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
Artigo
em Espanhol
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Obesidade Mórbida
/
Derivação Gástrica
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
Limite:
Adolescente
/
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
América do Sul
/
Chile
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2006
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Universidad de Chile/CL
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