Three-year results of Roux-en-Y gastric bypass-on-vertical banded gastroplasty: an effective and safe procedure which enables endoscopy and X-ray study of the stomach and biliary tract
Cancer, perforation and bleeding in the bypassed stomach after RYGBP are rare but serious complications that require early diagnosis. Our goal was to perform a Roux-en-Y gastric bypass (RYGBP) whereby the traditional endoscopic and x-ray study of the bypassed stomach was possible, and at the same ti...
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| Veröffentlicht in: | Obesity surgery 2007-10, Vol.17 (10), p.1312-1318 |
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| creator | Cariani, Stefano Amenta, Enrico |
| description | Cancer, perforation and bleeding in the bypassed stomach after RYGBP are rare but serious complications that require early diagnosis. Our goal was to perform a Roux-en-Y gastric bypass (RYGBP) whereby the traditional endoscopic and x-ray study of the bypassed stomach was possible, and at the same time obtain a good weight loss, similar to the standard RYGBP. We developed the RYGBP-on-Vertical banded gastroplasty (RYGBP on VBG), where a Goretex band surrounds the gastro-gastric outlet.
From June 2002 to September 2005, 128 patients, 94 female and 34 male, with age 50.5 +/- 14.8 SD years, BMI 51.6 +/- 7.2 SD kg/m2, and %EW 117.9 +/- 33.5 SD underwent RYGBP on VBG via an open approach. Radiological and, if necessary, endoscopic study has been carried out at 6 months, 1 year and then annually postoperatively.
Two cases of anastomotic ulcer were detected, but no case of infection of the prosthetic material was found. Preoperative BMI fell from 51.6 +/- 7.2 to 38.1 +/- 6.6 after 6 months, to 35.0 +/- 7.1 after 1 year, to 34.4 +/- 6.1 after 2 years, and to 33.2 +/- 5.5 after 3 years.
RYGBP on VBG was effective; the weight loss curve, compared to standard RYGBP, is similar, while allowing the traditional x-ray and endoscopy of the bypassed stomach and thus the biliary tract. |
| doi_str_mv | 10.1007/s11695-007-9234-8 |
| format | Article |
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From June 2002 to September 2005, 128 patients, 94 female and 34 male, with age 50.5 +/- 14.8 SD years, BMI 51.6 +/- 7.2 SD kg/m2, and %EW 117.9 +/- 33.5 SD underwent RYGBP on VBG via an open approach. Radiological and, if necessary, endoscopic study has been carried out at 6 months, 1 year and then annually postoperatively.
Two cases of anastomotic ulcer were detected, but no case of infection of the prosthetic material was found. Preoperative BMI fell from 51.6 +/- 7.2 to 38.1 +/- 6.6 after 6 months, to 35.0 +/- 7.1 after 1 year, to 34.4 +/- 6.1 after 2 years, and to 33.2 +/- 5.5 after 3 years.
