Abstract：
:A new technique of vertical gastroplasty was applied in 50 morbidly obese patients. Eight of them were male and 42 female with a mean age of 34 years (range 2058). The mean excess body weight was 77 kg (range 52-133) and the mean Body Mass Index 51 kg/m(2) (range 42-81). Under direct vision the hepatogastric and gastrophrenic ligaments were divided and two TA-90 doublerow staplers were passed together through the lesser sac vertically downwards from His angle parallel to the lesser curvature of the stomach. An additional TA-90 stapler was applied between the two double rows. The pseudopylorus was constructed 3-4 cm below the stomach angle by the use of two bands of silk No. 0 which were covered by stomach serosa, thus creating a reinforced outlet having the shape of a pylorus which we called 'artificial pseudopylorus'. The circumference of pseudopylorus was 4.8 cm and the total volume of the vertical pouch of stomach 15-20 ml. The percentage excess weight loss on the 3rd, 6th, 12th, 18th and 24th month postoperatively was 35, 51, 68, 80, and 82 respectively. One patient died 12 days after operation. One other patient was re-operated because of staple-line breakdown and acute abdomen formation. It is concluded that vertical gastroplasty with artificial pseudopylorus is a simple and safe method that avoids complications of other forms of gastroplasty, and is of value in the treatment of morbidly obese patients.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Aidonopoulos AP,Papavramidis STdoi
10.1381/096089294765558322subject
Has Abstractpub_date
1994-11-01 00:00:00pages
349-352issue
4eissn
0960-8923issn
1708-0428journal_volume
4pub_type
杂志文章相关文献
OBESITY SURGERY文献大全abstract：INTRODUCTION:Biliopancreatic diversion and gastric bypass are associated with a rapid improvement in insulin resistance few days after surgery. The purpose of this study was to evaluate the short-term effects in insulin resistance following sleeve gastrectomy (SG). MATERIALS AND METHODS:Between December 2007 and Septe...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-009-0017-2
更新日期：2010-01-01 00:00:00
abstract：INTRODUCTION:miRNAs are small non-coding RNAs, some of which are expressed in adipose tissues, are present in the circulation, and are regulated in obesity. Bariatric surgery (BS) has been proposed to lead to activation of brown adipose tissue, an effect that may be related to beneficial effects of BS on systemic metab...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-019-04104-y
更新日期：2020-01-01 00:00:00
abstract：INTRODUCTION:Obesity in the world has been increasing, and the number of diabetic patients will increase by 114%, and the best treatment results are achieved through surgery. Several techniques have been described; the gastric bypass of an anastomosis (MGB/OAGB) has been gaining popularity for its simplicity and good r...
journal_title：Obesity surgery
pub_type： 临床试验,杂志文章
doi：10.1007/s11695-019-04071-4
更新日期：2019-12-01 00:00:00
abstract：:In bariatric surgery, laparoscopic adjustable gastric banding (LAGB) has proven effective in reducing weight and improving obesity-associated comorbidities. Recently, however, laparoendoscopic single-site (LESS) surgery has been proposed to minimize the invasiveness of laparoscopic surgery. The aim of this study is to...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-010-0259-z
更新日期：2011-07-01 00:00:00
abstract：:The majority of bariatric surgical stapling procedure concepts were developed prior to the understanding of obesity as an energy storage disease. Conventional treatments did not consider the impact of macronutrients on hormones and glucose variability. Current recommendations suggest diets low in glycemic load, with m...
journal_title：Obesity surgery
pub_type： 杂志文章,评审
doi：10.1007/s11695-018-3535-y
更新日期：2018-12-01 00:00:00
abstract：BACKGROUND:Mood disorders are common among patients seeking bariatric surgery although little data exist regarding the prevalence of bipolar symptoms in this population and how they influence surgical outcomes. Our aim was to describe baseline rates of bipolar symptoms and their relationship to psychological factors an...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-014-1262-6
更新日期：2014-11-01 00:00:00
abstract：INTRODUCTION:Morbid obesity and obstructive sleep apnea (OSA) interact at an inflammatory level. Bariatric surgery reduces inflammatory responses associated with obesity. Heme oxygenase-1 (HO-1) is an enzyme with anti-inflammatory properties, which might be increased in morbid obesity or OSA. We studied morbidly obese ...
