RESUMO
BACKGROUND: Biliopancreatic diversion is perceived as the most effective operation for long-term treatment of massive obesity. The purpose of this study is to demonstrate that gastroileal bypass with single anastomosis is a safe and feasible procedure with similar results to the classic derivation, but reducing surgical time without decreasing the efficacy. METHODS: Descriptive, observational, prospective study of patients undergoing gastroileal bypass with single anastomosis between April 2010 and December 2015. The postoperative follow-up was 24 months. RESULTS: One thousand five hundred twelve patients underwent gastroileal bypass. The mean time of the procedure was 32 min; the average stay was 2.2 days. 30.1% of patients lost more than 100% of their excess weight, and 72.35% of patients lost more than 75% of their excess weight. 95.17% of patients dropped to a BMI < 35; 75.99% to a BMI < 30 and 30.15% to a BMI < 25. CONCLUSIONS: Gastroileal bypass with single anastomosis is a safe and fast procedure providing similar results to biliopancreatic diversion with respect to weight loss.
Assuntos
Anastomose Cirúrgica/métodos , Derivação Gástrica/métodos , Laparoscopia/métodos , Obesidade Mórbida/cirurgia , Adulto , Anastomose Cirúrgica/efeitos adversos , Anastomose Cirúrgica/estatística & dados numéricos , Desvio Biliopancreático/efeitos adversos , Desvio Biliopancreático/métodos , Desvio Biliopancreático/estatística & dados numéricos , Feminino , Seguimentos , Derivação Gástrica/efeitos adversos , Derivação Gástrica/estatística & dados numéricos , Humanos , Laparoscopia/efeitos adversos , Laparoscopia/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Duração da Cirurgia , Período Pós-Operatório , Estudos Prospectivos , Resultado do Tratamento , Aumento de Peso , Redução de Peso/fisiologiaRESUMO
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Assuntos
Humanos , Diabetes Mellitus Tipo 2/cirurgia , Obesidade/cirurgia , Derivação Gástrica , Resultado do TratamentoRESUMO
OBJECTIVE: To report an uncommon case of Fournier's gangrene caused by a perforated retrocecal acute appendicitis that compromised the scrotum and testis. METHODS: Herein we describe a patient that was admitted for abdominal pain localized to the right lower flank and generalized virulent sepsis. RESULTS: Resection of the right inguinal cord and testis was performed. The outcome was poor and the patient died of multiorgan failure. CONCLUSIONS: Fournier's gangrene basically arises from anorectal and urological pathologies, although occasionally it may arise from an intraabdominal source, which should be ruled out especially when the abdominal examination shows interesting findings.
