Biliopancreatic diversion preserving the stomach and pylorus in the treatment of hypercholesterolemia and diabetes type II: results in the first 10 cases.

Abstract:

BACKGROUND:Besides weight loss Scopinaro's operation produces correction of hypercholesterolemia and noninsulin dependent diabetes mellitus in all patients who suffer from these conditions. These results encouraged us to perform biliopancreatic diversion (BPD) without gastric resection, thus preserving the functions of the stomach and pylorus in moderately overweight patients with hypercholesterolemia associated with diabetes type II and hypertriglyceridemia. METHODS:Between March 1996 and July 1997 we performed BPD without gastric resection on 10 moderately overweight patients [mean body mass index (BMI) = 33.2 kg/m2]. All patients had suffered from hypercholesterolemia and hypertriglyceridemia for more than 5 years. Ten patients suffered from diabetes type 11; four of them had had insulin treatment or oral anti-diabetic agents; the other patients all had hyperglycaemia in the fasted state and diabetes confirmed by preoperative oral glucose tolerance test (OGTT). Five patients suffered from hypertension. RESULTS:In all patients, cholesterol and triglyceride levels returned to normal within the first postoperative month. Glycemia also stabilized at normal values in nine patients within the early weeks after surgery. One patient who took 70 U of insulin reduced his daily intake to 35 U 2 months postoperatively. In all patients blood pressure returned to normal. Weight loss was predictably slight (10-15 kg). CONCLUSIONS:Our experience with the procedure found that this new method seems to be as effective in controlling lipidic metabolism and diabetes II as the original version of BPD. As expected, weight loss is only moderate, so that the modified BPD is not suitable for very obese patients.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Noya G,Cossu ML,Coppola M,Tonolo G,Angius MF,Fais E,Ruggiu M

doi

10.1381/096089298765555088

subject

Has Abstract

pub_date

1998-02-01 00:00:00

pages

67-72

issue

1

eissn

0960-8923

issn

1708-0428

journal_volume

8

pub_type

杂志文章
  • Roux limb volvulus in laparoscopic Roux-en-Y gastric bypass due to Roux limb stabilization suture: case series.

    abstract:BACKGROUND:Complications after laparoscopic Roux-en-Y gastric bypass surgery may be related to the type of surgical technique employed. One technique, the placement of a Roux limb stabilization suture, presumably prevents kink at the gastrojejunal anastomosis. However, it can have an adverse effect and we studied a ser...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-011-0529-4

    authors: Marr B,Yenumula P

    更新日期:2012-01-01 00:00:00

  • Cardiorespiratory fitness and health-related quality of life in bariatric surgery patients.

    abstract::Health-related quality of life (HRQOL) is impaired in severely obese individuals presenting for bariatric surgery. Little is known about the relationship between cardiorespiratory fitness (CRF) and HRQOL in these individuals. We hypothesized that better HRQOL would be reported by those with higher CRF. In 326 gastric ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-010-0261-5

    authors: Kolotkin RL,LaMonte MJ,Litwin S,Crosby RD,Gress RE,Yanowitz FG,Hunt SC,Adams TD

    更新日期:2011-04-01 00:00:00

  • Incidental Jejunal Lesion Necessitating Intraoperative Change of Plan During Bariatric Surgery: a Video Case Report.

    abstract::Incidental gastric and small bowel lesions are commonly encountered during bariatric surgery. Resection of these lesions with negative margins in the same sitting is curative; however, this may necessitate intraoperative change of plan. We present a 44-year-old super obese lady in whom an exophytic jejunal mass was fo...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-05162-3

    authors: Kumar A,Baksi A,Yadavalli SD,Aggarwal S

    更新日期:2021-01-19 00:00:00

  • Patient Characteristics, Procedural and Safety Outcomes of Bariatric Surgery in England: a Retrospective Cohort Study-2006-2012.

