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- Title
Early and long-term clinical outcomes of bilio-intestinal diversion in morbidly obese patients.
- Authors
Cesare, Alessandro; Cangemi, Barbara; Fiori, Enrico; Bononi, Marco; Cangemi, Roberto; Basso, Luigi
- Abstract
Purpose: To evaluate the early and long-term postoperative results of malabsorptive surgery in morbidly obese patients. Methods: Between 2000 and 2007, 102 morbidly obese patients were referred to the Department of Surgery 'Pietro Valdoni', 'Sapienza' University of Rome, Policlinico 'Umberto I°', Rome, Italy for malabsorptive surgery. All patients underwent derivative biliodigestive surgery after they had been reviewed by a team of surgeons, physicians, dieticians, and psychologists. Results: There were no intra-operative complications, but two patients suffered postoperative pulmonary embolisms, which resolved with medical treatment. The mean postoperative hospital stay was 7 days, with no early or late mortality. Maximum weight loss was reached 12-24 months after surgery, while the mean percentage excess weight loss at 3-5 years ranged from 45 to 64 %. Specific postoperative complications in the first 2 years after surgery were abdominal abscess ( n = 2), gastroduodenal reflux ( n = 4), and incisional hernia ( n = 6). Diabetes resolved in 98 % of the diabetic patients within a few weeks after surgery and blood pressure normalised in 86.4 % of those who had had hypertension preoperatively. Obstructive sleep apnoea and obesity hypoventilation syndrome also improved significantly in 92 % of the patients. Conclusions: Morbidly obese patients can undergo biliodigestive surgery safely with good long-term weight loss and quality of life expectancy.
- Subjects
OVERWEIGHT persons; MORBID obesity; HEALTH outcome assessment; APNEA treatment; HYPOVENTILATION; BARIATRIC surgery; PATIENTS; THERAPEUTICS
- Publication
Surgery Today, 2014, Vol 44, Issue 8, p1424
- ISSN
0941-1291
- Publication type
Article
- DOI
10.1007/s00595-014-0856-x