Please use this identifier to cite or link to this item: https://observatorio.fm.usp.br/handle/OPI/48393
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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP-
dc.contributor.authorVOLPE, Paula-
dc.contributor.authorDOMENE, Carlos Eduardo-
dc.contributor.authorSANTANA, Andre Valente-
dc.contributor.authorMIRA, William Giglio-
dc.contributor.authorSANTO, Marco Aurelio-
dc.date.accessioned2022-08-12T17:07:17Z-
dc.date.available2022-08-12T17:07:17Z-
dc.date.issued2022-
dc.identifier.citationABCD-ARQUIVOS BRASILEIROS DE CIRURGIA DIGESTIVA-BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY, v.35, n.1, article ID e1646, 11p, 2022-
dc.identifier.issn0102-6720-
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/48393-
dc.description.abstractBACKGROUND: Scopinaro-type biliopancreatic diversion (BPD-S) and its variations are the surgeries that offer the best immediate results in weight loss and regain in the late follow-up. It has a high rate of immediate complications and demands control with frequent laboratory tests. AIMS: The aim of this study was to analyze the late postoperative complications of 1570 patients operated by biliopancreatic diversion with gastric preservation laparoscopic video with up to 20 years of postoperative follow-up. METHODS In a follow-up period of up to 20 years, the clinical and surgical complications of 1570 patients with grade II or III obesity were evaluated who were operated on from 2001 to 2014 with the same team of surgeons. Clavien Dindo 11 classification was used for analysis and comparison. Laboratory tests and body mass index (BMI) were used in the analysis of late metabolic outcomes. RESULTS: On the one hand, complications in 204 patients were recorded (13%), and 143 patients (9.1%) were reoperated. On the other hand, 61 patients (29.9%), who had postoperative complications were clinically treated with good evolution in 9.2 years (95%CI 8.2-10.3), with a median of 9.5 years (95%CI 6.1-12.9). Gastroileal anastomosis ulcers occurred in 44 patients (2.8%). Patients with malnutrition, severe anemia, or chronic diarrhea were operated on with common loop elongation (n=64 - 4%), conversion to gastric diversion (n=29 - 5%), or reversal of surgery (n=10 - 0.6%). One death was registered throughout casuistry (0.06%). CONCLUSIONS-: Metabolic result of DBP-S was considered excellent in most patients, even referring to changes in the frequency of bowel movements, loose stools, and unpleasant odor. Complications are usually serious and most of the patients require surgical treatment. Therefore, the biliopancreatic diversion of Scopinaro should be reserved for exceptional cases, as there are safer surgical alternatives with less serious side effects.eng
dc.description.abstractRESUMO - RACIONAL - A derivação biliopancreática tipo Scopinaro (DBP-S) e suas variações são as cirurgias que oferecem os melhores resultados imediatos na perda de peso e de reganho de peso no acompanhamento tardio. Apresenta índice elevado de complicações imediatas e demanda controle laboratorial frequente. OBJETIVOS - Analisar as complicações pós-operatórias tardias de 1.570 pacientes operados por derivação biliopancreática com preservação gástrica videolaparoscópica com até 20 anos de acompanhamento pós-operatório. MÉTODOS - Foram avaliadas as complicações clínicas e cirúrgicas, no acompanhamento tardio de até 20 anos, de 1.570 pacientes com obesidade