Patricio Burdiles | Universidad de Chile (original) (raw)

Papers by Patricio Burdiles

Research paper thumbnail of “How I Do It” Laparoscopic Nissen Fundoplication: The “Right Posterior” Approach

Research paper thumbnail of Seudoquiste de páncreas

Rev Chil Cir, Mar 1, 1991

Research paper thumbnail of Adenokarzinom in kurzstreckigem Barrett-Ösophagus: Bericht über 5 Fälle und eine Übersicht der Literatur

Research paper thumbnail of Síndrome de shock tóxico postoperatorio

Rev Chil Cir, Sep 1, 1988

Research paper thumbnail of Counts of bacteria and pyocites of choledochal bile in controls and in patients with gallstones or common bile duct stones with or without acute cholangitis

Hepato-gastroenterology

The number of colonies of bacteria and the number of pyocites present per ml of choledochal bile ... more The number of colonies of bacteria and the number of pyocites present per ml of choledochal bile was studied. There were 42 controls, 100 patients with symptomatic gallstones, 42 patients with common duct stones without cholangitis and 24 patients with common duct stones and acute cholangitis. Control subjects had no bacteria present at gallbladder bile. Only 3% of patients with gallstones had more than 10(5) colonies per ml which increased to 36% in patients with common duct stones without cholangitis and to 84% among patients with acute cholangitis (p < 0.001). There were more polybacterial flora among patients with acute cholangitis and anaerobic bacteria were not seen in patients with gallstones. Patients with acute cholangitis had significantly more pyocites present at choledochal bile. There is a direct correlation between the number of colonies present per ml of choledochal bile and the severity of biliary tract disease. Patients with acute cholangitis had significantly mo...

Research paper thumbnail of Indications and results of choledochoduodenostomy in benign biliary tract diseases

Hepato-gastroenterology, 1989

During a 12-year period ending December 1987, 17,200 operations for biliary tract disease were pe... more During a 12-year period ending December 1987, 17,200 operations for biliary tract disease were performed at the Dept. of Surgery of the University of Chile. Choledochoduodenostomy was performed in 140 of these patients operated upon for benign biliary tract and/or gallbladder diseases. The indications for this procedure were choledocholithiasis, stenosis of the sphincter of Oddi, compression of the extrahepatic biliary duct, stenosis of the distal biliary duct and duodenal diverticula. The postoperative course was uncomplicated in 126 patients (90%). The mortality rate was 4.2%. Although the mortality was somewhat greater in patients with acute cholangitis, the difference was not significant, and no significant relation could be established with other factors that might affect mortality. Choledocholithiasis is the main cause of benign obstruction of the biliary tract in Chile. This is also the most frequent indication for external choledochoduodenostomy and is a promising method eve...

Research paper thumbnail of Factors affecting mortality in patients over 70 years of age submitted to surgery for gallbladder or common bile duct stones

Hepato-gastroenterology, 1989

Chile is the country with the highest incidence of gallstone disease in the world. Nearly 44% of ... more Chile is the country with the highest incidence of gallstone disease in the world. Nearly 44% of the women and 25% of the men over 20 years of age have gallstones. Biliary tract surgery accounts for about 35% of all the operations performed in Chilean general hospitals. The present paper aims at assessing the risk factors associated with a higher mortality in patients over 70 years of age subjected to elective or emergency surgery for gallstones or common bile duct stones. No specific factors of mortality were found in the group of elderly patients subjected to elective cholecystectomy. There was also no correlation between types of cholecystitis and postoperative mortality. However, acute suppurative cholangitis made the postoperative mortality rate increase almost 20-fold in patients with common bile duct stones. The mortality also shows a steep increase (up to 12%) if cholecystectomy is performed in acute cholecystitis. Cholecystostomy seems to be associated with a low mortality ...

Research paper thumbnail of Treatment of residual common bile duct stones after cholecystectomy

Hepato-gastroenterology, 1989

This study was conducted to determine the occurrence of "open" residual common bile duc... more This study was conducted to determine the occurrence of "open" residual common bile duct stones after cholecystectomy to establish predisposing factors and possible alternative treatments. Correct diagnosis of choledocholithiasis before or during surgery, adequate exploration of the common bile duct, and suitable selection of technical procedures are the most important points in preventing retained CBD stones. If these occur, an adequate alternative treatment may prove helpful. Classical "clysis" of the bile duct is least recommended because of its high failure rate. The best method of chemical dissolution seems to be the use of mono-octanoin with 60% good results and a no-response rate of 30-40%. Instrumental extraction has been reported to be very successful (80-98%). Endoscopic sphincterotomy is currently the most frequently employed procedure for retained CBD stones, especially in poor risk patients. The reported success rate is 82-93% according to literature...

