Derivación biliopancreática y resección simultánea de masa adiposa ulcerada gigante en paciente con Índice de Masa Corporal de 75

Rodríguez López, Mario; Pacheco, David; Gonzalo, Marta; Velasco, Rosalía; Mambrilla, Sara; Bailón, Martín; Campillo, Ramón; Martínez, Ruth; Asensio, Enrique; Blanco, José Ignacio; Pérez-Saborido, Baltasar; de Luis, Daniel
January 2014
Nutricion Hospitalaria;ene2014, Vol. 29 Issue 1, p212
Case Study
Bariatric Surgery is currently the best treatment option for patients with Morbid Obesity and a Body Mass Index ≥ 40 kg/m2. Despite its high rate of postoperative and nutritional complications, biliopancreatic diversion (Scopinaro s procedure) has shown best results in terms of excess weight loss and improving obesity-associated diseases. This technique was performed on a 52-year-old woman (weight = 174 Kg, height = 152 cm, BMI= 75.3 kg/m2), with a classic open access due to anaesthesiologist's indication. During this procedure it was also performed a resection of a giant fatty mass on the inner side of left lower limb, which was ulcerated and infected. Postoperative period was uneventful, excepting wound dehiscence of the leg, requiring re-suturing. Six months after hospital discharge, the patient's percent excess weight loss was 36.98%. In our bariatric surgery series, with more than 400 patient since 2002, this patient was the one with the highest BMI.


Related Articles

  • Magenstrasse and Mill Gastroplasty and Sleeve Gastrectomy as Treatment for Morbid Obesity. ARROYO, KERVIN; ALKHOURY, FUAD; NADZAM, GEOFFREY; VALIN, ELMER // Connecticut Medicine;Nov2010, Vol. 74 Issue 10, p589 

    Background: Laparoscopic nonbanded restrictive procedures are becoming more popular as staging and primary operations in bariatric surgery. The Magenstrasse and Mill (MM) procedure produces a restrictive gastric tubular pouch based along the lesser curvature; for the most part anatomy and...

  • The Systemic Inflammome of Severe Obesity before and after Bariatric Surgery. Arismendi, Ebymar; Rivas, Eva; Agustí, Alvar; Ríos, José; Barreiro, Esther; Vidal, Josep; Rodriguez-Roisin, Robert // PLoS ONE;Sep2014, Vol. 9 Issue 9, p1 

    Introduction: Obesity is associated with low-grade systemic inflammation. The “inflammome” is a network layout of the inflammatory pattern. The systemic inflammome of obesity has not been described as yet. We hypothesized that it can be significantly worsened by smoking and other...

  • Nasal positive pressure with the SuperNO2VAâ„¢ device decreases sedation-related hypoxemia during pre-bariatric surgery EGD. Dimou, Francesca; Huynh, Samantha; Dakin, Gregory; Pomp, Alfons; Turnbull, Zachary; Samuels, Jon D.; Afaneh, Cheguevara // Surgical Endoscopy;Nov2019, Vol. 33 Issue 11, p3828 

    Introduction: Pre-operative esophagogastroduodenoscopy (EGD) is becoming routine practice in patients undergoing bariatric surgery. Many patients with morbid obesity have obstructive sleep apnea (OSA), which can worsen hypoxia during an EGD. In this study, we report our outcomes...

  • Rethinking Eligibility Criteria for Bariatric Surgery. Dimick, Justin B.; Birkmeyer, Nancy J. // JAMA: Journal of the American Medical Association;9/3/2014, Vol. 312 Issue 9, p953 

    IMPORTANCE Current eligibility criteria for bariatric surgery use arbitrarily chosen body mass index (BMI) (calculated as weight in kilograms divided by height in meters squared) thresholds, an approach that has been criticized as arbitrary and lacking evidence. OBJECTIVES To verify the...

  • Diabetic and bariatric surgery: A review of the recent trends. Rao, Raghavendra; Kini, Subhash // Surgical Endoscopy;Apr2012, Vol. 26 Issue 4, p893 

    Introduction: Bariatric surgery is currently the most effective treatment for diabetes associated with morbid obesity. Methods: A Pubmed search was made for all articles on bariatric surgery and diabetes from 2009 to present (March 2011) in order to identify the recent advances in this field....

  • State of the Art: Sleeve Gastrectomy. Wölnerhanssen, Bettina; Peterli, Ralph // Digestive Surgery;May2014, Vol. 31 Issue 1, p40 

    In the biliopancreatic diversion (BPD) type duodenal switch, sleeve gastrectomy was applied as the restrictive part instead of a horizontal gastrectomy in the original Scopinaro type BPD. Laparoscopic sleeve gastrectomy (LSG) was used as a first step in a staged concept for high-risk patients...

  • Laparoscopic Sleeve Gastrectomy is a Safe and Effective Bariatric Procedure for the Lower BMI (35.0-43.0 kg/m) Population. Gluck, Brian; Movitz, Blake; Jansma, Shannon; Gluck, Jennifer; Laskowski, Kelly // Obesity Surgery;Aug2011, Vol. 21 Issue 8, p1168 

    Background: The laparoscopic vertical sleeve gastrectomy (LSG) is derived from the biliopancreatic diversion with duodenal switch operation (Marceau et al., Obes Surg 3:29-35, ; Hess and Hess, Obes Surg 8:267-82, ; Chu et al., Surg Endosc 16:S069, ). Later, LSG was advocated as the first step of...

  • Surgical management of morbid obesity. Aggarwal, Rajesh; Hodgson, Luke; Rao, Christopher; Ashrafian, Hutan; Chow, Andre; Zacharakis, Emmanouil; Athanasiou, Thanos; Darzi, Professor Ara; Johnston, Desmond // British Journal of Hospital Medicine (17508460);Feb2008, Vol. 69 Issue 2, p95 

    Obesity affects 1.7 million people worldwide, and is a leading cause of morbidity and mortality. Outcomes of conservative management are generally poor. Surgery for morbid obesity has reported excellent results, leading to an exponential increase in numbers of procedures performed.

  • CIRUGÍA REVISIONAL POR ESTENOSIS POST GASTRECTOMÍA VERTICAL LAPAROSCÓPICA. Burgos L., Ana María; Csendes J., Attila; Braghetto M., Italo; Muñoz CH., Andrea // Revista Chilena de Cirugia;feb2014, Vol. 66 Issue 1, p15 

    Introduction: Revisional bariatric surgery is performed to alter or repair one of the many types of weight loss surgery, including laparoscopic sleeve gastrectomy (LSG). The revision of bariatric procedures is required between 10 to 25% of patients operated, either by insufficient weight loss or...

  • THE DEVELOPMENT OF MIGRATION IN LAPAROSCOPIC ADJUSTABLE GASTRIC BANDING AND THE APPROACH TO TREATMENT. Ibrahim, Sakcak; Mehmet, Avsar Fatih; Erdal, Cosgun; Zekiye, Erdem Nihal // Pakistan Journal of Medical Sciences;Jul2010, Vol. 26 Issue 3, p542 

    Objective: Laparoscopic adjustable gastric banding (LAGB) application in the treatment of morbid obesity has many advantages. However, certain complications, such as intragastric migration, may occur. In the present study, the effects of such migration and surgical treatment methods were...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics