scholarly journals Laparoszkópos gastroplicatio pylorusmegőrző duodenoilealis bypassműtéttel a kóros elhízás kezelésében

2019 ◽  
Vol 160 (43) ◽  
pp. 1714-1718
Author(s):  
István Bence Bálint ◽  
Lajos Orbán ◽  
Ákos Farics ◽  
Gergő Mánfai ◽  
Péter Radics
Keyword(s):  
Bariatric Surgery ◽  
Morbid Obesity ◽  
Case Report ◽  
Conservative Therapy ◽  
Gastric Plication ◽  
Laparoscopic Gastric Plication ◽  
Malabsorptive Procedures

Abstract: Bariatric surgery is more effective in the management of morbid obesity and related comorbidities than conservative therapy. There are two main groups, restrictive and malabsorptive procedures. Laparoscopic gastric plication with pylorus-preserving loop duodenoileal bypass is classified into the latter group. It should be considered as the modernized variant of the classical Scopinaro procedure. In this article, the method is presented by a case report. Orv Hetil. 2019; 160(43): 1714–1718.

First experience of laparoscopic gastric plication in patients with morbid obesity

2017 ◽  
Vol 23 (1) ◽  
pp. 6 ◽  
Author(s):  
R. G. Askerhanov ◽  
I. E. Khatkov ◽  
N. A. Bodunova ◽  
I. Yu. Feydorov ◽  
A. L. Petrova ◽  
...  
Keyword(s):  
Morbid Obesity ◽  
Gastric Plication ◽  
Laparoscopic Gastric Plication

scholarly journals Laparoscopic Gastric Plication for the Treatment of Morbid Obesity: A Review

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Michael Kourkoulos ◽  
Emmanouil Giorgakis ◽  
Charalampos Kokkinos ◽  
Theodoros Mavromatis ◽  
John Griniatsos ◽  
...  
Keyword(s):  
Morbid Obesity ◽  
Weight Loss ◽  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Current Literature ◽  
Case Reports ◽  
Low Cost ◽  
Prosthetic Material ◽  
Gastric Plication ◽  
Laparoscopic Gastric Plication

Introduction. Laparoscopic greater curvature plication is an operation that is gaining ground in the treatment of morbid obesity, as it appears to replicate the results of laparoscopic sleeve gastrectomy with fewer complications.Aim. Review of current literature, especially results on weight loss and complications.Method. 11 (eleven) published articles on laparoscopic gastric plication, of which 1 preclinical study, 8 prospective studies for a total of 521 patients and 2 case reports of unusual complications.Results. Reported Paracentage of EWL in all studies is comparable to Laparoscopic Sleeve Gastrectomy (around 50% in 6 months, 60–65% in 12 months, 60–65% in 24 months) and total complication rate is at 15,1% with minor complications in 10,7%, major complications in 4,4%. Reoperation rate was 3%, conversion rate was 0,2%, and mortality was zero.Conclusion. Current literature on gastric plication and its modifications is limited and sketchy at times. Low cost, short hospital stay, absence of prosthetic material, and reversibility make it an attractive option. Initial data show that LGCP is effective for short- and medium-term weight loss, complication and reoperation rates are low, and GERD symptoms are unaffected. More data is required, and randomized control trials must be completed in order to reach safe conclusions.

Laparoscopic Gastric Plication in Pediatric Patients with Morbid Obesity

2017 ◽  
Vol 13 (10) ◽  
pp. S75-S76
Author(s):  
Jonathan DeAntonio ◽  
Hannah Cockrell ◽  
Hae Sung Kang ◽  
Nancy Thompson ◽  
Claudio Oiticica ◽  
...  
Keyword(s):  
Morbid Obesity ◽  
Pediatric Patients ◽  
Gastric Plication ◽  
Laparoscopic Gastric Plication

Laparoscopic Gastric Plication: a New Surgery for the Treatment of Morbid Obesity

2011 ◽  
Vol 89 (6) ◽  
pp. 356-361 ◽  
Author(s):  
Jordi Pujol Gebelli ◽  
Amador García Ruiz de Gordejuela ◽  
Anna Casajoana Badía ◽  
Lluis Secanella Medayo ◽  
Andrew Vicens Morton ◽  
...  
Keyword(s):  
Morbid Obesity ◽  
Gastric Plication ◽  
Laparoscopic Gastric Plication ◽  
New Surgery

scholarly journals Morbidnoe ozhirenie - vozmozhnostikonservativnoy terapii

2010 ◽  
Vol 7 (4) ◽  
pp. 40-43 ◽  
Author(s):  
E V Ershova ◽  
E A Troshina ◽  
O S Fedorova ◽  
S A Butrova
Keyword(s):  
Bariatric Surgery ◽  
Morbid Obesity ◽  
Conservative Therapy ◽  
Adult Population ◽  
Line Treatment ◽  
Social Significance ◽  
First Line ◽  
Associated Diseases ◽  
Overall Effectiveness ◽  
First Line Treatment

Medico-social significance of morbid obesity, occurring in 2-4% of the adult population in Russia, results from the severity of obesity- associated diseases. Conservative therapy of morbid obesity is the first line treatment and is mostly a preparation for bariatric surgery, because the overall effectiveness of conservative measures for morbid obesity does not exceed 5-10%.

scholarly journals «Metabolicheskaya» khirurgiya

2011 ◽  
Vol 8 (3) ◽  
pp. 13-17 ◽  
Author(s):  
Yu I Yashkov ◽  
E V Ershova
Keyword(s):  
Type 2 Diabetes ◽  
Bariatric Surgery ◽  
Morbid Obesity ◽  
Weight Loss ◽  
Conservative Therapy ◽  
Diet Therapy ◽  
Diabetes Control ◽  
Significant Potential ◽  
Maintain Weight Loss

Despite the developed methods of diet therapy in obesity and a variety of pharmacotherapy drugs for type 2 diabetes up to 60% of patients cannot maintain weight loss within 5 years of observation and more than 60% of patients with type 2 diabetes do not achieve adequate diabetes control. With morbid obesity the efficacy of conservative therapy is only 5-10%. Bariatric surgery has demonstrated a significant potential in compensation of obesity-related disorders, including type 2 diabetes.

