Surgical treatment of morbid obesity: mid-term outcomes of the laparoscopic ileal interposition associated to a sleeve gastrectomy in 120 patients.

Obesity Surgery
Aureo L DePaulaSergio Vencio

Abstract

The aim of this study was to evaluate the mid-term outcomes of the laparoscopic ileal interposition associated to a sleeve gastrectomy (LII-SG) for the treatment of morbid obesity. The procedure was performed in 120 patients: 71 women and 49 men with mean age of 41.4 years. Mean body mass index (BMI) was 43.4 ± 4.2 kg/m². Patients had to meet requirements of the 1991 NIH conference criteria for bariatric operations. Associated comorbidities were observed in all patients, including dyslipidemia in 51.7%, hypertension in 35.8%, type 2 diabetes in 15.8%, degenerative joint disease in 55%, gastroesophageal reflux disease in 36.7%, sleep apnea in 10%, and cardiovascular problems in 5.8%. Mean follow-up was 38.4 ± 10.2 months, range 25.2-61.1. There was no conversion to open surgery nor operative mortality. Early major complications were diagnosed in five patients (4.2%). Postoperatively, 118 patients were evaluated. Late major complications were observed in seven patients (5.9%). Reoperations were performed in six (5.1%). Mean postoperative BMI was 25.7 ± 3.17 kg/m², and 86.4% were no longer obese. Mean %EWL was 84.5 ± 19.5%. Hypertension was resolved in 88.4% of the patients, dyslipidemia in 82.3%, and T2DM in 84.2%. The LII-SG pro...Continue Reading

References

Jul 1, 1976·Annals of Internal Medicine
Nov 1, 1986·Scandinavian Journal of Gastroenterology·C Stock-DamgéN Scopinaro
May 1, 1997·International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity·E NäslundL Backman
Sep 1, 1991·Obesity Surgery·V S Hubbard, W H Hall
Apr 25, 2001·International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity·L G WombleS M Redmann
Dec 28, 2002·Diabetes Care·UNKNOWN Expert Committee on the Diagnosis and Classification of Diabetes Mellitus
Sep 10, 2003·Archives of Surgery·Yale D PodnosNinh T Nguyen
Jun 8, 2004·The Journal of Clinical Endocrinology and Metabolism·Katie WynneSteve Bloom
Aug 21, 2004·Annals of Surgery·Nicolas V ChristouLloyd D MacLean
Sep 11, 2004·Trends in Endocrinology and Metabolism : TEM·Caroline J Small, Stephen R Bloom
Sep 30, 2004·American Journal of Physiology. Endocrinology and Metabolism·April D StraderRandy J Seeley
Oct 14, 2004·JAMA : the Journal of the American Medical Association·Henry BuchwaldKaren Schoelles
Apr 6, 2005·Annals of Internal Medicine·Melinda A MaggardPaul G Shekelle
Dec 3, 2005·American Journal of Physiology. Gastrointestinal and Liver Physiology·Jutta KellerPeter Layer
Jan 18, 2006·Annual Review of Medicine·Peter F Crookes
Aug 24, 2006·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Aureo L de PaulaJaques Pinus
Aug 24, 2007·The New England Journal of Medicine·Lars SjöströmUNKNOWN Swedish Obese Subjects Study
Aug 24, 2007·The New England Journal of Medicine·Ted D AdamsSteven C Hunt
Aug 12, 2008·Physiology & Behavior·P W J MaljaarsA A M Masclee
Dec 4, 2008·The Journal of Clinical Endocrinology and Metabolism·Walter J Pories
Mar 11, 2009·The American Journal of Medicine·Henry BuchwaldIsabella Sledge
Apr 4, 2009·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Raul RosenthalChengzhu Zheng
Jul 28, 2009·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Stacy A BrethauerPhilip R Schauer
Jul 28, 2009·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Michel GagnerRoss D Crosby
Sep 8, 2009·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Jayashree S TodkarJayashri Gangwani
Oct 23, 2009·Obesity Surgery·Hakeam A HakeamAbdelmoneim M Eldali
Oct 31, 2009·Diabetes Care·John B BuseM Sue Kirkman

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Citations

Oct 14, 2011·Surgical Endoscopy·Raghavendra S Rao, Subhash Kini
Apr 2, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jinyuan DuanLianwen Yuan
Aug 21, 2013·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·L FischerB P Müller-Stich
Jan 10, 2013·Obesity Surgery·Kourosh SarkhoshShahzeer Karmali
Mar 8, 2014·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Adel Pezeshki, Prasanth K Chelikani
Jun 12, 2012·Lancet·John B DixonPaul Zimmet
Nov 8, 2011·The Surgical Clinics of North America·Sean M Lee, Aurora D Pryor
Jun 28, 2011·Lancet·Abd A TahraniAnthony H Barnett
Dec 21, 2016·Digestive Diseases and Sciences·Savio G Barreto, John A Windsor
Jun 9, 2017·ANZ Journal of Surgery·Savio G BarretoLilian Kow
May 4, 2011·Current Treatment Options in Neurology·Jane G Boggs
Feb 22, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Aureo L DePaulaSergio Vencio
Jul 13, 2019·Obesity Surgery·Mohit BhandariUNKNOWN and the Bariatric Metabolic Surgery Standardization (BMSS) Working Group:
Aug 2, 2011·Current Opinion in Pediatrics·Sandhya BondadaDaniel A Deugarte
Apr 4, 2019·Surgical Endoscopy·Thomas FabianMara McErlean
Mar 7, 2021·Obesity Surgery·Wen ZhangUNKNOWN Global Bariatric Research Collaborative

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