Gastroplastia tubular plicadauna nueva técnica de cirugía bariátrica

  1. García Arnau, Estefanía
  2. Madico Cerezo, María del Carmen
  3. Lozano Calvo, B.
  4. Macho Márquez, S.
  5. Barrio Martín, María José del
  6. García Ruiz de Gordejuela, Amador
Journal:
Metas de enfermería

ISSN: 1138-7262

Year of publication: 2014

Volume: 17

Issue: 0

Type: Article

DIALNET GOOGLE SCHOLAR

More publications in: Metas de enfermería

Abstract

Over the last decades, bariatric surgery has shown medium- and long-term effectiveness in morbid obesity therapy. According to the criteria of national and international societies, an ideal procedure should be able to reduce associated diseases with minimal postoperative morbidity and mortality; achieve a long-term sustained weight loss; be reversible and replicable; and improve patient�s quality of life. Based on such premises, a new surgical procedure, tubular gastroplasty with plication, was used since November 2009 at the General and Gastrointestinal Surgery Department of the University Hospital of Bellvitge (Barcelona, Spain). Reduced gastric capacity is achieved by means of a gastric wall invagination; thus, reversibility is a major advantage with the new operation. Experience at the hospital unit with postoperative therapy of patients having undergone gastroplasty with plication from November 2009 to December 2011 is reported. Twenty-one patients (4 men, 17 women) with a maximal BMI between 34-50.2 kg/m² are described. Our results show the advantages and disadvantages of such a new operation, which is still in a development and validation process and has resulted in a need to change and adjust nursing care accordingly.

Bibliographic References

  • Pujol Gebelli J, García Ruiz De Gordejuela A, Casajoana Badía A, Secanella Medayo L, Vicens Morton A, Masdevall Noguera C. Gastroplastia tubular plicada, una nueva técnica para el tratamiento de la obesidad mórbida. Cir Esp 2011; 89(6):356-361.
  • Talebpour M, Amoli BS. Laparoscopic total gastric vertical plication in morbid obesity. J Laparoendosc Adv Surg Tech A 2007; 17:793-798.
  • Ramos A, Galvao Neto M, Galvao M, Evangelista LF, Campos JM, Ferraz A. Laparoscopic greater curvature plication: initial results of an alternative restrictive bariatric procedure. Obes Surg 2010; 20:913-918.
  • Brethauer SA, Harris JL, Chand B, Kroh M, Rogula T, Schauer PR. Initial results of vertical gastric plication for severe obesity. Society of American Gastrointestinal and Endoscopic Surgeons. Phoenix, Arizona; 2009.
  • Fried M, Hainer V, Basdevant A, Buchwald H, Deitel M, Finer N, et al. Interdisciplinary European guidelines on surgery of severe obesity. Obes Facts 2008; 1:52-59.
  • Melissas J. IFSO guidelines for safety, quality, and excellence in bariatric surgery. Obes Surg 2008; 18:497-500.
  • Massó Serra M, Del Barrio Martín MJ, Gordillo Chamizo S, Cartañá Pérez M, La Puerta Alcalde J, Martínez Solá M. Obesidad mórbida, guía para elaborar una trayectoria clínica. ROL Enf 2011; 34(10):664-668.
  • Cartañá M, Del Barrio MJ, Gordillo S, González E, La Puerta J, Madico C, Terrado E. Trajectòria clínica d’infermeria en els pacients amb obesitat mórbida. En Protocol: Actuació en obesitat mórbida. Barcelona: Hospital Universitari de Bellvitge 2007; (5.5):25-26.
  • García Arnau E, Lozano Calvo B, Macho Márquez S, Madico Cerezo M, Del Barrio Martin MJ, García Ruiz de Gordejuela A, et al. Guía informativa: Información a los pacientes de cirugía bariátrica. Barcelona: Hospital Universitari de Bellvitge; 2009.
  • Dindo D, Demartines N, Clavien PA. The Clavien-Dindo Classification of Surgical Complications. Ann Surg 2004; 240(2):205-213. [En línea] [fecha de acceso: 17 de enero de 2104]. URL disponible en: www.surgicalcomplication.info/index-2.html
Data source: Dialnet