2013, Number 2
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Revista Cubana de Cirugía 2013; 52 (2)
Portie I technique of Biliopacreatic diversion for the surgical treatment of morbid obesity
Portie FA, Acosta SM, Navarro SG, Lozada CM, Durán TG, Sánchez LM
Language: Spanish
References: 18
Page:
PDF size: 203.82 Kb.
ABSTRACT
Introduction: obesity is considered an epidemic nowadays. Though it has several
ways of treatment, surgery has been proved to be the best option.
Objective: to show Portie I technique for the surgical treatment of morbid obesity and
its most frequent comorbidities.
Methods: a prospective and descriptive longitudinal study is conducted between
January 2000 and January 2012, in which 683 patients with morbid obesity treated
with the Portie I surgical technique were included. Different types of obesities and the
associated comorbodities were evaluated to set the appropriate surgical strategy. Postsurgical
results and classifications of early and late complications are presented.
Results: prevalence of 465 female patients over 268 male patients was significant,
meanwhile comorbidity was 66 (9.6 %), mortality was 4 (0.5 %), weight loss was over
80 % in 75 % of the total of cases by the end of 5 years after surgery. Average
surgical time was 3.5 hours. (Ranking 2.74.3 hours).
Conclusions: the technique of biliopacreatic diversion is an effective and safe surgical
option in the management of morbid obesity.
REFERENCES
Organización mundial de la Salud (OMS). Nota descriptiva 311 septiembre. [citado 30 agosto 2012]. 2006. Disponible en: http://www.who.int/mediacentre/factsheets/fs311/es/
Rubio MA, Martínez C, Vidal O, Larrad A, Salas-Salvado J, Pujol J. et al. Documento de consenso sobre Cirugía Bariátrica. Rev Es Obes. [Internet]. 2004 [citado 4 abr 2011];4:[aprox 26 p]. Disponible en:http://www.seedo.es/portals/seedo/consenso/Cirugia_bariatrica.pdf
Garrow JS, Webster J. Quetelet's index as a measure of fatness. Int J Obes. [Internet]. 1985 [citado 4 abr 2011];9(2):[aprox 6 p]. Disponible en: www.ncbi.nlm.nih.gov/pubmed/4030199
Instituto Nacional de Higiene, Epidemiología y Microbiología. Informe Técnico III Encuesta Nacional de Factores de Riesgo de las Enfermedades no Trasmisibles. Ministerio de Salud Pública. 2011 [citado 10 Ene 2013]. Disponible en: http://www.pdfdownload.org/pdf2html /view_online.php?url=http%3A%2F%2Fwww4.neuquen.gov.ar%2Fsalud%2Fimages% 2Farchivo%2FProgramas_prov%2FRiesgo_cardiovascular%2Fresumen_ejecutivo.pdf
Berdasco Gómez A. Evaluación del estado nutricional del adulto mediante la antropometría. Rev Cuba Aliment Nutr [Internet]. 2002 [citado 4 abr 2011];16(2):[aprox 52 p]. Disponible en:http://bvs.sld.cu/revistas/ali/vol16_2_02/ali09102.htm
Larrad A. Indicadores de calidad en cirugía Bariátrica y criterios de éxito a largo plazo. Unidad de Cirugía Endocrino metabólica. Clínica Ruber Cir Esp. [Internet]. 2002 [citado 4 abr 2011];16(2):[aprox 52p]. 2004;75(3):301- 4. http://www.cirugest.com/htm/revisiones/cir04-04/04-04-24.pdf
Lonroth H, Dalenback J, Other laparoscopic bariatric procedures. World j sur. [Internet]. 1998 [citado 4 abr 2011];22(9):[aprox 4 p]. Disponible en:http://link.springer.com/article/10.1007%2Fs002689900500?LI=true
Kellum JM, De Mari EJ, Sugerman HJ. The surgical treatment of morbid obesity. Curr probl surg. [Internet]. 1998 [citado 4 abr 2011];16(2): [aprox 64p]. Disponible en:http://www.bcbsnc.com/assets/services/public/pdfs/medicalpolicy/surgery_for_mor bid_obesity.pdf
Pories WJ, Swanson MS, MacDonald KG, Long SB, Morris PG, Brown BM. et al. Who would have thought it? An operation proves to be the most effective therapy for adultonset diabetes mellitus. Ann Surg. [Internet]. 1995 [citado 4 abr 2011];222(3):[aprox 13 p]. Disponible en:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1234815/
Marceau P, Hould FS, Simard S, et al. Biliopancreatic diversion with duodenal switch. World j surg. [Internet]. 1998 [citado 4 abr 2011];22:[aprox 7p]. Disponible en:http://www.nlm.nih.gov/medlineplus/ency/imagepages/19500.htm
Hess DS, Hess DW. Biliopancreatic diversion with a duodenal switch. Obes surg. [Internet]. 1998 [citado 4 abr 2011];8:[aprox 15 p]. Disponible en:http://www.duodenalswitch.com/procedure/1998hess/1998hess.html
Portie Félix A, Navarro Sánchez G, Hernández Solar A, Grass Baldoquín JA, Domloge Fernández J. Tratamiento quirúrgico de la obesidad patológica. Rev cuba cir. [Internet]. 2011 [citado 4 abr 2011];50(2):[aprox. 10 p]. Disponible en: http://bvs.sld.cu/revistas/cir/vol50_2_11/cir12211.htm
Scopinaro N, Gianetta E, Civalleri D, Bonalumi U, Bachi V. Biliopancreatic bypass for obesity: an experimental study in dogs. Br j surg. [Internet]. 1979 [citado 4 abr 2011];66(9):[aprox 4 p]. Disponible en: http://onlinelibrary.wiley.com/doi/10.1002/bjs.1800660905 /abstract
Buchwald H, Estok R, Fahrbach K, Banel D, Jensen MD, Pories WJ, et al. Weight and type 2 diabetes after bariatric surgery: Systematic review and meta-analysis. Am j Med. [Internet]. 2009 [citado 4 abr 2011];122(3):[aprox 8 p]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/19272486
Flegal KM, Graubard BI, Williamson DF, Gail MH. Cause-specific excess deaths associated with underweight, overweight, and obesity. JAMA. [Internet]. 2007 [citado 4 abr 2011];298(17):[aprox 9 p]. Disponible en:http://abbmcertification.org/inc/assets/articles/Cause%20Specific%20Deaths%20a ssoc%20overweight.pdf
Rossell C, Pujol Ribera E. Prevalencia de enfermedad cardiovascular en personas recién diagnosticadas de diabetes mellitus tipo 2. Gac sanit. [Internet]. 2009 [citado 4 abr 2011];23(2):[aprox 5p]. Disponible en: http://scielo.isciii.es/scielo.php?pid=S021391112009000200010&script=sci_arttex t
Gasteyger C, Suter M, Gaillard RC, Giusti V. Nutritional Deficiencies after Roux en Y Gastric Bypass for Morbid Obesity Often Cannot be prevented by Standard Multivitamin Supplementation. Am j clin nutr. [Internet]. 2008 [citado 4 abr 2011];87:[aprox 5 p]. Disponible en:http://ajcn.nutrition.org/content/87/5/1128.full.pdf
American Diabetes Association. Standard of Medical Care in Diabetes-2009. Diabetes care. [Internet]. 2009 [citado 4 abr 2011];33(Supl 1)S13-S61:[aprox 10 p]. Disponible en:http://s3.amazonaws.com/publicASMBS/GuidelinesStatements/Statments_of_Intre st /adastandards.pdf