Biliopancreatic diversion, duodenal switch, and vertical sleeve gastrectomy operation of patients with body mass index more than sixty retrospective study

ABSTRACT

Obesity is a complex metabolic disorder with significant health and economic consequences due to related co- morbid conditions, including diabetes, cardiovascular disease, and certain cancers, and increased mortality. So when body mass index increase mortality increase. Asses and study the result of operations of obesity associated with malabsorption operations to measure the body mass index more than sixty and To prove the benefit of this type of bariatric surgery in weight loss within short period and its benefit in decreasing co-morbidity. A retrospective study conducted in Baghdad Teaching Hospital and Dijla Private Hospital from June 2011 to June 2012 where the follow-up of eleven patients admitted to surgical ward and underwent the operation of Biliopancreatic diversion, Doudenal switch and Sleeve gastrectomy were analyzed the enhance people with diseases and postoperative diseases and complication. All patients were given nutritive instructions three months prior to surgery which was rich in vitamines and low fat. From the analysis of the results we found a rapid decline in body weight as well as the Body mass index, where in the 1[st] 3months BMI dropped of about 22%, after 6 months BMI dropped 39% and dropped more than 50% after 12 months. Also this study show clear and significant improvement in treatment of sleep problems, DM, and HPT. Operation of this type is important for weight loss in morbidly obese patients in addition to high and noticeable improvement in association comorbid diseases