Dual Mobile Total Hip Replacement in Super Obesity: A Case Report and Review of Literature

2021 ◽  
Vol 11 (10) ◽  
Author(s):  
Anson Albert Macwan ◽  
Saurav Narayan Nanda ◽  
Debasish Mishra ◽  
Sai Akhil Varma Manthena ◽  
Ankit Gulia
Keyword(s):  
Bariatric Surgery ◽  
Morbid Obesity ◽  
Case Report ◽  
Total Hip Replacement ◽  
Hip Arthroplasty ◽  
Hip Replacement ◽  
Morbidly Obese ◽  
Super Obesity ◽  
Super Obese ◽  
Total Hip

Introduction:More than 13 million people in the US are morbidly obese. It is associated with various medical and anesthetic complications. Higher rate of dislocation in total hip replacement (THR) associated with morbid obesity due to thigh girth, low muscle mass and high-fat content. Morbid obesity is associated with a 38% increase in the 10-year mortality rate compare to non-obese after undergoing primary total hip arthroplasty (THA). Hip dislocation after THR is one of the earliest complications, and for every ten-point increase in BMI, the risk of dislocation increases by 113.9%. Case Report: We present a case report of a 69-year-old super-obese woman with a BMI of 62.2, who presented with repeated dislocation post THR. The patient was managed successfully with implant removal and implantation of dual mobile THR prosthesis. Conclusion: Morbid obesity with a need for arthroplasty is challenging. It needs proper planning, thorough preoperative preparation, proper intraoperative care and identification with adequate post-operative complications management. Preoperative bariatric surgery, dual mobile liner and constrained implants have shown good result in decreasing dislocation rate. The liner of dual mobile THR is efficient to prevent post-operative dislocation in morbidly obese and super-obese patients. Keywords: Dual mobile total hip replacement, super obesity, morbid obesity, bariatric surgery, hip arthroplasty, neck of femur fracture, revision hip arthroplasty.

Klinefelter Syndrome with Morbid Obesity Before Bariatric Surgery: A Case Report

2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Parisa Janmohammadi ◽  
Gholamreza Mohammadi-Farsani ◽  
Hana Arghavani ◽  
Mahmoud Arshad ◽  
Tayebeh Mokhber
Keyword(s):  
Bariatric Surgery ◽  
Morbid Obesity ◽  
Case Report ◽  
Klinefelter Syndrome

Transition of care in a case of obesity with metabolic surgery

2021 ◽  
Vol 59 (03) ◽  
pp. 250-254
Author(s):  
Christine Stroh ◽  
Daniel Luderer ◽  
Frank Meyer
Keyword(s):  
Bariatric Surgery ◽  
Morbid Obesity ◽  
Case Report ◽  
Metabolic Surgery ◽  
Pediatric Surgery ◽  
Surgical Intervention ◽  
World Health ◽  
Transition Of Care ◽  
Obese People ◽  
Bariatric Surgeon

The World Health Summit 2011 confirmed the epidemic-like occurrence of diabetes mellitus and obesity. In Germany, 62.7 % and 21.9 % of the population have a BMI of more than 25 kg/m² and more than 30 kg/m2, respectively. Currently, 10.5 obese people per 100 000 German inhabitants undergo bariatric surgery, while 86 and 114.8 per 100 000 in France and in Sweden, respectively, favor bariatric surgical interventions. Aim By means of a scientific case report, the instructive case of a young patient with morbid obesity is illustrated based on 1) selective references from the medical literature and 2) insights from the daily clinical practice in the case-specific medical and perioperative management after successful surgery for malformation in his childhood and, thus, the limited therapeutic options of metabolic surgery. Case report (case-, diagnostic-, and treatment-specific aspects) 35-year-old patient with morbid obesity. Medical history: Status after surgical intervention for gastroschisis as a newborn (surgery report not available). Clinical findings: Super obesity characterized by 234 kg and 174 cm (→ BMI: 77.3 kg/m²), hypogonadotrophic hypogonadism. Approach & course: Outcome (early postoperative and mid- to long-term): The patient tolerated the intervention well. Postoperative course was uneventful with regard to mobilization, beginning of oral nutrition, and wound healing; there was a subsequent weight reduction due to a “common channel” of 250 cm. Conclusion While the increase of obesity prevalence in adults has currently stopped, incidence in children and teenagers is rapidly rising. The consequence might be that children and young adults who have undergone bariatric surgery in childhood and adolescence can develop complications from these former interventions as adults. Therefore, it is reasonable to recommend follow-up investigations within specialized centers according to well-established standards. On the other hand, the increasing prevalence of obesity in childhood leads to the possibility that adults who underwent pediatric surgery because of embryonal malformations may require an appointment with a bariatric surgeon at some point. For these patients (as a representative example of the transition of care phenomenon), the risk of metabolic surgical intervention is increased; such operations require the appropriate knowledge and expertise of the bariatric surgeon on embryonal malformations and their approach by pediatric surgery.

Sign in / Sign up

Export Citation Format

Share Document