    abstract:BACKGROUND:The objective of the study is to analyze procedural and safety outcomes associated with bariatric surgery and describe the characteristics of patients undertaking bariatric procedures in England between April 2006 and March 2012. METHODS:This is a retrospective cohort study of all adult patients in England ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-2978-x

    authors: Sun S,Borisenko O,Spelman T,Ahmed AR

    更新日期:2018-04-01 00:00:00

  • Intussusception complicating pregnancy following laparoscopic Roux-en-Y gastric bypass.

    abstract::Laparoscopic Roux-en-Y gastric bypass is the most common bariatric surgical procedure in the USA in women of reproductive age. A pregnant patient presented with nonspecific upper abdominal pain and nausea, suggesting an internal hernia. At surgery, an intussusception was identified and reduced without complications. O...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9153-8

    authors: Wax JR,Wolff R,Cobean R,Pinette MG,Blackstone J,Cartin A

    更新日期:2007-07-01 00:00:00

  • The Effect of a Muscle Weight-Bearing and Aerobic Exercise Program on the Body Composition, Muscular Strength, Biochemical Markers, and Bone Mass of Obese Patients Who Have Undergone Gastric Bypass Surgery.

    abstract:BACKGROUND:The effect of an exercise program on the body composition, muscular strength (MS), biochemical markers, and bone mineral density (BMD) of individuals undergoing gastric bypass is unclear. We assessed lean mass (LM), MS, bone remodeling markers, and BMD before and after supervised weight-bearing and aerobic e...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-2618-5

    authors: Campanha-Versiani L,Pereira DAG,Ribeiro-Samora GA,Ramos AV,de Sander Diniz MFH,De Marco LA,Soares MMS

    更新日期:2017-08-01 00:00:00

  • Early clinical and surgical results of biliopancreatic diversion.

    abstract:BACKGROUND:Scopinaro biliopancreatic diversion (BPD) for morbid obesity results in significant longterm weight loss and reduction or resolution of obesity-associated co-morbidities. The aim of our work was to describe the early results after BPD. METHODS:59 morbidly obese patients (BMI >40) underwent open BPD from Dec...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/0960892054222740

    authors: de Luis DA,Pacheco D,Izaola O,Romero A,Marcos JL,Pelaz J,Barrera A,Cabezas G,Terroba MC,Cuellar L,Anta A

    更新日期:2005-06-01 00:00:00

  • DRG, costs and reimbursement following Roux-en-Y gastric bypass: an economic appraisal.

    abstract:BACKGROUND:There is disagreement regarding hospital and physician reimbursement fees when DRG codes are used. We have found that physicians and hospitals are rewarded differently depending on the type of insurance coverage - per diem HMO (Health Maintenance Organization) vs public. METHODS:133 patients were retrospect...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089203322190790

    authors: Angus LD,Cottam DR,Gorecki PJ,Mourello R,Ortega RE,Adamski J

    更新日期:2003-08-01 00:00:00

  • A Comparison of Health Professionals' and Patients' Views of the Importance of Outcomes of Bariatric Surgery.

    abstract:BACKGROUND:A comprehensive evaluation of bariatric surgery is required to inform decision-making. This will include measures of benefit and risk. It is possible that stakeholders involved with surgery value these outcomes differently, although this has not previously been explored. This study aimed to investigate and c...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-016-2186-0

    authors: Coulman KD,Howes N,Hopkins J,Whale K,Chalmers K,Brookes S,Nicholson A,Savovic J,Ferguson Y,Owen-Smith A,Blazeby J,By-Band-Sleeve Trial Management Group.,Blazeby J,Welbourn R,Byrne J,Donovan J,Reeves BC,Wordsworth S,An

    更新日期:2016-11-01 00:00:00

  • Laparoscopic sleeve gastrectomy: surgical technique, indications and clinical results.

    abstract:BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) has been introduced as a multipurpose restrictive procedure for obese patients. Variations of the surgical technique may be important for the late results. METHODS:50 patients submitted to LSG from January 2005 to December 2006 were studied. Mean age was 38.2 years, pre...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-008-9421-2

    authors: Braghetto I,Korn O,Valladares H,Gutiérrez L,Csendes A,Debandi A,Castillo J,Rodríguez A,Burgos AM,Brunet L

