| Autor: |
Nieves, Pérez, Carlos, Serra, Aniceto, Baltasar, Lirios, Ferri, Rafael, Bou, Marcelo, Bengochea |
| Rok vydání: |
2006 |
| Předmět: |
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| Zdroj: |
Cirugia espanola. 79(5) |
| ISSN: |
0009-739X |
| Popis: |
The only effective long-term treatment for morbid obesity is bariatric surgery. AIM. To compare the long-term results of vertical banded gastroplasty (VBG) and duodenal switch (DS). Quality of life, weight loss and reoperations were evaluated.A retrospective study of 85 patients with VBG and 49 with DS with a follow-up of more than 5 years was performed. The mean preoperative body mass index (BMI) was 48.8 kg/m2 in VBG patients and 50.33 kg/m2 in DS patients.At 5 years, 87.5% of patients with DS had maintained a percentage of excess weight lost (%EWL) of more than 50%, and were therefore counted as successes, compared with 55% of those with VBG (p0.0001). Eight VBG patients (9.4%) and one DS patient (2.04%) required re-operations due to failure of the technique. None of the VBG patients with a %EWL of more than 50% could eat a normal diet, whereas more than 80% of patients with DS had no dietary restrictions.At 60 months follow up, only the DS patients fulfilled the requirements of the American Society of Bariatric Surgery of %EWL superior to 50% in more than 75% of the patients. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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