Research paper thumbnail of Indications and results of hepaticojejunostomy in benign strictures of the biliary tract

Hepato-gastroenterology, 1992

The postoperative and late results of 99 patients with benign strictures of the biliary tract are... more The postoperative and late results of 99 patients with benign strictures of the biliary tract are presented. Patients were classified according to Bismuth into 24 cases with lesion type I, 36 cases with type II, 35 cases with type III and 4 patients with type IV. All were submitted to hepaticojejunostomy with a long Roux-en-Y loop. The etiology of the strictures varied according to the type of stricture. In patients of type I, inflammatory and iatrogenic causes were observed. Among type II and III patients, previous cholecytocholedochal fistulas were the main cause, together with accidental section or ligature of the common bile duct. Operative mortality was absent in strictures of types I and II, while it was around 25% in cases of types III and IV. At late control, the best results were seen among patients with strictures of types I and II. We believe that the main factor determining the early and late outcome of these cases with benign strictures is the location of the stricture ...

Research paper thumbnail of Resultados premilinares de la gastroplastia horizontal con anastomosis en Y de Roux como cirugía bariática en pacientes con obesidad severa y mórbida

Revista médica de Chile, 1999

Background: Morbidly obese subjects have a high incidence of complications. The poor results of d... more Background: Morbidly obese subjects have a high incidence of complications. The poor results of dietary treatments, has prompted the search of new therapies for obesity and among these, surgical procedures. Aim: To report the long term results of horizontal ...

Research paper thumbnail of Reflujo gastroesofágico patológico en pacientes con obesidad severa, mórbida e hiper obesidad

Revista médica de Chile, 2001

... 1 Tecnólogo Médico. Bajar de peso es una de las primeras medidas que se recomiendan para el t... more ... 1 Tecnólogo Médico. Bajar de peso es una de las primeras medidas que se recomiendan para el tratamiento médico de pacientes con síntomas de reflujo gastroesofágico crónico patológico (RGCP). Esto se basa en el hecho ...

Research paper thumbnail of Hallazgos clínicos, endoscópicos y magnitud del reflujo de contenido gástrico y duodenal en pacientes con metaplasia intestinal cardial y esófago de Barrett corto, comparados con controles

Revista médica de Chile, 1999

Background: The diagnosis of patients with short segments of intestinal metaplasia in the distal ... more Background: The diagnosis of patients with short segments of intestinal metaplasia in the distal esophagus, has increased in recent years. Aim: To assess the clinical, pathological and functional features of patients with esophageal intestinal metaplasia. Patients and ...

Research paper thumbnail of Present Role of Classic Open Choledochostomy in the Surgical Treatment of Patients with Common Bile Duct Stones

World Journal of Surgery, 1998

Open choledochostomy still represents an important step of biliary surgery, even during the era o... more Open choledochostomy still represents an important step of biliary surgery, even during the era of laparoscopic surgery. Although its application has decreased with the widespread use of endoscopic retrograde cholangiopancreatography (ERCP) and papillotomy, still there are some patients in whom it is necessary to perform open choledochostomy and place a T-tube. The morbidity and mortality rates depend mainly on the presence or absence of an acute suppurative cholangitis, rather than the performance of the choledochostomy. In patients with mild cholangitis or those no cholangitis and less than 60 years of age, the mortality rate is lower than that observed after ERCP. This procedure is still an important technique for surgeons dedicated to biliary surgery, and therefore several technical aspects of common bile duct exploration are important to remember.

Research paper thumbnail of Clasificación y tratamiento del síndrome de Mirizzi y fístula colecistocoledociana; Classification and treatment of Mirizzi's syndrome and cholecystocholedocian fistula

Rev. chil. cir, 1989

Resumo: Se presenta una nueva clasificación de dos entidades que se han tratado en forma diferent... more Resumo: Se presenta una nueva clasificación de dos entidades que se han tratado en forma diferente y que en realidad corresponden a etapas evolutivas de un mismo proceso. Los pacientes con lesión tipo I corresponden a una compresión extrínseca de la vía biliar. ...

