Silastic ring vertical gastric bypass: evolution of an open surgical technique, and review of 1,588 cases.

Silastic ring vertical gastric bypass: evolution of an open surgical technique, and review of 1,588 cases. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Silastic ring vertical gastric bypass: evolution of an open surgical technique, and review of 1,588 cases. Abstract Text:

Alberto Salinas,Edwin Santiago, ,Mariemma Antor,Harry Salinas,

BACKGROUND: Silastic ring vertical gastric bypass (SRVGBP) has evolved from a stapled (SSRVGBP) to a transected (TSRVGBP), and finally to a transected pouch with jejunal interposition (TSRVGBP with J-I). The creation of the gastroenterostomy evolved from a hand-sewn to a stapled and finally to a combined stapled and hand-sewn anastomosis. The circumference of the ring was increased from 5.5 to 6.0 cm. We address the effect of these modifications on surgical outcome. METHOD: The records of 1,588 consecutive patients (mean BMI of 44.5) since 1990 who had a SRVGBP were indentified from a prospective data-base of all patients undergoing bariatric operations. 205 patients with a prior bariatric operation were excluded from the review, leaving 1,383 patients who had a primary SRVGBP. RESULTS: In the 193 SRVGBP patients, there was 1 gastric leak (0.5%) and 64 gastrogastric fistulas (33.2%). In the 165 TSRVGBP patients, there were 4 gastric leaks (2.4%) and 14 gastrogastric fistulas (8.5%). In the 1,025 patients with TSRVGBP with JI, there were 8 gastric leaks (0.8%) and no gastro-gastric fistulas. In the TSRVGBP with J-I, 367 patients had a hand-sewn, 16 a stapled, and 642 a combined stapled and hand-sewn anastomosis. Stricture rate was 3.8%, 31%, and 2.6% respectively. There were 7 ring migrations (0.7%), all in the totally hand-sewn group. Ring removal was necessary in 20 (5%) with a 5.5-cm and 4 (0.74%) with a 6.0-cm ring. CONCLUSION: TSRVGBP with J-I with a combined stapled and hand-sewn gastrojejunal anastomosis using a 6.0-cm ring decreased the incidence of complications, and is our current technique.

Silastic ring vertical gastric bypass: evolution of an open surgical technique, and review of 1,588 cases. Publishing Authors By Initials

A Salinas,E Santiago,J ,M Antor,H Salinas,

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE:

Silastic ring vertical gastric bypass: evolution of an open surgical technique, and review of 1,588 cases. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Obesity surgery

VOLUME: 15

Page Numbers: 1403-7

Journal Abbreviation:

ISSN: 0960-8923

DAY: 5

MONTH: 12

YEAR: 2007

Silastic ring vertical gastric bypass: evolution of an open surgical technique, and review of 1,588 cases. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 9106714

Silastic ring vertical gastric bypass: evolution of an open surgical technique, and review of 1,588 cases. Keywords Mesh Terms:

KEYWORDS:

MESH TERMS:

Chemical & Substance for Abstract: Silastic ring vertical gastric bypass: evolution of an open surgical technique, and review of 1,588 cases. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Silastic ring vertical gastric bypass: evolution of an open surgical technique, and review of 1,588 cases.

AFFILIATION: Hospital de Clínicas Caracas, Caracas, Venezuela. asalinas@clinicaracas.com

Country: England

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Obes Surg

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Silastic ring vertical gastric bypass: evolution of an open surgical technique, and review of 1,588 cases Related Publications

• "Competitive" also plays a role.
• Arabidopsis CBF1 and CBF3 have a different function than CBF2 in cold acclimation and define different gene classes in the CBF regulon.
• Changes in renal function in valvular and coronary patients.
• Comparison of stir bar sorptive extraction and solid-phase microextraction to determine halophenols and haloanisoles by gas chromatography-ion trap tandem mass spectrometry.
• Context-dependent selection of visuomotor maps.
• Do systemic corticosteroids improve acute outcomes in infants with REV bronchiolitis?
• Epiphytic dinoflagellates associated with ciguatera in the northwestern coast of Cuba.
• Estimating national landfill methane emissions: an application of the 2006 Intergovernmental Panel on Climate Change Waste Model in Panama.
• From Neuronal Activity to the Actin Cytoskeleton: A Role for CaMKKs and betaPIX in Spine Morphogenesis.
• How behavioral constraints may determine optimal sensory representations.
• Nebivolol in the treatment of chronic heart failure.
• Need for medical workup in psychiatric assessment.
• Neurotrophic effects of GnRH on neurite outgrowth and neurofilament protein expression in cultured cerebral cortical neurons of rat embryos.
• Not Available
• Phylogenetic and functional analysis of Arabidopsis RCI2 genes.
• Platyhelminth mitochondrial and cytosolic redox homeostasis is controlled by a single thioredoxin glutathione reductase and dependent on selenium and glutathione.
• Protein extraction from Phoenix dactylifera L. leaves, a recalcitrant material, for two-dimensional electrophoresis.
• Regulatory proteins of eukaryotic initiation factor 2-alpha subunit (eIF2alpha) phosphatase, under ischemic reperfusion and tolerance.
• Semiautomatic determination of furanic aldehydes in food and pharmaceutical samples by a stopped-flow injection analysis method.
• Silastic ring vertical gastric bypass: evolution of an open surgical technique, and review of 1,588 cases.
• Tapping healthcare resource by older mexicans with diabetes: how migration to the United States facilitates access.
• Transformation ability of fungi isolated from cork and grape to produce 2,4,6-trichloroanisole from 2,4,6-trichlorophenol.
• Wnt regulates axon behavior through changes in microtubule growth directionality: a new role for adenomatous polyposis coli.
• [Comorbidity of specific and generalized social anxiety in Spanish adolescents]
• [Measles in Paraguay: experience in the Hospital for Infectious and Tropical Diseases of Asunción]
• [Not Available.]
• [Not Available.]
• [Rural sanitation and the infrastructural projects, auxilliary to health projects]
• [Treatment of massive hemorrhage caused by gastric & duodenal ulcer: round table. I.]
• [Treatment of massive hemorrhage caused by gastric or duodenal ulcer: round table. II.]