Riesgo perioperatorio del bypass gástrico reseccional en pacientes con obesidad mórbida: Estudio prospectivo de 684 pacientes / Perioperative risk among morbid obese patients subjected to gastric bypass
Rev. méd. Chile
;
134(7): 849-854, jul. 2006. tab
Article
Dans Espagnol
| LILACS
| ID: lil-434585
ABSTRACT
Background:
Bariatric surgery is a complex procedure not exempt of complications.Aim:
To assess mortality and complications of excisional gastric bypass among morbidly obese subjects. Material andmethods:
Prospective analysis of 684 morbid obese patients (age range 14-70 years, 525 females) subjected to an excisional gastric bypass. Major postoperative complications and mortality were registered.Results:
Mean body mass index (BMI) of the subjects was 43.7 kg/m2. One hundred sixty two patients had a BMI between 35 and 39.9 kg/m2, 419 had a BMI between 40 and 49.9 kg/m2 and 103 had a BMI over 50 kg/m2. Two patients with a BMI of 52 and 56 kg/m2 respectively, died in the postoperative period (0.3%). Thirty six patients had major complications. Anastomotic fistula was the most common complication in 12 patients (1.7%). Fourteen patients required a new operation due to complications. None of these died. The mean operative volume of the surgical team was 124 patients per year.Conclusions:
Excisional gastric bypass has a low rate of mortality and complications, if the surgical team operates a large volume of patients.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Obésité morbide
/
Dérivation gastrique
Type d'étude:
Etude d'étiologie
/
Étude observationnelle
Limites du sujet:
Adolescent
/
Adulte
/
Adulte très âgé
/
Femelle
/
Humains
/
Mâle
Pays comme sujet:
Amérique du Sud
/
Chili
langue:
Espagnol
Texte intégral:
Rev. méd. Chile
Thème du journal:
Médicament
Année:
2006
Type:
Article
Pays d'affiliation:
Chili
Institution/Pays d'affiliation:
Universidad de Chile/CL
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