Revisional surgery in severe nutritional complications after bariatric surgical procedures: report of four cases from a single institution and review of the literature
bariatric surgery is currently the only treatment that leads to long-term and sustained weight loss and decreased morbidity and mortality in morbidly obese individuals. Roux-en-Y bypass causes weight loss by restricting food intake associated with reduced intestinal absorption, in addition to multip...
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Veröffentlicht in: | Revista do Colegio Brasileiro de Cirurgioes 2021, Vol.48, p.e20202666 |
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creator | Braga, JoÃo Gabriel Romero Concon, Matheus Mathedi Lima, Amanda Pereira Callejas, Guilherme Hoverter Macedo, Ary DE Castro CÂndido, Elaine Cristina Chaim, Felipe David MendonÇa Utrini, Murillo Pimentel Gestic, Martinho AntÔnio Ramos, Almino Cardoso Cazzo, Everton Chaim, Elinton Adami |
description | bariatric surgery is currently the only treatment that leads to long-term and sustained weight loss and decreased morbidity and mortality in morbidly obese individuals. Roux-en-Y bypass causes weight loss by restricting food intake associated with reduced intestinal absorption, in addition to multiple endocrine and satiogenic effects. Biliopancreatic diversion promotes weight loss mainly due to poor absorption of the nutrients ingested. Both procedures exclude parts of the gastrointestinal tract.
to describe four cases of revisional surgery after primary bariatric surgery, due to serious nutritional complications, and to review the literature regarding this subject.
a retrospective analysis of patients of Unicamps bariatric center database and review of the literatures were performed.
four patients were identified, 2 women and 2 men, with a mean age of 48 years. The mean body mass index before revisional surgery was 23.7 kg/m2. Three patients underwent Scopinaro biliopancreatic diversion, and onde patient underwent Roux-en-Y gastric bypass. The revisional surgeries were revision, conversion, and reversion. One patient died. For the review of the literature 12 articles remained (11 case reports and 1 case series). Another five important original articles were included.
fortunately, revision surgery is rarely necessary, but when indicated it has increased morbidity, It can be revision, reverion or conversion according to the severity of the patient and the primary surgery performed. |
doi_str_mv | 10.1590/0100-6991e-20202666 |
format | Article |
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to describe four cases of revisional surgery after primary bariatric surgery, due to serious nutritional complications, and to review the literature regarding this subject.
a retrospective analysis of patients of Unicamps bariatric center database and review of the literatures were performed.
four patients were identified, 2 women and 2 men, with a mean age of 48 years. The mean body mass index before revisional surgery was 23.7 kg/m2. Three patients underwent Scopinaro biliopancreatic diversion, and onde patient underwent Roux-en-Y gastric bypass. The revisional surgeries were revision, conversion, and reversion. One patient died. For the review of the literature 12 articles remained (11 case reports and 1 case series). Another five important original articles were included.
fortunately, revision surgery is rarely necessary, but when indicated it has increased morbidity, It can be revision, reverion or conversion according to the severity of the patient and the primary surgery performed.</description><identifier>ISSN: 0100-6991</identifier><identifier>EISSN: 1809-4546</identifier><identifier>DOI: 10.1590/0100-6991e-20202666</identifier><identifier>PMID: 33503141</identifier><language>eng</language><publisher>Brazil: Colégio Brasileiro de Cirurgiões</publisher><subject>Bariatric Surgery ; Bariatric Surgery - adverse effects ; Bariatric Surgery - methods ; Female ; Gastric Bypass ; Humans ; Laparoscopy ; Male ; Malnutrition ; Malnutrition - etiology ; Middle Aged ; Obesity, Morbid - surgery ; Postoperative Complications - etiology ; Postoperative Complications - surgery ; Reoperation ; Retrospective Studies ; Review ; Treatment Outcome</subject><ispartof>Revista do Colegio Brasileiro de Cirurgioes, 2021, Vol.48, p.e20202666</ispartof><rights>2021 Revista do Colégio Brasileiro de Cirurgiões 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4266-248aec81ba0198cca527e46c2057f0da56f37364d721eb74875a606cd3ab22513</citedby><cites>FETCH-LOGICAL-c4266-248aec81ba0198cca527e46c2057f0da56f37364d721eb74875a606cd3ab22513</cites><orcidid>0000-0001-5563-4244</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10846396/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10846396/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,729,782,786,866,887,4026,27930,27931,27932,53798,53800</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33503141$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Braga, JoÃo Gabriel Romero</creatorcontrib><creatorcontrib>Concon, Matheus Mathedi</creatorcontrib><creatorcontrib>Lima, Amanda Pereira</creatorcontrib><creatorcontrib>Callejas, Guilherme Hoverter</creatorcontrib><creatorcontrib>Macedo, Ary DE Castro</creatorcontrib><creatorcontrib>CÂndido, Elaine Cristina</creatorcontrib><creatorcontrib>Chaim, Felipe David MendonÇa</creatorcontrib><creatorcontrib>Utrini, Murillo Pimentel</creatorcontrib><creatorcontrib>Gestic, Martinho AntÔnio</creatorcontrib><creatorcontrib>Ramos, Almino Cardoso</creatorcontrib><creatorcontrib>Cazzo, Everton</creatorcontrib><creatorcontrib>Chaim, Elinton Adami</creatorcontrib><title>Revisional surgery in severe nutritional complications after bariatric surgical procedures: report of four cases from a single institution and review of the literature</title><title>Revista do Colegio Brasileiro de Cirurgioes</title><addtitle>Rev Col Bras Cir</addtitle><description>bariatric surgery is currently the only treatment that leads to long-term and sustained weight loss and decreased morbidity and mortality in morbidly obese individuals. Roux-en-Y bypass causes weight loss by restricting food intake associated with reduced intestinal absorption, in addition to multiple endocrine and satiogenic effects. Biliopancreatic diversion promotes weight loss mainly due to poor absorption of the nutrients ingested. Both procedures exclude parts of the gastrointestinal tract.
