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Your search keyword '"Single anastomosis loop duodenal switch"' showing total 3 results
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3 results on '"Single anastomosis loop duodenal switch"'

1. Modificaciones anatómicas de la derivación biliopancreática con cruce duodenal: ¿Tienen algún rol futuro en la cirugía bariátrica y metabólica?

Author

Díaz J., Ramón, Portenier, Dana, Luengas T., Rafael, and Daniel Guerrón-Cruz, A.

Abstract

Biliopancreatic Diversion with duodenal switch (BPD-DS) is the bariatric surgery that has shown the better results regarding long-term weight loss and comorbidities resolution. Nevertheless, BPD-DS' adoption has been slow, mainly due to its nutritional complications, and technical complexity. Given this, some authors have proposed surgical variations of this effective procedure. These new procedures are based on reducing the anastomosis to only one, and doing it just a loop anastomosis (no biliopacreatic diversion). These changes might bring to us the advantages of BPD-DS, and eliminate some of its disadvantages. In this article, we show the results of these variations compared with BPD-DS, and how their promising results could be a new approach for obese population and bariatric surgery. [ABSTRACT FROM AUTHOR]

Published
2019

2. Stomach Intestinal Pylorus-Sparing Surgery for Morbid Obesity

Author

Austin Cottam, Samuel Cottam, Hinali Zaveri, Amit Surve, Bo Neichoy, Bleu Schniederjan, and Daniel Cottam

Subjects
Male, medicine.medical_specialty, Duodenum, medicine.medical_treatment, Gastric Bypass, 030209 endocrinology & metabolism, Weight loss outcomes, Single Center, Body Mass Index, Morbid obesity, 03 medical and health sciences, 0302 clinical medicine, Weight loss, Weight Loss, Humans, Medicine, Pylorus, Retrospective Studies, Single anastomosis loop duodenal switch, Stomach intestinal pylorus-sparing surgery, business.industry, Stomach, Middle Aged, Duodenal switch, Obesity, Morbid, Surgery, Diarrhea, medicine.anatomical_structure, Female, Laparoscopy, 030211 gastroenterology & hepatology, medicine.symptom, business, Complication, Body mass index, Research Article
Abstract

Background and objective The Roux-en-Y duodenal switch (RYDS) is one of the most efficient forms of bariatric surgery. However, diarrhea, malnutrition, ulcers, and internal hernias have hampered its widespread adoption. The stomach intestinal pylorus-sparing (SIPS) procedure was developed to alleviate these sequelae while retaining the same weight loss as the RYDS. In this study, we report our midterm experience with this novel technique. Methods Retrospective analysis was performed on data from 225 patients who underwent a primary SIPS procedure by 2 surgeons at a single center from October 2013 through December 2016. Results Two hundred twenty-five patients were identified for analysis. The mean preoperative body mass index (BMI) was 52.4 ± 9.1 kg/m2. Forty-eight patients were beyond 2 years after surgery, with data available for 30 patients (62.5% follow-up). Three patients were lost to follow-up. At 2 years, the patients had an average change in BMI of 26.6 U (kg/m2) with an average of 88.7% of excess weight loss. Three deaths were related to the surgery. The most common short-term complication was a leak (2.2%), whereas the most common long-term complication was diarrhea (2.2%). Conclusion In conclusion, SIPS surgery is a safe procedure with favorable weight loss outcomes at 2 years.

Published
2018
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3. Stomach Intestinal Pylorus-Sparing Surgery for Morbid Obesity.

Author

Neichoy BT, Schniederjan B, Cottam DR, Surve AK, Zaveri HM, Cottam A, and Cottam S

Subjects
Body Mass Index, Female, Gastric Bypass methods, Humans, Male, Middle Aged, Obesity, Morbid physiopathology, Retrospective Studies, Duodenum surgery, Laparoscopy methods, Obesity, Morbid surgery, Pylorus surgery, Weight Loss physiology
Abstract

Background and Objective: The Roux-en-Y duodenal switch (RYDS) is one of the most efficient forms of bariatric surgery. However, diarrhea, malnutrition, ulcers, and internal hernias have hampered its widespread adoption. The stomach intestinal pylorus-sparing (SIPS) procedure was developed to alleviate these sequelae while retaining the same weight loss as the RYDS. In this study, we report our midterm experience with this novel technique., Methods: Retrospective analysis was performed on data from 225 patients who underwent a primary SIPS procedure by 2 surgeons at a single center from October 2013 through December 2016., Results: Two hundred twenty-five patients were identified for analysis. The mean preoperative body mass index (BMI) was 52.4 ± 9.1 kg/m 2 . Forty-eight patients were beyond 2 years after surgery, with data available for 30 patients (62.5% follow-up). Three patients were lost to follow-up. At 2 years, the patients had an average change in BMI of 26.6 U (kg/m 2 ) with an average of 88.7% of excess weight loss. Three deaths were related to the surgery. The most common short-term complication was a leak (2.2%), whereas the most common long-term complication was diarrhea (2.2%)., Conclusion: In conclusion, SIPS surgery is a safe procedure with favorable weight loss outcomes at 2 years.

Published
2018
Full Text
View/download PDF

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