RYGBP on VBG was effective; the weight loss curve, compared to standard RYGBP, is similar, while allowing the traditional x-ray and endoscopy of the bypassed stomach and thus the biliary tract.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-007-9234-8</identifier><identifier>PMID: 18000728</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>Adult ; Biliary Tract Diseases - diagnosis ; Endoscopy, Gastrointestinal ; Female ; Gastric Bypass - methods ; Gastric Stump ; Gastrointestinal surgery ; Gastroplasty - methods ; Humans ; Male ; Middle Aged ; Obesity ; Polytetrafluoroethylene - therapeutic use ; Postoperative Complications - diagnosis ; Prostheses and Implants ; Stomach ; Stomach Diseases - diagnosis ; Surgical outcomes ; Treatment Outcome ; Weight control</subject><ispartof>Obesity surgery, 2007-10, Vol.17 (10), p.1312-1318</ispartof><rights>Springer Science + Business Media, LLC 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c326t-a53ac00b2a457b5cfd9f100d06f568de5792ea94a5840a27c66e639140c1df3b3</citedby><cites>FETCH-LOGICAL-c326t-a53ac00b2a457b5cfd9f100d06f568de5792ea94a5840a27c66e639140c1df3b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18000728$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cariani, Stefano</creatorcontrib><creatorcontrib>Amenta, Enrico</creatorcontrib><title>Three-year results of Roux-en-Y gastric bypass-on-vertical banded gastroplasty: an effective and safe procedure which enables endoscopy and X-ray study of the stomach and biliary tract</title><title>Obesity surgery</title><addtitle>Obes Surg</addtitle><description>Cancer, perforation and bleeding in the bypassed stomach after RYGBP are rare but serious complications that require early diagnosis. Our goal was to perform a Roux-en-Y gastric bypass (RYGBP) whereby the traditional endoscopic and x-ray study of the bypassed stomach was possible, and at the same time obtain a good weight loss, similar to the standard RYGBP. We developed the RYGBP-on-Vertical banded gastroplasty (RYGBP on VBG), where a Goretex band surrounds the gastro-gastric outlet.
From June 2002 to September 2005, 128 patients, 94 female and 34 male, with age 50.5 +/- 14.8 SD years, BMI 51.6 +/- 7.2 SD kg/m2, and %EW 117.9 +/- 33.5 SD underwent RYGBP on VBG via an open approach. Radiological and, if necessary, endoscopic study has been carried out at 6 months, 1 year and then annually postoperatively.
Two cases of anastomotic ulcer were detected, but no case of infection of the prosthetic material was found. Preoperative BMI fell from 51.6 +/- 7.2 to 38.1 +/- 6.6 after 6 months, to 35.0 +/- 7.1 after 1 year, to 34.4 +/- 6.1 after 2 years, and to 33.2 +/- 5.5 after 3 years.
RYGBP on VBG was effective; the weight loss curve, compared to standard RYGBP, is similar, while allowing the traditional x-ray and endoscopy of the bypassed stomach and thus the biliary tract.</description><subject>Adult</subject><subject>Biliary Tract Diseases - diagnosis</subject><subject>Endoscopy, Gastrointestinal</subject><subject>Female</subject><subject>Gastric Bypass - methods</subject><subject>Gastric Stump</subject><subject>Gastrointestinal surgery</subject><subject>Gastroplasty - methods</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Polytetrafluoroethylene - therapeutic use</subject><subject>Postoperative Complications - diagnosis</subject><subject>Prostheses and Implants</subject><subject>Stomach</subject><subject>Stomach Diseases - diagnosis</subject><subject>Surgical outcomes</subject><subject>Treatment Outcome</subject><subject>Weight control</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkV2L1TAQhoO4uMfVH-CNBC-8i5uPNm29k8UvWBBkBb0K02Ti6dLT1CTdtf_Mn2fqOSDs1cwwzzvMzEvIC8HfCM6byySE7mpWUtZJVbH2EdmJhreMV7J9THa805y1pXVOnqZ0y7kUWson5Fy0vIhkuyN_bvYRka0IkUZMy5gTDZ5-DctvhhP7QX9CynGwtF9nSImFid1hzIOFkfYwOXRHIsxjCetbChNF79Hm4Q5L4WgCj3SOwaJbItL7_WD3FCfoR0wlupBsmNd_6HcWYaUpL27dlsh7LEU4QBFs7X4YB4grzRFsfkbOPIwJn5_iBfn24f3N1Sd2_eXj56t318wqqTODWoHlvJdQ1U1fW-86X37nuPa1bh3WTScRugrqtuIgG6s1atWJilvhvOrVBXl9nFtO-LVgyuYwJIvjCBOGJRnd8UYroQv46gF4G5Y4ld2MlEpKWTWqQOII2RhSiujNHIdDOcoIbjZPzdFTs6Wbp6YtmpenwUt_QPdfcTJR_QVK55_A</recordid><startdate>20071001</startdate><enddate>20071001</enddate><creator>Cariani, Stefano</creator><creator>Amenta, Enrico</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20071001</creationdate><title>Three-year