    更新日期:2007-11-01 00:00:00

  • A Clinical Study of Protein Sparing Modified Fast (PSMF) Administered Preoperatively to Morbidly Obese Patients: comparison of PSMF with natural food products to originally prepared PSMF.

    abstract::Morbidly obese patients are generally in a malnutritional state with an extremely high operative risk. In order to reduce the operative risk, surgeons should make every effort before the operation. A protein sparing modified fast (PSMF) may exhibit its high effectiveness when taken at least for 2 weeks preoperatively....

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089292765560510

    authors: Kawamura I I,Chen CC,Yamazaki K,Miyazawa Y,Isono K

    更新日期:1992-02-01 00:00:00

  • Taste and Olfactory Changes Following Laparoscopic Gastric Bypass and Sleeve Gastrectomy.

    abstract:BACKGROUND:Alterations in taste/smell after bariatric surgery have been observed, but few data is available. Some authors documented these changes and their role on weight loss but there is no evidence after laparoscopic sleeve gastrectomy (LSG). METHODS:Cohort study with patients submitted to laparoscopic gastric byp...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1944-8

    authors: Zerrweck C,Zurita L,Álvarez G,Maydón HG,Sepúlveda EM,Campos F,Caviedes A,Guilbert L

    更新日期:2016-06-01 00:00:00

  • Pseudotumors after primary abdominal lipectomy as a new sequela in patients with abdominal apron.

    abstract:BACKGROUND:Malnutrition and overweight is a common problem in modern societies. Primary abdominal lipectomy is a standard surgical tool in patients with these problems. However, unknown secondary problems result from recent advances in obesity surgery. Plication of the anterior musculoaponeurotic wall is a widely and c...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-008-9559-y

    authors: Dragu A,Bach AD,Polykandriotis E,Kneser U,Horch RE

    更新日期:2009-11-01 00:00:00

  • Conversion to modified duodenal switch for relieving intractable dumping syndrome and constipation after laparoscopic Roux-en-Y gastric bypass.

    abstract:BACKGROUND:Dumping syndrome is not infrequent after laparoscopic Roux-en-Y gastric bypass and could result in dreaded complications, such as hypoglycemia or syncope. Those patients who failed medical therapy and diet modification, regarded as intractable dumping syndrome, may be considered as candidates for revisional ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1607-9

    authors: Huang CK,Wang MY,Hsin MC,Chang PC

    更新日期:2015-05-01 00:00:00

  • The diagnostic accuracy of transient elastography for the diagnosis of liver fibrosis in bariatric surgery candidates with suspected NAFLD.

    abstract:BACKGROUND:Severe obesity and metabolic syndrome have been implicated in the development of nonalcoholic fatty liver disease (NAFLD). We evaluated the diagnostic value of liver stiffness measurement (LSM), by transient elastography (FibroScan®) in bariatric surgery candidates with suspected NAFLD. METHODS:A total of 1...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章

    doi:10.1007/s11695-014-1235-9

    authors: Naveau S,Lamouri K,Pourcher G,Njiké-Nakseu M,Ferretti S,Courie R,Tranchart H,Ghinoiu M,Balian A,Prévot S,Perlemuter G,Dagher I

    更新日期:2014-10-01 00:00:00

  • Pre- and postoperative esophageal and gastric pH levels in morbidly obese patients undergoing vertical gastroplasty.

    abstract:BACKGROUND:The aim of this study was to determine whether the anatomicofunctional changes induced by vertical gastroplasty lead to pH alterations in the esophagus and body and antrum of the stomach. MATERIALS AND METHODS:23 non-smoking volunteers (3 men, 20 women) mean age 35.29 +/- SD 6.85 years, mean weight 163.17 +...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章

    doi:10.1381/096089204322857690

    authors: Papavramidis TS,Papavramidis ST,Sapalidis KG,Kessisoglou II,Gamvros OI

    更新日期:2004-02-01 00:00:00

  • The bone-adipose axis in obesity and weight loss.