journal_title：Obesity surgery
pub_type： 临床试验,杂志文章
doi：10.1007/s11695-017-2635-4
更新日期：2017-09-01 00:00:00
abstract：BACKGROUND:Bariatric surgery is the only effective and long-lasting treatment of morbidly obese patients. However, the safety and efficacy of bariatric surgery in patients with hepatitis B viral (HBV) infection is not clear. The aim of the present study is to investigate whether HBV infection influences clinic features...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-007-9346-1
更新日期：2008-05-01 00:00:00
abstract：:Bariatric surgery is the most effective modality of achieving weight loss as well as the most effective treatment for type 2 diabetes mellitus (T2DM). Glucose-dependent insulinotropic polypeptide (GIP) is an incretin and is implicated in the pathogenesis of obesity and T2DM. Its role in weight loss and resolution of T...
journal_title：Obesity surgery
pub_type： 杂志文章,评审
doi：10.1007/s11695-010-0305-x
更新日期：2011-02-01 00:00:00
abstract：BACKGROUND:The revisional surgery for patients with inadequate weight loss after biliopancreatic diversion with duodenal switch (BPD/DS) is controversial. It has not yet been determined whether a common channel should be shortened or gastric pouch volume reduced. Since the revision of the distal anastomosis remains tec...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089203322190907
更新日期：2003-08-01 00:00:00
abstract：BACKGROUND:Gastroesophageal reflux disease (GERD) is probably the main drawback of laparoscopic sleeve gastrectomy (LSG). Herein, we critically discuss the issue and report the results of the first international consensus conference held in Montpellier, France, during June 2019. METHODS:Fifty international bariatric e...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-04749-0
更新日期：2020-10-01 00:00:00
abstract：BACKGROUND:Recent data has shown that the use of warmed, humidified carbon dioxide (CO2) insufflation during laparoscopic surgery may be associated with better outcomes. METHODS:We performed a randomized, doubleblind, prospective controlled clinical trial of 30 patients undergoing laparoscopic Roux-en-Y gastric bypass...
journal_title：Obesity surgery
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1381/0960892052993530
更新日期：2005-01-01 00:00:00
abstract：PURPOSE:This study aimed to compare the safety and effectiveness of Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) in patients aged 60 years old or older. METHODS:The available literature was searched for eligible studies up to November 2019. The meta-analysis was performed by the RevMan 5.3 software. RE...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-04577-2
更新日期：2020-09-01 00:00:00
abstract：BACKGROUND:Body contouring, which encompasses a range of surgical procedures on different areas of the body, is one of the most rapidly growing areas of plastic surgery. Little is known about outcomes from the perspective of post-weight loss body contouring patients. The aim of our qualitative study was to identify the...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-012-0640-1
更新日期：2012-10-01 00:00:00
abstract：:Obesity and metabolic surgery (OMS) leads to several metabolic improvements, which often occur prior to substantial weight loss. Therefore, other factors in addition to weight loss contribute to the metabolic benefits. This literature review offers an overview of studies investigating bile acids (BAs) and their metabo...
journal_title：Obesity surgery
pub_type： 杂志文章,评审
doi：10.1007/s11695-016-2272-3
更新日期：2016-10-01 00:00:00
abstract：BACKGROUND:The BioEnterics Intragrastric Balloon (BIB) together with restricted diet has been used for the treatment of obesity and morbid obesity. METHODS:A prospective study was conducted on 100 patients who had undergone the BIB procedure between February 2005 and February 2007. RESULTS:Mean age, mean weight, and ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-008-9565-0
更新日期：2008-09-01 00:00:00
abstract：BACKGROUND:Gastric bleeding is a rare complication after a vertical banded gastroplasty (VBG). Only a few cases of gastric bleeding after a VBG have been reported, and there is discussion about its etiology. We present two cases of gastric bleeding after a VBG, and discuss the etiology, diagnostic approach and manageme...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089200321594219
更新日期：2000-12-01 00:00:00
abstract：:BACKGROUND: The severely obese under 21 years of age are at high risk of missing normal development during a crucial period of life and should be considered for surgical treatment. Vertical banded gastroplasty allows patients to be treated effectively while continuing to have normal digestion and absorption without th...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089295765558114
更新日期：1995-02-01 00:00:00