grau II ou III, operados no período de 2001 a 2014, por uma mesma equipe de cirurgiões. A classificação de Clavien Dindo 11 foi empregada para análise e comparação. Exames laboratoriais e índice de massa corpórea (IMC) foram utilizados na análise dos resultados metabólicos tardios. RESULTADOS - Foram registradas complicações em 204 pacientes (13%), e 143 (9,1%) foram reoperados. Por outro lado, 61 pacientes (29,9%), no período de 9,2 anos (IC 95% 8,2-10,3), com mediana de 9,5 anos (IC 95% 6,1-12,9), que tiveram complicações pós-operatórias foram tratados clinicamente, com boa evolução. A úlcera de anastomose gastroileal ocorreu em 44 pacientes (2,8%). Os pacientes com desnutrição, anemia grave ou diarreia crônica foram operados com alongamento da alça comum (n=64 - 4%), conversão para bypass gástrico (n=29 - 5%) ou reversão da cirurgia (n=10 - 0,6%). Foi registrado um óbito ao longo de toda a casuística (0,06%). CONCLUSÕES - O resultado metabólico da DBP-S foi considerado excelente na maioria dos pacientes, mesmo referindo-se a alteração da frequência de evacuações, fezes amolecidas e com odor desagradável. As complicações são geralmente graves e a maioria demanda tratamento cirúrgico. Portanto, a derivação biliopancreática de Scopinaro deve ser reservada a casos excepcionais, pois existem alternativas cirúrgicas mais seguras e com efeitos colaterais menos graves.-
dc.language.isoeng-
dc.publisherCOLEGIO BRASILEIRO CIRURGIA DIGESTIVA-CBCDeng
dc.relation.ispartofAbcd-Arquivos Brasileiros de Cirurgia Digestiva-brazilian Archives of Digestive Surgery-
dc.rightsopenAccesseng
dc.subjectPostoperative Complicationseng
dc.subjectBariatric surgeryeng
dc.subjectMalnutritioneng
dc.subjectMorbid obesityeng
dc.subjectComplicações Pós-Operatórias-
dc.subjectCirurgia Bariátrica-
dc.subjectDesnutrição-
dc.subjectObesidade Mórbida-
dc.subject.otherbiliopancreatic diversioneng
dc.subject.otherobesityeng
dc.subject.otherevolutioneng
dc.subject.otherbypasseng
dc.titleCOMPLICATIONS AND LATE FOLLOW-UP OF SCOPINARO'S SURGERY WITH GASTRIC PRESERVATION: 1570 PATIENTS OPERATED IN 20 YEARSeng
dc.title.alternativeCOMPLICAÇÕES E ACOMPANHAMENTO TARDIOS DA CIRURGIA DE SCOPINARO COM PRESERVAÇÃO GÁSTRICA: 1.570 PACIENTES OPERADOS EM 20 ANOS-
dc.typearticleeng
dc.rights.holderCopyright COLEGIO BRASILEIRO CIRURGIA DIGESTIVA-CBCDeng
dc.identifier.doi10.1590/0102-672020210002e1646-
dc.identifier.pmid35730875-
dc.subject.wosGastroenterology & Hepatologyeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
hcfmusp.author.externalVOLPE, Paula:Integrated Ctr Adv Med, Surg CIMA, Sao Paulo, SP, Brazil-
hcfmusp.author.externalDOMENE, Carlos Eduardo:Integrated Ctr Adv Med, Surg CIMA, Sao Paulo, SP, Brazil-
hcfmusp.author.externalSANTANA, Andre Valente:Integrated Ctr Adv Med, Surg CIMA, Sao Paulo, SP, Brazil-
hcfmusp.author.externalMIRA, William Giglio:Integrated Ctr Adv Med, Surg CIMA, Sao Paulo, SP, Brazil-
hcfmusp.description.articlenumbere1646-
hcfmusp.description.issue1-
hcfmusp.description.volume35-
hcfmusp.origemWOS-
hcfmusp.origem.idWOS:000825447000012-
hcfmusp.origem.id2-s2.0-85132294441-
hcfmusp.origem.idSCIELO:S0102-67202022000100302-
hcfmusp.publisher.citySAO PAULO SPeng
hcfmusp.publisher.countryBRAZILeng
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dc.description.indexMEDLINEeng
dc.identifier.eissn2317-6326-
hcfmusp.citation.scopus0-
hcfmusp.scopus.lastupdate2022-10-27-
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