Experiencia de 18 años de cirugía de obesidad en la Pontificia Universidad Católica de Chile
Background: Bariatric surgery is the gold-standard treatment for morbid obesity because it has low morbidity rates in high-volume centers and generates long term sustained weight loss. Aim: To describe our experience in bariatric surgery since the creation of our bariatric program in 1992. Material...
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Sociedad Médica de Santiago
2013
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oai:scielo:S0034-988720130005000012013-09-26Experiencia de 18 años de cirugía de obesidad en la Pontificia Universidad Católica de ChileGuzmán,SergioManrique,MónicaRaddatz,AlejandroNorero,EnriqueSalinas,JoséAchurra,PabloFunke,RicardoBoza,CamiloCrovari,FernandoEscalona,AlexPérez,GustavoPimentel,FernandoKlassen,JuliettaIbáñez,Luis Bariatric surgery Gastric bypass Obesity, morbid Background: Bariatric surgery is the gold-standard treatment for morbid obesity because it has low morbidity rates in high-volume centers and generates long term sustained weight loss. Aim: To describe our experience in bariatric surgery since the creation of our bariatric program in 1992. Material and Methods: Retrospective analysis of all patients subjected to bariatric surgery from 1992 to December 2010. Data was obtained from the electronic institutional registry. The Procedures per-formed were open and laparoscopic Roux-en-Ygastric bypass (BPGA and BPGL, respectively), laparoscopic adjustable gastric band (BGAL) and laparoscopic sleeve gastrectomy (GML). Results: A total of 4943 procedures were performed, 768 (16%) BPGA, 2558 (52%) BPGL, 199 (4%) BGAL and 1418 (29%) GML. The number of procedures progressively increased, from 100 cases in 2000 to over 700 cases in 2008. Proportion of femóles and preoperative mean body mass Índex fluctuated between 69 and 79% and 35 and 43 kg/m², respectively, among the different procedures. Early and late complications fluctuated between Oto 1% (higher on BPGA) and 3 to 32.7% (higher on BGAL), respectively. The excess weight lost atfiveyears was 76.1 % in BPGA, 92.5%o in BPGL and 53.7% in BGAL. The figure for GML at three years was 73.7%. Conclusions: The complication rates ofthis series of patients are similar to those reported in large series abroad. BPGL is still the most effective procedure; however GML is an attractive alternative for less obese patients.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.141 n.5 20132013-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000500001es10.4067/S0034-98872013000500001 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
Spanish / Castilian |
| topic |
Bariatric surgery Gastric bypass Obesity, morbid |
| spellingShingle |
Bariatric surgery Gastric bypass Obesity, morbid Guzmán,Sergio Manrique,Mónica Raddatz,Alejandro Norero,Enrique Salinas,José Achurra,Pablo Funke,Ricardo Boza,Camilo Crovari,Fernando Escalona,Alex Pérez,Gustavo Pimentel,Fernando Klassen,Julietta Ibáñez,Luis Experiencia de 18 años de cirugía de obesidad en la Pontificia Universidad Católica de Chile |
| description |
Background: Bariatric surgery is the gold-standard treatment for morbid obesity because it has low morbidity rates in high-volume centers and generates long term sustained weight loss. Aim: To describe our experience in bariatric surgery since the creation of our bariatric program in 1992. Material and Methods: Retrospective analysis of all patients subjected to bariatric surgery from 1992 to December 2010. Data was obtained from the electronic institutional registry. The Procedures per-formed were open and laparoscopic Roux-en-Ygastric bypass (BPGA and BPGL, respectively), laparoscopic adjustable gastric band (BGAL) and laparoscopic sleeve gastrectomy (GML). Results: A total of 4943 procedures were performed, 768 (16%) BPGA, 2558 (52%) BPGL, 199 (4%) BGAL and 1418 (29%) GML. The number of procedures progressively increased, from 100 cases in 2000 to over 700 cases in 2008. Proportion of femóles and preoperative mean body mass Índex fluctuated between 69 and 79% and 35 and 43 kg/m², respectively, among the different procedures. Early and late complications fluctuated between Oto 1% (higher on BPGA) and 3 to 32.7% (higher on BGAL), respectively. The excess weight lost atfiveyears was 76.1 % in BPGA, 92.5%o in BPGL and 53.7% in BGAL. The figure for GML at three years was 73.7%. Conclusions: The complication rates ofthis series of patients are similar to those reported in large series abroad. BPGL is still the most effective procedure; however GML is an attractive alternative for less obese patients. |
| author |
Guzmán,Sergio Manrique,Mónica Raddatz,Alejandro Norero,Enrique Salinas,José Achurra,Pablo Funke,Ricardo Boza,Camilo Crovari,Fernando Escalona,Alex Pérez,Gustavo Pimentel,Fernando Klassen,Julietta Ibáñez,Luis |
| author_facet |
Guzmán,Sergio Manrique,Mónica Raddatz,Alejandro Norero,Enrique Salinas,José Achurra,Pablo Funke,Ricardo Boza,Camilo Crovari,Fernando Escalona,Alex Pérez,Gustavo Pimentel,Fernando Klassen,Julietta Ibáñez,Luis |
| author_sort |
Guzmán,Sergio |
| title |
Experiencia de 18 años de cirugía de obesidad en la Pontificia Universidad Católica de Chile |
| title_short |
Experiencia de 18 años de cirugía de obesidad en la Pontificia Universidad Católica de Chile |
| title_full |
Experiencia de 18 años de cirugía de obesidad en la Pontificia Universidad Católica de Chile |
| title_fullStr |
Experiencia de 18 años de cirugía de obesidad en la Pontificia Universidad Católica de Chile |
| title_full_unstemmed |
Experiencia de 18 años de cirugía de obesidad en la Pontificia Universidad Católica de Chile |
| title_sort |
experiencia de 18 años de cirugía de obesidad en la pontificia universidad católica de chile |
| publisher |
Sociedad Médica de Santiago |
| publishDate |
2013 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000500001 |
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