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EFFECT OF SIZE OF INTESTINAL DIVERSIONS IN OBESE PATIENTS WITH METABOLIC SYNDROME SUBMITTED TO GASTRIC BYPASS

BACKGROUND: There is no consensus on the ideal size of intestinal loops in gastric bypass of bariatric surgeries. AIM: To evaluate the metabolic outcome of patients submitted to gastric bypass with alimentary and biliopancreatic loops of different sizes. METHODS: Was conducted a retrospective cohort...

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Autores principales: RAMOS, Rafael Jacques, MOTTIN, Cláudio Corá, ALVES, Letícia Biscaino, BENZANO, Daniela, PADOIN, Alexandre Vontobel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Colégio Brasileiro de Cirurgia Digestiva 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5064282/
https://www.ncbi.nlm.nih.gov/pubmed/27683768
http://dx.doi.org/10.1590/0102-6720201600S10005
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author RAMOS, Rafael Jacques
MOTTIN, Cláudio Corá
ALVES, Letícia Biscaino
BENZANO, Daniela
PADOIN, Alexandre Vontobel
author_facet RAMOS, Rafael Jacques
MOTTIN, Cláudio Corá
ALVES, Letícia Biscaino
BENZANO, Daniela
PADOIN, Alexandre Vontobel
author_sort RAMOS, Rafael Jacques
collection PubMed
description BACKGROUND: There is no consensus on the ideal size of intestinal loops in gastric bypass of bariatric surgeries. AIM: To evaluate the metabolic outcome of patients submitted to gastric bypass with alimentary and biliopancreatic loops of different sizes. METHODS: Was conducted a retrospective cohort study in diabetic obese patients (BMI≥35 kg/m(2)) with metabolic syndrome submitted to gastric bypass. The patients were divided into three groups according to the size of the intestinal loop: group 1, biliopancreatic limb 50 cm length and alimentary limb 100 cm length; group 2 , biliopancreatic limb 50 cm length and alimentary limb 150 cm length; and group 3, biliopancreatic limb 100 cm length and alimentary limb 150 cm length. The effect of gastric bypass with different sizes of intestinal loops in relation to the parameters that define metabolic syndrome was determined. RESULTS: Sixty-three patients were evaluated, and they had a mean age of 44.7±9.4 years. All were diabetics, with 62 (98.4%) being hypertensive and 51 (82.2%) dyslipidemic. The three groups were homogeneous in relation to the variables. In 24 months, there was a remission of systemic arterial hypertension in 65% of patients in group 1, 62.5% in group 2 and 68.4% in group 3. Remission of diabetes occurred in 85% of patients in group 1, 83% in group 2 and 84% in group 3. There was no statistical difference in %LEW between the groups, and waist measurements decreased in a homogeneous way in all groups. The size of loops also had no influence on the improvement in dyslipidemia. CONCLUSION: Variation in size of intestinal loops does not appear to influence improvement in metabolic syndrome in this group of patients.
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spelling pubmed-50642822016-10-18 EFFECT OF SIZE OF INTESTINAL DIVERSIONS IN OBESE PATIENTS WITH METABOLIC SYNDROME SUBMITTED TO GASTRIC BYPASS RAMOS, Rafael Jacques MOTTIN, Cláudio Corá ALVES, Letícia Biscaino BENZANO, Daniela PADOIN, Alexandre Vontobel Arq Bras Cir Dig Original Article BACKGROUND: There is no consensus on the ideal size of intestinal loops in gastric bypass of bariatric surgeries. AIM: To evaluate the metabolic outcome of patients submitted to gastric bypass with alimentary and biliopancreatic loops of different sizes. METHODS: Was conducted a retrospective cohort study in diabetic obese patients (BMI≥35 kg/m(2)) with metabolic syndrome submitted to gastric bypass. The patients were divided into three groups according to the size of the intestinal loop: group 1, biliopancreatic limb 50 cm length and alimentary limb 100 cm length; group 2 , biliopancreatic limb 50 cm length and alimentary limb 150 cm length; and group 3, biliopancreatic limb 100 cm length and alimentary limb 150 cm length. The effect of gastric bypass with different sizes of intestinal loops in relation to the parameters that define metabolic syndrome was determined. RESULTS: Sixty-three patients were evaluated, and they had a mean age of 44.7±9.4 years. All were diabetics, with 62 (98.4%) being hypertensive and 51 (82.2%) dyslipidemic. The three groups were homogeneous in relation to the variables. In 24 months, there was a remission of systemic arterial hypertension in 65% of patients in group 1, 62.5% in group 2 and 68.4% in group 3. Remission of diabetes occurred in 85% of patients in group 1, 83% in group 2 and 84% in group 3. There was no statistical difference in %LEW between the groups, and waist measurements decreased in a homogeneous way in all groups. The size of loops also had no influence on the improvement in dyslipidemia. CONCLUSION: Variation in size of intestinal loops does not appear to influence improvement in metabolic syndrome in this group of patients. Colégio Brasileiro de Cirurgia Digestiva 2016 /pmc/articles/PMC5064282/ /pubmed/27683768 http://dx.doi.org/10.1590/0102-6720201600S10005 Text en http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Article
RAMOS, Rafael Jacques
MOTTIN, Cláudio Corá
ALVES, Letícia Biscaino
BENZANO, Daniela
PADOIN, Alexandre Vontobel
EFFECT OF SIZE OF INTESTINAL DIVERSIONS IN OBESE PATIENTS WITH METABOLIC SYNDROME SUBMITTED TO GASTRIC BYPASS
title EFFECT OF SIZE OF INTESTINAL DIVERSIONS IN OBESE PATIENTS WITH METABOLIC SYNDROME SUBMITTED TO GASTRIC BYPASS
title_full EFFECT OF SIZE OF INTESTINAL DIVERSIONS IN OBESE PATIENTS WITH METABOLIC SYNDROME SUBMITTED TO GASTRIC BYPASS
title_fullStr EFFECT OF SIZE OF INTESTINAL DIVERSIONS IN OBESE PATIENTS WITH METABOLIC SYNDROME SUBMITTED TO GASTRIC BYPASS
title_full_unstemmed EFFECT OF SIZE OF INTESTINAL DIVERSIONS IN OBESE PATIENTS WITH METABOLIC SYNDROME SUBMITTED TO GASTRIC BYPASS
title_short EFFECT OF SIZE OF INTESTINAL DIVERSIONS IN OBESE PATIENTS WITH METABOLIC SYNDROME SUBMITTED TO GASTRIC BYPASS
title_sort effect of size of intestinal diversions in obese patients with metabolic syndrome submitted to gastric bypass
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5064282/
https://www.ncbi.nlm.nih.gov/pubmed/27683768
http://dx.doi.org/10.1590/0102-6720201600S10005
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