RESUMO
With the culture of safety and lowering risks that took place 20 years ago, sleeve gastrectomy has emerged as a procedure of choice. Hence, for super- and super-super-obese patients, there is a tendency these days to perform surgeries in 2 stages, and sleeve is the procedure of choice. Because sleeve is not part of a classic bilio-pancreatic diversion, it is unlikely that this operation will be done as a second stage, making this operation obsolete.
Assuntos
Cirurgia Bariátrica , Desvio Biliopancreático , Obesidade Mórbida/cirurgia , Cirurgia Bariátrica/efeitos adversos , Cirurgia Bariátrica/história , Cirurgia Bariátrica/métodos , Desvio Biliopancreático/efeitos adversos , Desvio Biliopancreático/história , Desvio Biliopancreático/métodos , Gastrectomia , História do Século XX , História do Século XXI , Humanos , Redução de PesoAssuntos
Cirurgia Bariátrica/história , Obesidade/cirurgia , Cirurgia Bariátrica/mortalidade , Desvio Biliopancreático/história , Previsões , Derivação Gástrica/história , Gastroplastia/história , História do Século XX , Humanos , Laparoscopia/história , Procedimentos Cirúrgicos Minimamente Invasivos/história , Complicações Pós-Operatórias , Federação Russa , Resultado do TratamentoRESUMO
Morbid obesity, caused by fat tissue accumulation, is a serial multi-factorial chronic disease, with rapidly increasing prevalence in most countries in the world including Poland. Conservative treatment of morbid obesity is almost always unsatisfactory and that is why several surgical methods have been developed. There are four kind of methods: malabsorbtive procedures; restrictive procedures; malabsorbtive/restrictive procedures and experimental procedures. The development of bariatric surgery goes back to 1952 and since that time it has been evolving dynamically. All the surgical methods have benefits and disadvantages. Presently the introduction of minimally invasive surgical techniques seems to be very safe, efficient and cost-effective in treatment for morbid obesity. New methods are also being evaluated, such as gastric myo-electrical stimulation. Bariatric surgery will still be developing until we understand all the factors responsible for it is origin.
Assuntos
Cirurgia Bariátrica/métodos , Obesidade Mórbida/cirurgia , Cirurgia Bariátrica/efeitos adversos , Cirurgia Bariátrica/história , Desvio Biliopancreático/efeitos adversos , Desvio Biliopancreático/história , Desvio Biliopancreático/métodos , Terapia por Estimulação Elétrica/métodos , Derivação Gástrica/efeitos adversos , Derivação Gástrica/história , Derivação Gástrica/métodos , Gastroplastia/efeitos adversos , Gastroplastia/história , Gastroplastia/métodos , História do Século XX , História do Século XXI , Humanos , Derivação Jejunoileal/efeitos adversos , Derivação Jejunoileal/história , Derivação Jejunoileal/métodos , Procedimentos Cirúrgicos Minimamente Invasivos/efeitos adversos , Procedimentos Cirúrgicos Minimamente Invasivos/história , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , PolôniaRESUMO
BACKGROUND: We reviewed the experimental surgery, related to bariatric surgery in laboratory animals, to consider new lines of research. METHODS: The literature on experimental surgery for morbid obesity since the mid-20th century was reviewed, focusing on existing techniques (malabsorptive, restrictive, mixed and experimental) and their associated metabolic component. RESULTS: In the field of laparoscopy, there is a clear tendency for large laboratory animals such as pigs to be used. These are useful for developing and perfecting techniques. A second area of animal experimentation concentrates on the relationship between metabolism and surgery in order to find improvements in the co-morbidities associated with morbid obesity. A third area of research focuses on manipulating intake via central and vagal control. CONCLUSION: Further studies are needed to combine traditional and recently developed techniques of experimental surgery with the mechanisms that determine the physiopathology, metabolism and regulation of intake of morbidly obese patients. To accurately determine metabolic behavior and avoid drawing conclusions that are not very significant, these studies should be carried out on obese animals and focus on the co-morbidities associated with morbid obesity.
