Ten years of follow-up of bilio-intestinal bypass: is malabsorption necessary for long-term metabolic results?

Autor: Antonio Vitiello, Antonio Formato, Luca Ferraro, Pietro Forestieri, Giuliano Izzo, Pilone Vincenzo
Přispěvatelé: Vitiello, A., Vincenzo, P., Formato, A., Izzo, G., Ferraro, L., Forestieri, P.
Rok vydání: 2018
Předmět:
Male
medicine.medical_specialty
Pediatrics
Time Factors
Malabsorption
Time Factor
Databases
Factual
Bariatric Surgery
030209 endocrinology & metabolism
Diabete
Jejunoileal Bypa
Risk Assessment
Follow-Up Studie
Body Mass Index
Cohort Studies
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Bloating
Jejunoileal Bypass
Malabsorption Syndromes
Quality of life
Retrospective Studie
Diabetes mellitus
Weight Loss
medicine
Humans
Obesity
Retrospective Studies
business.industry
medicine.disease
Malabsorption Syndrome
Obesity
Morbid
Cardiac surgery
Biliary Tract Surgical Procedure
Biliary Tract Surgical Procedures
Treatment Outcome
Italy
Cardiothoracic surgery
Female
030211 gastroenterology & hepatology
Surgery
Postoperative Complication
Cohort Studie
business
Body mass index
Human
Follow-Up Studies
Abdominal surgery
Zdroj: Langenbeck's Archives of Surgery. 403:873-879
ISSN: 1435-2451
1435-2443
DOI: 10.1007/s00423-018-1717-7
Popis: Background: Bilio-intestinal bypass (BIBP) is an uncommon bariatric procedure. In 1999, a prospective trial was started at our institution to evaluate the effectiveness of BIBP. Trial was interrupted in 2006 due to high rate of complications. The aim of the present paper was to retrospectively review 10-year outcomes of BIBP. Methods: Retrospective review of bariatric database was performed to find patients that had undergone BIBP from 1999 to 2006. Data collected were as follows: age, gender, body weight, body mass index (BMI), percentage of excess weight loss (%EWL), remission from weight-related diseases, complications, and deaths at 1,3, 5, 7, and 10 years. Quality of life was evaluated using “BAROS” questionnaire. Results: From May 1999 to September 2006, 86 patients underwent BIBP. The mean age was 34.9 ± 22.4 years, and the initial weight and BMI were 141.2 ± 40.4 kg and 49.8 ± 15.5 kg/m 2 , respectively. After 10 years, the mean %EWL and BMI were 72.6 ± 18.7 and 31.2 ± 5.6 kg/m 2 . Almost all patients had diarrhea after surgery. Bloating syndrome occurred in 24% of patients, 48% had nephrolithiasis, and 20.9% had cholelithiasis. Remission from diabetes and hypertension was obtained in 75% and 80% of patients. Mortality was 3.2% and reoperation rate was 14.5%. Conclusions: Malabsorption plays a determinant role to obtain a long-lasting treatment for obese patients. However, BIBP is not recommendable due to high rate of complications and metabolic disorders.
Databáze: OpenAIRE
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