Gastrectomía vertical como técnica quirúrgica en cirugía bariátricaAnálisis de resultados de seguridad y efectividad

  1. Joseba Castro Vázquez 1
  2. Fátima Saravia Barahona 1
  3. Carlos Loureiro González 1
  4. Saioa Leturio Fernández 1
  5. Marta García Fernández 1
  6. Ana Moro Delgado 1
  7. Julen Barrenetxea Asua 1
  8. Javier Ortiz Lacorzana 1
  9. Ismael Díez del Val 1
  1. 1 Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario Basurto, Bilbao, Vizcaya, España
Revue:
Cirugía española: Organo oficial de la Asociación Española de Cirujanos

ISSN: 0009-739X

Année de publication: 2022

Volumen: 100

Número: 2

Pages: 88-94

Type: Critique de livre

DOI: 10.1016/J.CIRESP.2020.11.009 DIALNET GOOGLE SCHOLAR lock_openAccès ouvert editor

D'autres publications dans: Cirugía española: Organo oficial de la Asociación Española de Cirujanos

Objectifs de Développement Durable

Résumé

Introduction The aim of this study is to evaluate the safety and effectiveness results of sleeve gastrectomy as a bariatric technique. Methods Observational follow-up study of a cohort of patients who underwent sleeve gastrectomy in our center between 2008 and 2017. A total of 223 patients were included: 166 as a primary technique (group 1) and 57 as a hypothetical first stage (group 2). Results In group 1, the postoperative morbidity is 12.6%, with a fistula rate of 4.2%; 5.4% required reoperation and mortality was 0.6%. In group 2, postoperative morbidity is 14%, with a fistula rate of 5.3%; 10.5% required reoperation and mortality was 5.3%. In group 1, 79.6% and 62.5% of patients at 2 and 5 years respectively managed to achieve a % EBMIL>50%. In group 2, the second stage was completed only in 8 patients (14.0%). Of the patients who did not complete the second stage, 32.2% and 5.9% achieved a % EEBMIL>100% at 2 and 5 years. Analyzing those who completed the second stage, the mean EEBMIL% was 90.5% and 93.4% at 2 and 5 years. Conclusions Sleeve gastrectomy is a safe technique in patients with BMI<45 and effective in terms of weight loss in the short-medium term. In patients with BMI>55, a preoperative optimization aimed at reducing morbidity and mortality is necessary, as well as adequately planning the second stage, without which it is clearly insufficient.

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