Revisional surgery in severe nutritional complications after bariatric surgical procedures: report of four cases from a single institution and review of the literature
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100304 |
Resumo: | ABSTRACT Introduction: 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. Objective: to describe four cases of revisional surgery after primary bariatric surgery, due to serious nutritional complications, and to review the literature regarding this subject. Methods: a retrospective analysis of patients of Unicamps bariatric center database and review of the literatures were performed. Results: 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. Conclusion: 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. |
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Revisional surgery in severe nutritional complications after bariatric surgical procedures: report of four cases from a single institution and review of the literatureBariatric SurgeryReoperationMalnutritionABSTRACT Introduction: 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. Objective: to describe four cases of revisional surgery after primary bariatric surgery, due to serious nutritional complications, and to review the literature regarding this subject. Methods: a retrospective analysis of patients of Unicamps bariatric center database and review of the literatures were performed. Results: 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. Conclusion: 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.Colégio Brasileiro de Cirurgiões2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100304Revista do Colégio Brasileiro de Cirurgiões v.48 2021reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20202666info:eu-repo/semantics/openAccessBRAGA,JOÃO GABRIEL ROMEROCONCON,MATHEUS MATHEDILIMA,AMANDA PEREIRACALLEJAS,GUILHERME HOVERTERMACEDO,ARY DE CASTROCÂNDIDO,ELAINE CRISTINACHAIM,FELIPE DAVID MENDONÇAUTRINI,MURILLO PIMENTELGESTIC,MARTINHO ANTÔNIORAMOS,ALMINO CARDOSOCAZZO,EVERTONCHAIM,ELINTON ADAMIeng2021-01-15T00:00:00Zoai:scielo:S0100-69912021000100304Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2021-01-15T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Revisional surgery in severe nutritional complications after bariatric surgical procedures: report of four cases from a single institution and review of the literature |
title |
Revisional surgery in severe nutritional complications after bariatric surgical procedures: report of four cases from a single institution and review of the literature |
spellingShingle |
Revisional surgery in severe nutritional complications after bariatric surgical procedures: report of four cases from a single institution and review of the literature BRAGA,JOÃO GABRIEL ROMERO Bariatric Surgery Reoperation Malnutrition |
title_short |
Revisional surgery in severe nutritional complications after bariatric surgical procedures: report of four cases from a single institution and review of the literature |
title_full |
Revisional surgery in severe nutritional complications after bariatric surgical procedures: report of four cases from a single institution and review of the literature |
title_fullStr |
Revisional surgery in severe nutritional complications after bariatric surgical procedures: report of four cases from a single institution and review of the literature |
title_full_unstemmed |
Revisional surgery in severe nutritional complications after bariatric surgical procedures: report of four cases from a single institution and review of the literature |
title_sort |
Revisional surgery in severe nutritional complications after bariatric surgical procedures: report of four cases from a single institution and review of the literature |
author |
BRAGA,JOÃO GABRIEL ROMERO |
author_facet |
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_role |
author |
author2 |
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 |
author2_role |
author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
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 |
dc.subject.por.fl_str_mv |
Bariatric Surgery Reoperation Malnutrition |
topic |
Bariatric Surgery Reoperation Malnutrition |
description |
ABSTRACT Introduction: 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. Objective: to describe four cases of revisional surgery after primary bariatric surgery, due to serious nutritional complications, and to review the literature regarding this subject. Methods: a retrospective analysis of patients of Unicamps bariatric center database and review of the literatures were performed. Results: 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. Conclusion: 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. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100304 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100304 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-6991e-20202666 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.48 2021 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
instname_str |
Colégio Brasileiro de Cirurgiões (CBC) |
instacron_str |
CBC |
institution |
CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
repository.mail.fl_str_mv |
||revistacbc@cbc.org.br |
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1754209215386222592 |