 18, 2011·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Philippe TopartAgnès Salle
Jul 31, 2009·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Philippe TopartPatrick Ritz

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.