    abstract::Body fat and lean mass are correlated with bone mineral density, with obesity apparently exerting protection against osteoporosis. The pathophysiological relevance of adipose tissue in bone integrity resides in the participation of adipokines in bone remodeling through effects on deposition and resorption. On the othe...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-008-9548-1

    authors: Gómez-Ambrosi J,Rodríguez A,Catalán V,Frühbeck G

    更新日期:2008-09-01 00:00:00

  • A simple novel technique for intragastric balloon retrieval.

    abstract::We present a novel technique for the retrieval of intragastric balloons used in the treatment of patients with morbid obesity. Although specifically-designed instruments are available for this purpose, this simple technique makes use of instruments that are readily available in an endoscopy suite equipped for simple t...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/0960892052993567

    authors: Jenkins JT,Galloway DJ

    更新日期:2005-01-01 00:00:00

  • Perforator-sparing abdominoplasty technique in the presence of bilateral subcostal scars after gastric bypass.

    abstract:BACKGROUND:The number of patients after gastric bypass being referred to plastic surgery units for secondary plastic surgery procedures is increasing. The characteristic abdominal deformity includes a draping apron of panniculus, occasionally associated with previous transverse surgical scars in the upper abdomen. Ofte...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9007-4

    authors: Rieger UM,Aschwanden M,Schmid D,Kalbermatten DF,Pierer G,Haug M

    更新日期:2007-01-01 00:00:00

  • 42-month preliminary follow-up of the silastic ring vertical banded gastroplasty.

    abstract:BACKGROUND:The authors review preliminary experience with silastic ring vertical gastroplasty (SRVG). METHODS:Of 202 patients who underwent SRVG, 191 are more than 3 months postoperation and of these 165 were accessible for review. RESULTS:Pouch volume could not be readily measured. The TA90BN stapler was occasionall...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089297765555278

    authors: Stoner J,Stoner P,Sytsma J

    更新日期:1997-12-01 00:00:00

  • Obese Adolescents Report Better Health-Related Quality of Life than Obese Young Adults.

    abstract:BACKGROUND:Impairment in health-related quality of life (HRQOL) is described as a major concern for severely obese adolescents seeking intentional weight loss. We aimed to compare HRQOL in obese adolescents seeking weight loss with body mass index (BMI)-matched younger adults and community norms. METHODS:Eighty-one ad...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1677-8

    authors: Dixon JB,Rice TL,Lambert EA,Lambert GW

    更新日期:2015-11-01 00:00:00

  • Sleeve gastrectomy plus side-to-side jejunoileal anastomosis for the treatment of morbid obesity and metabolic diseases: a promising operation.

    abstract:BACKGROUND:The continuing need for simple, safe, and effective procedures led us to design a new operation for treating morbid obesity. METHODS:Thirty-two patients underwent our novel procedure, sleeve gastrectomy plus side-to-side jejunoileal anastomosis (SG plus), and were followed for 6 to 24 months. A matched coho...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-012-0637-9

    authors: Melissas J,Peppe A,Askoxilakis J,Dimitriadis E,Grammatikakis J

    更新日期:2012-07-01 00:00:00

  • Multicenter, Phase 1, Open Prospective Trial of Gastric Electrical Stimulation for the Treatment of Obesity: First-in-Human Results with a Novel Implantable System.

    abstract:BACKGROUND AND AIMS:To assess safety of the Exilis™ gastric electrical stimulation (GES) system and to investigate whether the settings can be adjusted for comfortable chronic use in subjects with morbid obesity. Gastric emptying and motility and meal intake were evaluated. METHOD:In a multicenter, phase 1, open prosp...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04422-6

    authors: Paulus GF,van Avesaat M,van Rijn S,Alleleyn AME,Swain JM,Abell TL,Williams DB,Bouvy ND,Masclee AAM

