Risk of Dumping Syndrome after Sleeve Gastrectomy and Roux-en-Y Gastric Bypass: Early Results of a Multicentre Prospective StudyReportar como inadecuado




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Gastroenterology Research and Practice - Volume 2016 2016, Article ID 2570237, 5 pages -

Clinical Study

CHU de Montpellier, 80 avenue Augustin Fliche, 34090 Montpellier, France

Departamento de Biotecnologia, Universidade Positivo, Rua Angelo Bom 315, Casa 1, 81210340 Curitiba, PR, Brazil

Université Montpellier 1, Montpellier, France

Department of Surgery, Torbay Hospital, Newton Road, Torquay, Devon TQ2 7AA, UK

General Surgery, CHRU Lille, 2 avenue Oscar Lambret, 59000 Lille, France

CHU Nice, 5 rue Pierre Dévoluy, 06000 Nice, France

CHU de Nancy, 1 rue Joseph Cugnot, Nancy, France

Hôpital Ambroise-Paré, 9 avenue Charles de Gaulle, Boulogne-Billancourt, 92100 Paris, France

Received 7 February 2016; Revised 31 March 2016; Accepted 17 April 2016

Academic Editor: Giovanni D. De Palma

Copyright © 2016 M. Ramadan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Bariatric surgery is an important field of surgery. An important complication of bariatric surgery is dumping syndrome DS. Aims. To evaluate the incidence of DS in patients undergoing bariatric surgery. Methods. 541 patients included from 5 nutrition and bariatric centers in France underwent either LSG or LRYGB. They were evaluated at 1 month M1 and 6 months M6 postoperatively by an interview and completion of a dumping syndrome questionnaire. Results. 268 patients underwent LSG Group A and 273 underwent LRYGB. From the LRYGB patients 229 had mechanical gastrojejunoanal anastomosis with 30 mm linear stapler Group B and 44 had manual hand sewn 15 mm gastrojejunal anastomosis Group C. Overall incidence of DS was 8.5% at M1 and M6. In LSG group Group A, only 4 patients 1.49% reported episodes of DS at M1 and 3 1.12% at M6. In Group B, 41 patients 17.90% reported episodes of DS at M1 and 43 18.78% at M6. Group C experienced one case 2.27% of DS at M1 and none 0% at M6. Conclusions. Patients undergoing LRYGB, especially with larger gastrojejunal anastomosis, are more prone to developing DS following surgery than patients undergoing LSG or LRYGB with calibrated manual anastomosis.





Autor: M. Ramadan, M. Loureiro, K. Laughlan, R. Caiazzo, A. Iannelli, L. Brunaud, S. Czernichow, M. Nedelcu, and D. Nocca

Fuente: https://www.hindawi.com/



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