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
Hauptverfasser: 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
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container_issue
container_start_page e20202666
container_title Revista do Colegio Brasileiro de Cirurgioes
container_volume 48
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
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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. 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source MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central
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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