| Přispěvatelé: |
SOCIEDADE POTUGUESA DE CIRURGIA DE OBESIDADE, S. Cariani, P. Palandri, E. Della Valle, A.Della Valle, L. Di Cosmo, C. Vassallo, A.Caminiti, E. Amenta. |
| Popis: |
Background After traditional RYGBP, cancer, perforation and bleeding in the gastric remnant are described serious complications that need of early diagnosis; this is a discussed question. Our previously published studies demonstrated the effectiveness of the Roux-en-Y Gastric Bypass on Vertical Banded Gastroplasty (RYGBP-on-VBG) that allow the traditional endoscopic and x-ray study of bypassed stomach. Methods From June 2002 to February 2007, in seven Italian Hospital 438 patients have undergone RYGBP-on-VBG. The operation was performed on 345 patients as primary pocedure (mean BMI 47,4 ± 6,1 SD, mean %EBW 103,1 ± 26,7 SD) and on 93 patients as reoperation after VBG and LAGB failure (mean BMI 44,8 ± 6,5 SD at 1st operation and 37,1± 8,5 SD at reoperation). The postoperative clinical follow-up, including radiologic and/or endoscopic study of the stomach, it has been carried out to six months and yearly. Results With follow-up rate 90%, the mean %EWL of 345 patients turns out 36,2 ± 18,8SD after six months, 49,0 ±17,7SD after one year, 63,3 ± 23,9SD after two years, 66,9 ± 17,5SD after three years, 70,0 ± 17,7SD after four years and 72,0 ± 21,3SD after five years. Two cases of anastomotic ulcer and one of vertical suture leak were found. No case of prosthetic material infection was detected. Conclusion In the mid term the RYGBP-on-VBG weight loss outcome is similar to classical RYGBP, while enable for all the patients the traditional x-ray and endoscopy of bypassed stomach and biliary tract. This is the fundamental aspect of this procedure |