    更新日期:2020-05-01 00:00:00

  • Laparoscopic Roux En Y Esophago-Jejunostomy for Chronic Leak/Fistula After Laparoscopic Sleeve Gastrectomy.

    abstract:BACKGROUND:Leak following laparoscopic sleeve gastrectomy (LSG) is one of the most serious and devastating complications. Endoscopic stents can treat most early LSG leaks, but is not as effective for chronic LSG leaks/fistulae. The surgical options to treat a chronic leak/fistula after LSG are laparoscopic Roux en Y es...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-2018-7

    authors: Mahmoud M,Maasher A,Al Hadad M,Salim E,Nimeri AA

    更新日期:2016-03-01 00:00:00

  • Videolaparoscopic Vertical Banded Gastroplasty.

    abstract::BACKGROUND: In June 1993, the authors started performing the Vertical Banded Gastroplasty (VBG) via laparoscopy. METHODS: Since June 1993, 25 patients have undergone laparoscopic VBG. RESULTS: Weight loss did not differ from the traditional open VBG. CONCLUSIONS: The laparoscopic procedure, which can be performed simp...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089295765557728

    authors: Catona A,Gossenberg M,Mussini G,La Manna L,De Bastiani T,Armeni E

    更新日期:1995-08-01 00:00:00

  • Adjustable gastric banding: 5-year experience.

    abstract:BACKGROUND:From 1993 to 1999, 172 patients underwent adjustable silicone gastric banding (ASGB) or laparoscopic adjustable silicone gastric banding (LASGB). In 109 patients the adjustable band was placed via laparoscopy; in the other patients it was placed via laparotomy (prelaparoscopic era, conversions from other bar...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章

    doi:10.1381/096089200321668730

    authors: Doldi SB,Micheletto G,Lattuada E,Zappa MA,Bona D,Sonvico U

    更新日期:2000-04-01 00:00:00

  • Conversion from Duodenal Switch to Single Anastomosis Duodenal Switch to Deal with Postoperative Malnutrition.

    abstract:BACKGROUND:Duodenal switch (DS) is considered one of the most effective bariatric techniques for long-term weight and comorbidity control. After these operations, some patients may get severe complications related to malnutrition and a few of them may need surgical revision. Lengthening the common channel (CC) is usual...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-05047-5

    authors: Baltar J,Martis-Sueiro A,Pardo M,Santos F,Sartal MI,Crujeiras AB,Peinó R,Seoane LM,Bárcena M,Bustamante M

    更新日期:2021-01-01 00:00:00

  • Effects of gastric band adjustments on intraluminal pressure.

    abstract:BACKGROUND:Understanding of the effects of adjustments to laparoscopic adjustable gastric band (LAGB) volume is limited. Changes in intraluminal pressure may be important and explain patients reporting a tighter LAGB after saline is removed and an identical volume replaced. METHODS:Using high-resolution manometry, cha...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-009-9950-3

    authors: Burton PR,Brown WA,Laurie C,Richards M,Hebbard G,O'Brien PE

    更新日期:2009-11-01 00:00:00

  • Clinical characteristics and outcome of morbidly obese bariatric patients with concurrent hepatitis B viral infection.

    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

    authors: Lee WJ,Wang W,Lee YC,Huang MT

    更新日期:2008-05-01 00:00:00

  • The effect of laparoscopic gastric banding surgery on plasma levels of appetite-control, insulinotropic, and digestive hormones.

    abstract:BACKGROUND:We hypothesized that laparoscopic adjustable gastric banding (LAGB) reduces weight and modulates ghrelin production, but largely spares gastrointestinal endocrine function. To examine this hypothesis, we determined plasma concentrations of appetite-control, insulinotropic, and digestive hormones in relation ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-008-9454-6

    authors: Shak JR,Roper J,Perez-Perez GI,Tseng CH,Francois F,Gamagaris Z,Patterson C,Weinshel E,Fielding GA,Ren C,Blaser MJ

    更新日期:2008-09-01 00:00:00