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Cirugía bariatrica : gastrogastroplastia laparoscopica y bypass gástrico en pacientes con obesidad mórbida

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dc.contributor.advisorChala, Marco Fidel
dc.creatorTobar Bonilla, Ronald Yesid
dc.creatorTobar Bonilla, Walther Edilson
dc.creatorCastro Lasso, Diana Isabel
dc.creatorAlmenarez Gomez, Lessner
dc.creator.degreeEspecialista en Cirugía General
dc.date.accessioned2012-07-31T13:25:18Z
dc.date.available2012-07-31T13:25:18Z
dc.date.created2012-07-27
dc.date.issued2012
dc.descriptionLa obesidad es un problema de salud global siendo la cirugía bariatrica el mejor tratamiento demostrado. El Bypass gástrico (BGYR) es el método más utilizado que combina restricción y malabsorcion; sin embargo los procedimientos restrictivos se han popularizado recientemente. La Gastro-gastroplastia produce restricción gástrica reversible por medio de un pouch gástrico con anastomosis gastrogástrica y propusimos su evaluación Métodos: Estudio retrospectivo no randomizado que evaluó archivos de pacientes con GG y BGYR laparoscópicos entre febrero de 2008 y Abril de 2011 Resultados: 289 pacientes identificados: 180 GG y 109 BGYR de los cuales 138 cumplieron criterios de inclusión, 77 (55.8%) GG y 61 (44,2%) BGYR, 18 (13%) hombres y 120 (87%) mujeres. Para GG la mediana del peso inicial fue 97,15 (± 17,3) kg, IMC inicial de 39,35 (± 3,38) kg/m2 y exceso de peso de 37,1 (±11,9). La mediana de IMC a los 1, 6 y 12 meses fue 34,8 (±3,58) kg/m2, 30,81 (±3,81) kg/m2, 29,58 (±4,25) kg/m2 respectivamente. La mediana de % PEP 1, 6 y 12 meses fue 30,9 (±14,2) %, 61,88 (±18,27) %, 68,4 (±19,64) % respectivamente. Para BGYR la mediana del peso inicial fue 108,1 (± 25,4) kg, IMC inicial 44,4 (± 8,1) y exceso de peso de 48,4 (±15,2) %. La mediana de IMC a los 1, 6 y 12 meses fue 39 (±7,5) kg/m2, 33,31 (±4,9) kg/m2, 30,9 (±4,8) kg/m2 respectivamente. La mediana de % PEP 1, 6 y 12 meses fue 25,9 (±12,9) %, 61,87 (±18,62) %, 71,41 (±21,09) % respectivamente. Seguimiento a un año Conclusiones: La gastro-gastroplastia se plantea como técnica restrictiva, reversible, con resultados óptimos en reducción de peso y alternativa quirúrgica en pacientes con obesidad. Son necesarios estudios a mayor plazo para demostrar mantenimiento de cambios en el tiempospa
dc.description.abstractBackground: Obesity is a global health problem and bariatric surgery is the best proven treatment. The gastric bypass (RYGB) is the most widely used method that combines restriction and malabsorption: however restrictive procedures have become popular recently. The Gastro-gastroplasty produce gastric restriction by a reversible gastric pouch with gastrogastric anastomosis and we proposed the evaluation. Methods: Nonrandomized retrospective study that evaluated patients with GG and RYGB laparoscopic between February 2008 and April 2011. Results: The sample consisted of 289 patients, 180 GG y 109 RYGB which 138 met inclusion criteria, 77 (55.8%) GG and 61 (44,2%). RYGB 18 (13%) male and 120 (87%) female. For GG the median of initial weight was 97.15 (± 17,3) kg, The BMI initial was 39,35 (± 3,38) kg/m2 and overweight of 37,1 (±11,9). The media of BMI in the 1, 6 and 12 months was, 8 (±3,58) kg/m2, 30,81 (±3,81) kg/m2, 29,58 (±4,25) kg/m2 respectably. The media of % PEP 1,6,and 12 months was 30,9 (±14,2) %, 61,88 (±18,27) %, 68,4 (±19,64) % respectably. For RYGB the media of initial weight was 108,1 (±25,4) kg, BMI initial was 44,4 (± 8,1) and overweight of 48,4 (±15,2) %. The media of BMI at 1, 6 and 12 months was 39 (±7,5) kg/m2, 33,31 (±4,9) kg/m2, 30,9 (±4,8) kg/m2 respectably. The media of % weight loss at 1, 6 and 12 months was 25,9 (±12,9) %, 61,87 (±18,62) %, 71,41 (±21,09) % respectably, up to one year. Conclusions: The gastro-gastroplasty technique is seen as restrictive, reversible, with optimal results in weight loss and as a surgical alternative in patients with obesity. Studies are needed to demonstrate longer-term maintenance of changes over time.eng
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dc.identifier.doihttps://doi.org/10.48713/10336_3641
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/3641
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de Medicinaspa
dc.publisher.programEspecialización en Cirugía Generalspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
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dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
dc.rights.licenciaEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARÁGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.spa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectGastrogastroplastiaspa
dc.subjectmini-sleevespa
dc.subjectBypass gástricospa
dc.subjectMangestrasse y Millspa
dc.subjectGastroplastiaspa
dc.subject.keywordGastrogastroplastyeng
dc.subject.keywordmini-sleeveeng
dc.subject.keywordBypass gastriceng
dc.subject.keywordMangestrasse y Milleng
dc.subject.keywordGastroplastyeng
dc.subject.lembObesidad::Cirugíaspa
dc.subject.lembPeso corporal::Investigacionesspa
dc.subject.lembTrastornos del metabolismo::Tratamientospa
dc.titleCirugía bariatrica : gastrogastroplastia laparoscopica y bypass gástrico en pacientes con obesidad mórbidaspa
dc.typemasterThesiseng
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
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