results of Roux-en-Y gastric bypass-on-vertical banded gastroplasty: an effective and safe procedure which enables endoscopy and X-ray study of the stomach and biliary tract</title><author>Cariani, Stefano ; Amenta, Enrico</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-a53ac00b2a457b5cfd9f100d06f568de5792ea94a5840a27c66e639140c1df3b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Biliary Tract Diseases - diagnosis</topic><topic>Endoscopy, Gastrointestinal</topic><topic>Female</topic><topic>Gastric Bypass - methods</topic><topic>Gastric Stump</topic><topic>Gastrointestinal surgery</topic><topic>Gastroplasty - methods</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Polytetrafluoroethylene - therapeutic use</topic><topic>Postoperative Complications - diagnosis</topic><topic>Prostheses and Implants</topic><topic>Stomach</topic><topic>Stomach Diseases - diagnosis</topic><topic>Surgical outcomes</topic><topic>Treatment Outcome</topic><topic>Weight control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cariani, Stefano</creatorcontrib><creatorcontrib>Amenta, Enrico</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cariani, Stefano</au><au>Amenta, Enrico</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Three-year results of Roux-en-Y gastric bypass-on-vertical banded gastroplasty: an effective and safe procedure which enables endoscopy and X-ray study of the stomach and biliary tract</atitle><jtitle>Obesity surgery</jtitle><addtitle>Obes Surg</addtitle><date>2007-10-01</date><risdate>2007</risdate><volume>17</volume><issue>10</issue><spage>1312</spage><epage>1318</epage><pages>1312-1318</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Cancer, perforation and bleeding in the bypassed stomach after RYGBP are rare but serious complications that require early diagnosis. Our goal was to perform a Roux-en-Y gastric bypass (RYGBP) whereby the traditional endoscopic and x-ray study of the bypassed stomach was possible, and at the same time obtain a good weight loss, similar to the standard RYGBP. We developed the RYGBP-on-Vertical banded gastroplasty (RYGBP on VBG), where a Goretex band surrounds the gastro-gastric outlet.
From June 2002 to September 2005, 128 patients, 94 female and 34 male, with age 50.5 +/- 14.8 SD years, BMI 51.6 +/- 7.2 SD kg/m2, and %EW 117.9 +/- 33.5 SD underwent RYGBP on VBG via an open approach. Radiological and, if necessary, endoscopic study has been carried out at 6 months, 1 year and then annually postoperatively.
Two cases of anastomotic ulcer were detected, but no case of infection of the prosthetic material was found. Preoperative BMI fell from 51.6 +/- 7.2 to 38.1 +/- 6.6 after 6 months, to 35.0 +/- 7.1 after 1 year, to 34.4 +/- 6.1 after 2 years, and to 33.2 +/- 5.5 after 3 years.
RYGBP on VBG was effective; the weight loss curve, compared to standard RYGBP, is similar, while allowing the traditional x-ray and endoscopy of the bypassed stomach and thus the biliary tract.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>18000728</pmid><doi>10.1007/s11695-007-9234-8</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Biliary Tract Diseases - diagnosis Endoscopy, Gastrointestinal Female Gastric Bypass - methods Gastric Stump Gastrointestinal surgery Gastroplasty - methods Humans Male Middle Aged Obesity Polytetrafluoroethylene - therapeutic use Postoperative Complications - diagnosis Prostheses and Implants Stomach Stomach Diseases - diagnosis Surgical outcomes Treatment Outcome Weight control |
| title | Three-year results of Roux-en-Y gastric bypass-on-vertical banded gastroplasty: an effective and safe procedure which enables endoscopy and X-ray study of the stomach and biliary tract |
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