abstract：BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) is one of the most frequently performed procedures in obesity surgery. The benefits of minimally invasive surgery include rapid recovery. We evaluated the clinical outcomes of different resection margin lengths from the pylorus in LSG. METHODS:This retrospective study i...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-016-2384-9
更新日期：2017-04-01 00:00:00
abstract：BACKGROUND:Obesity is a chronic complex disease, consequence of an unbalance between energy intake and expenditure and of the interaction between predisposing genotype and facilitating environmental factors. The aim of the study was to evaluate body composition, abdominal fat, and metabolic changes in a group of severe...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-009-9891-x
更新日期：2009-12-01 00:00:00
abstract：:Drug malabsorption is a potential concern after bariatric surgery. We present four case reports of hypothyroid patients who were well replaced with thyroxine tablets to euthyroid thyrotropin (TSH) levels prior to Roux-en-Y gastric bypass surgery. These patients developed elevated TSH levels after the surgery, the TSH ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-013-1015-y
更新日期：2013-09-01 00:00:00
abstract：BACKGROUND:Clinical trials in the field of bariatrics, and specifically laparoscopic adjustable gastric banding (LAGB), have frequently been gender imbalanced, with males representing only 20% of examinees. Long-term gender-oriented results, and specifically quality of life (QOL) parameters, have not been addressed suf...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-017-2916-y
更新日期：2018-03-01 00:00:00
abstract：UNLABELLED:Laparoscopic gastric banding and Roux-en-Y gastric bypass are widely used for the treatment of morbid obesity. The impact of these two procedures on health-related quality of life has not been analyzed in comparative studies. METHODS:A matched-pair analysis of a prospectively collected database was performe...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-008-9522-y
更新日期：2008-12-01 00:00:00
abstract：BACKGROUND:Laparoscopic techniques have been used to perform the Roux-en-Y gastric bypass (RYGBP). The gastrojejunostomy may be constructed using an end-to-end anastomosis (EEA) stapler. Most reports describe passing the EEA anvil transorally using an esophagogastroscope and a pull-wire technique. METHOD:We describe p...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089200321629139
更新日期：2000-08-01 00:00:00
abstract：OBJECTIVE(S):Monitoring and prevention of long-term nutrient deficiency after laparoscopic Roux-en-Y gastric bypass (LRYGB) remains ill defined due to limited surgical follow-up after bariatric surgery. This study compared nutrient supplementation as well as surgeon and primary care physician (PCP) follow-up between pa...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-016-2364-0
更新日期：2017-05-01 00:00:00
abstract：BACKGROUND:Obesity is considered as a risk factor for many functional digestive disorders. The aim of the present study was to evaluate the prevalence and the association of functional digestive symptoms affecting the upper and the lower digestive tract in patients eligible for bariatric surgery. METHODS:Before surger...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-011-0396-z
更新日期：2012-03-01 00:00:00
abstract：INTRODUCTION:Female sexual dysfunction (FSD) among the obese women is often under diagnosed and ignored especially in Malaysia, a nation of conservative multiethnic society. There are only a few studies on FSD resolution post-bariatric surgery. The objective was to identify the rate and resolution or improvement of FSD...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-019-03722-w
更新日期：2019-05-01 00:00:00
abstract：BACKGROUND AND AIMS:The mechanism of weight loss with the intra-gastric balloon (IGB) is thought to be a decrease in gastric emptying (GE); however the evidence is conflicting. Nausea, abdominal pain, and gastroesophageal reflux disease (GERD) can cause intolerance resulting in early removal. This is demoralizing for t...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-019-04039-4
更新日期：2020-01-01 00:00:00
abstract：INTRODUCTION:Laparoscopic sleeve gastrectomy (LSG) has rapidly become popular with excellent results. However, LSG may exacerbate or increase the risk of "de novo" gastroesophageal reflux disease (GERD). Adding a fundoplication has been proposed to increase the lower esophageal sphincter competency. The aim of this stu...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-05189-6
更新日期：2021-01-03 00:00:00
abstract：BACKGROUND:The aim of this study was to give an initial account of the weight loss and complications after applying the Swedish adjustable gastric band (SAGB) at Saad Specialist Hospital, Al-Khobar, Saudi Arabia. METHODS:From January 2001 to December 2004, 140 consecutive patients (62% female) underwent SAGB. Mean ini...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/0960892053723394
更新日期：2005-04-01 00:00:00
