ABSTRACT
BACKGROUND: Biliopancreatic diversion is perceived as the most effective operation for long-term treatment of massive obesity. The purpose of this study is to demonstrate that gastroileal bypass with single anastomosis is a safe and feasible procedure with similar results to the classic derivation, but reducing surgical time without decreasing the efficacy. METHODS: Descriptive, observational, prospective study of patients undergoing gastroileal bypass with single anastomosis between April 2010 and December 2015. The postoperative follow-up was 24 months. RESULTS: One thousand five hundred twelve patients underwent gastroileal bypass. The mean time of the procedure was 32 min; the average stay was 2.2 days. 30.1% of patients lost more than 100% of their excess weight, and 72.35% of patients lost more than 75% of their excess weight. 95.17% of patients dropped to a BMI < 35; 75.99% to a BMI < 30 and 30.15% to a BMI < 25. CONCLUSIONS: Gastroileal bypass with single anastomosis is a safe and fast procedure providing similar results to biliopancreatic diversion with respect to weight loss.
Subject(s)
Anastomosis, Surgical/methods , Gastric Bypass/methods , Laparoscopy/methods , Obesity, Morbid/surgery , Adult , Anastomosis, Surgical/adverse effects , Anastomosis, Surgical/statistics & numerical data , Biliopancreatic Diversion/adverse effects , Biliopancreatic Diversion/methods , Biliopancreatic Diversion/statistics & numerical data , Female , Follow-Up Studies , Gastric Bypass/adverse effects , Gastric Bypass/statistics & numerical data , Humans , Laparoscopy/adverse effects , Laparoscopy/statistics & numerical data , Male , Middle Aged , Operative Time , Postoperative Period , Prospective Studies , Treatment Outcome , Weight Gain , Weight Loss/physiologyABSTRACT
No disponible
Subject(s)
Humans , Diabetes Mellitus, Type 2/surgery , Obesity/surgery , Gastric Bypass , Treatment OutcomeABSTRACT
OBJECTIVE: To report an uncommon case of Fournier's gangrene caused by a perforated retrocecal acute appendicitis that compromised the scrotum and testis. METHODS: Herein we describe a patient that was admitted for abdominal pain localized to the right lower flank and generalized virulent sepsis. RESULTS: Resection of the right inguinal cord and testis was performed. The outcome was poor and the patient died of multiorgan failure. CONCLUSIONS: Fournier's gangrene basically arises from anorectal and urological pathologies, although occasionally it may arise from an intraabdominal source, which should be ruled out especially when the abdominal examination shows interesting findings.
