Periodicidad semestral: flujo continuo.
ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)
Introduction: Obesity is currently a global public health problem that is a predisposing factor to multiple pathologies of high morbidity and mortality. Bariatric surgery has achieved favorable results in weight control. The most frequent complications are: bleeding of the suture line and fistula. The objective was describing the complications found in our patients after having vertical sleeve gastrectomy without suture line reinforcement. Methods: This is a case series of 149 patients treated at Carlos Andrade Marin Hospital between June 2016 to August 2017. They all fulfilled the standard criteria to indicate bariatric surgery and underwent sleeve vertical gastrectomy. Staple linear staplers were used in the surgical procedure. None of our patients had suture line reinforcement performed. Results: Of the patients treated in our hospital 121 were females and 28 were males. The most frequentcomorbidities were: arterial hypertension, type 2 diabetes mellitus, hypothyroidism and dyslipidemia. The surgical complications were: fistula in one (0.67%) patient and suture line bleeding in two (1.34%) others. There were no deaths. Discussion: Sleeve gastrectomy without suture line reinforcement is a safe procedure with minimal morbidity and zero mortality in our study.
Obesity in adults: Overview of management, UPTODATE, September 2017
Hawkins W, Maheswaran I, The management of bariatric surgery complications, Surgery (2016), http:// dx.doi.org/10.1016/j.mpsur.2016.08.008
Organización Mundial de la salud, Obesidad y Sobrepeso, http://www.who.int/mediacentre/
factsheets/fs311/es/
Obesity in adults: Health consequences, UPTODATE, September 2017
Moreno M, Definition And Classification Of Obesity, 2012
Bariatric procedures for the management of severe obesity: Descriptions, UPTODATE, September 2017
Bariatric operations for management of obesity: Indications and preoperative preparation,
UPTODATE, September 2017
Shashank S. Shah & Jayashree S. Todkar & Poonam S. Shah, Buttressing the Staple Line: A
Randomized Comparison Between Staple-Line Reinforcement Versus No Reinforcement During
Sleeve Gastrectomy, Obesity Surgery 2014
Gagner M, Buchwald Jane; Comparison of laparoscopic sleeve gastrectomy leak rates in four
staple – line reinforcement options: a systematic review, Surgery for Obesity and Related Diseases
Baker RS, Foote J, Kemmeter P, Brady R, Vroegop T, Serveld M. The science of stapling and leaks. Obes Surg. 2004;14(10):1290–8. PMID: 15603641
Flum D, Salem L, Elrod J, Dellinger E, Cheadle A, Chan L. Early mortality among Medicare
beneficiaries undergoing bariatric procedures. JAMA 2005; 294:1903-8
Mohamed A, Fuller W, Choi M, Wolfe B. Bariatric surgical outcomes. Surg Clin North Am 2005: 835-52
Langer F, Bohdjalian A, Fekberbauer F, Fleischmann E, Reza M, Ludvik B, Zacher J, Jakes R, Prager G. Does gastric dilatation limit the success of sleeve gastrectomy as a sole operation for morbid obesity? Obes Surg 2012; 16: 166-71
Mechanick, J., Youdim, A., Jones, D., et al. (2013). Clinical Practice Guidelines for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient—2013 Update. Surgery for Obesity and Related,159-91
Olshansky SJ, Passaro DJ, Hershow RC, et al. A potential decline in life expectancy in the United States in the 21st century. N Engl J Med 2005; 352:1138
Aune D, Sen A, Prasad M, et al. BMI and all cause mortality: systematic review and non-linear doseresponse meta-analysis of 230 cohort studies with 3.74 million deaths among 30.3 million participants. BMJ 2016; 353:i2156
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