to describe four cases of revisional surgery after primary bariatric surgery, due to serious nutritional complications, and to review the literature regarding this subject.
a retrospective analysis of patients of Unicamps bariatric center database and review of the literatures were performed.
four patients were identified, 2 women and 2 men, with a mean age of 48 years. The mean body mass index before revisional surgery was 23.7 kg/m2. Three patients underwent Scopinaro biliopancreatic diversion, and onde patient underwent Roux-en-Y gastric bypass. The revisional surgeries were revision, conversion, and reversion. One patient died. For the review of the literature 12 articles remained (11 case reports and 1 case series). Another five important original articles were included.
fortunately, revision surgery is rarely necessary, but when indicated it has increased morbidity, It can be revision, reverion or conversion according to the severity of the patient and the primary surgery performed.</description><subject>Bariatric Surgery</subject><subject>Bariatric Surgery - adverse effects</subject><subject>Bariatric Surgery - methods</subject><subject>Female</subject><subject>Gastric Bypass</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Malnutrition</subject><subject>Malnutrition - etiology</subject><subject>Middle Aged</subject><subject>Obesity, Morbid - surgery</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - surgery</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Review</subject><subject>Treatment Outcome</subject><issn>0100-6991</issn><issn>1809-4546</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>DOA</sourceid><recordid>eNpVktGK1DAUhoMo7rj6BILkBapJk6atNyLLqgsLguh1OE1PZrN0muEkHdkn8jVNZ9zBJRch55z_-yHnZ-ytFO9l04sPQgpRmb6XWNWiHGPMM7aRnegr3WjznG3OExfsVUr3Qmgle_WSXSjVCCW13LA_P_AQUogzTDwttEV64GHmCQ9IyOclU8inrou7_RQcrM_EwWckPgAFKCPuqC3Nie8pOhwXwvSRE-4jZR4993Eh7iBh4p7ijgNPYd5OWLxSDnlZoRzmsUgOAX-vknyHfArFBXKhvWYvPEwJ3_y7L9mvL9c_r75Vt9-_3lx9vq2cLh9Q1boDdJ0cQMi-cw6aukVtXC2a1osRGuNVq4we21ri0OqubcAI40YFQ103Ul2ymxN3jHBv9xR2QA82QrDHQqStBcrBTWixE1pKU7uxabUH3Wvsnejc2BpUHqGwPp1Y-2XY4ehwzgTTE-jTzhzu7DYerBSdNqo3haBOBEcxJUJ_Fkth1xDYdcX2GAL7GIKieve_71nzuHX1F1tCsuc</recordid><startdate>2021</startdate><enddate>2021</enddate><creator>Braga, JoÃo Gabriel Romero</creator><creator>Concon, Matheus Mathedi</creator><creator>Lima, Amanda Pereira</creator><creator>Callejas, Guilherme Hoverter</creator><creator>Macedo, Ary DE Castro</creator><creator>CÂndido, Elaine Cristina</creator><creator>Chaim, Felipe David MendonÇa</creator><creator>Utrini, Murillo Pimentel</creator><creator>Gestic, Martinho AntÔnio</creator><creator>Ramos, Almino Cardoso</creator><creator>Cazzo, Everton</creator><creator>Chaim, Elinton Adami</creator><general>Colégio Brasileiro de Cirurgiões</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>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-5563-4244</orcidid></search><sort><creationdate>2021</creationdate><title>Revisional surgery in severe nutritional complications after bariatric surgical procedures: report of four cases from a single institution and review of the literature</title><author>Braga, JoÃo Gabriel Romero ; Concon, Matheus Mathedi ; Lima, Amanda Pereira ; Callejas, Guilherme Hoverter ; Macedo, Ary DE Castro ; CÂndido, Elaine Cristina ; Chaim, Felipe David MendonÇa ; Utrini, Murillo Pimentel ; Gestic, Martinho AntÔnio ; Ramos, Almino Cardoso ; Cazzo, Everton ; Chaim, Elinton Adami</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4266-248aec81ba0198cca527e46c2057f0da56f37364d721eb74875a606cd3ab22513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Bariatric Surgery</topic><topic>Bariatric Surgery - adverse effects</topic><topic>Bariatric Surgery - methods</topic><topic>Female</topic><topic>Gastric Bypass</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Malnutrition</topic><topic>Malnutrition - etiology</topic><topic>Middle Aged</topic><topic>Obesity, Morbid - surgery</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - surgery</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>Review</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Braga, JoÃo Gabriel Romero</creatorcontrib><creatorcontrib>Concon, Matheus Mathedi</creatorcontrib><creatorcontrib>Lima, Amanda Pereira</creatorcontrib><creatorcontrib>Callejas, Guilherme Hoverter</creatorcontrib><creatorcontrib>Macedo, Ary DE Castro</creatorcontrib><creatorcontrib>CÂndido, Elaine Cristina</creatorcontrib><creatorcontrib>Chaim, Felipe David MendonÇa</creatorcontrib><creatorcontrib>Utrini, Murillo Pimentel</creatorcontrib><creatorcontrib>Gestic, Martinho AntÔnio</creatorcontrib><creatorcontrib>Ramos, Almino Cardoso</creatorcontrib><creatorcontrib>Cazzo, Everton</creatorcontrib><creatorcontrib>Chaim, Elinton Adami</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Revista do Colegio Brasileiro de Cirurgioes</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Braga, JoÃo Gabriel Romero</au><au>Concon, Matheus Mathedi</au><au>Lima, Amanda Pereira</au><au>Callejas, Guilherme Hoverter</au><au>Macedo, Ary DE Castro</au><au>CÂndido, Elaine Cristina</au><au>Chaim, Felipe David MendonÇa</au><au>Utrini, Murillo Pimentel</au><au>Gestic, Martinho AntÔnio</au><au>Ramos, Almino Cardoso</au><au>Cazzo, Everton</au><au>Chaim, Elinton Adami</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Revisional surgery in severe nutritional complications after bariatric surgical procedures: report of four cases from a single institution and review of the literature</atitle><jtitle>Revista do Colegio Brasileiro de Cirurgioes</jtitle><addtitle>Rev Col Bras Cir</addtitle><date>2021</date><risdate>2021</risdate><volume>48</volume><spage>e20202666</spage><pages>e20202666-</pages><issn>0100-6991</issn><eissn>1809-4546</eissn><abstract>bariatric surgery is currently the only treatment that leads to long-term and sustained weight loss and decreased morbidity and mortality in morbidly obese individuals. Roux-en-Y bypass causes weight loss by restricting food intake associated with reduced intestinal absorption, in addition to multiple endocrine and satiogenic effects. Biliopancreatic diversion promotes weight loss mainly due to poor absorption of the nutrients ingested. Both procedures exclude parts of the gastrointestinal tract.
to describe four cases of revisional surgery after primary bariatric surgery, due to serious nutritional complications, and to review the literature regarding this subject.
a retrospective analysis of patients of Unicamps bariatric center database and review of the literatures were performed.
four patients were identified, 2 women and 2 men, with a mean age of 48 years. The mean body mass index before revisional surgery was 23.7 kg/m2. Three patients underwent Scopinaro biliopancreatic diversion, and onde patient underwent Roux-en-Y gastric bypass. The revisional surgeries were revision, conversion, and reversion. One patient died. For the review of the literature 12 articles remained (11 case reports and 1 case series). Another five important original articles were included.
fortunately, revision surgery is rarely necessary, but when indicated it has increased morbidity, It can be revision, reverion or conversion according to the severity of the patient and the primary surgery performed.</abstract><cop>Brazil</cop><pub>Colégio Brasileiro de Cirurgiões</pub><pmid>33503141</pmid><doi>10.1590/0100-6991e-20202666</doi><orcidid>https://orcid.org/0000-0001-5563-4244</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Bariatric Surgery Bariatric Surgery - adverse effects Bariatric Surgery - methods Female Gastric Bypass Humans Laparoscopy Male Malnutrition Malnutrition - etiology Middle Aged Obesity, Morbid - surgery Postoperative Complications - etiology Postoperative Complications - surgery Reoperation Retrospective Studies Review Treatment Outcome |
title | Revisional surgery in severe nutritional complications after bariatric surgical procedures: report of four cases from a single institution and review of the literature |
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