Research paper thumbnail of Resultados del tratamiento quirúrgico de la obesidad mórbida: análisis de 180 pacientes; Results of the surgical treatment in morbid obesity: analysis of 180 patients

Rev. chil. cir, 2002

Base de dados : LILACS. Pesquisa : 314826 [Identificador único]. Referências encontradas : 1 [ref... more Base de dados : LILACS. Pesquisa : 314826 [Identificador único]. Referências encontradas : 1 [refinar]. Mostrando: 1 .. 1 no formato [Detalhado]. página 1 de 1, 1 / 1, LILACS, seleciona. para imprimir. Fotocópia. Texto completo. experimental, Documentos relacionados. Id: 314826 ...

Research paper thumbnail of Common Bile Duct Pressure in Patients With Common Bile Duct Stones With or Without Acute Suppurative Cholangitis

Archives of Surgery, 1988

Resting common bile duct pressure was measured in three groups of patients: group 1, 53 patients ... more Resting common bile duct pressure was measured in three groups of patients: group 1, 53 patients with gallstones but without common duct stones; group 2, 35 patients with common bile duct stones unaccompanied by cholangitis; and group 3, 36 patients with common duct stones and acute suppurative cholangitis. A significantly higher pressure in the common bile duct was documented in patients with cholangitis when compared with the other two groups. Twenty-four patients with cholangitis had common duct pressure values above 20 cm H2O, the maximal values of normal. Additionally, patients with cholangitis with pressure values over 30 cm H2O (nine patients) showed absence of green bile in the extrahepatic biliary tract, suggesting cessation of bile excretion into biliary duct. In all these cases, an impacted stone at the distal end of the common bile duct was documented.

Research paper thumbnail of Estudio de microscopia electrónica de barrido en superficie peritoneal en controles y pacientes con cancer gástrico

Revista Chilena De Cirugia, Feb 1, 2007

Research paper thumbnail of Síntomas ácido-pépticos gastroesofágicos como causa de consumo de antiácidos y ácido-supresores y su asociación con el índice de masa corporal en población adulta urbana* Use of antacids and acid-suppressors for gastro-esophageal peptic symptoms and body mass index in adult urban population

Research paper thumbnail of Planificación y factibilidad de un proyecto de investigación clínica

Revista Médica Clínica Las Condes, 2019

La investigación científica se ha consolidado como el mejor modo de generar conocimiento confiabl... more La investigación científica se ha consolidado como el mejor modo de generar conocimiento confiable, válido, verificable y reproducible. En el ámbito de la salud humana, la investigación biomédica ha permitido ampliar la comprensión de las enfermedades y avanzar en su prevención y en el tratamiento y rehabilitación de las personas en situación de enfermedad. El método científico es un sistema ordenado de generación de conocimiento mediante pasos secuenciales, que brindan mayor certidumbre a un resultado y permiten obtener conclusiones válidas, que aporten verosimilitud al nuevo conocimiento generado. Al planificar un proyecto de investigación, se debe tener presente que existe el riesgo de dilapidar tiempo, energía y recursos para finalmente obtener resultados pobres, decepcionantes y a veces inútiles. Para minimizar estos riesgos, la planificación ofrece un modo de anticipar eventos y obstáculos, a la vez de reconocer alternativas que hagan del proyecto, un producto útil, que logre su objetivo y que sea eficiente en el uso de los recursos. Respecto a estos recursos, el análisis de factibilidad del proyecto permitirá conocer en detalle los recursos necesarios para su mejor ejecución y cumplir así, los objetivos del estudio.

Research paper thumbnail of Horizontal gastroplasty with Roux en Y anastomosis in morbidly obese patients. Preliminary results

Revista medica de Chile

Morbidly obese subjects have a high incidence of complications. The poor results of dietary treat... more Morbidly obese subjects have a high incidence of complications. The poor results of dietary treatments, has prompted the search of new therapies for obesity and among these, surgical procedures. To report the long term results of horizontal gastroplasty with Roux en Y anastomosis in morbidly obese subjects. Fifty patients with an initial body mass index of 41.3 +/- 6 kg/m2 have been subjected to a horizontal gastroplasty with Roux en Y anastomosis. During the study period, surgical techniques were modified, reducing the gastric pouch size, adding a truncal vagotomy, cholecystectomy, and increasing the length of the Roux en Y loop from 70 to 100 cm. Twenty five patients have been followed for two years. There was no operative mortality and one patient had an anastomotic leak that required 35 days of hospitalization. During follow up, in one patient, the stapled suture line loosened. After two years of follow up, weight decreased from 112 +/- 19 to 77.2 +/- 14 kg. Horizontal gastropla...

Research paper thumbnail of “How I Do It” Laparoscopic Nissen Fundoplication: The “Right Posterior” Approach

Research paper thumbnail of Seudoquiste de páncreas

Rev Chil Cir, Mar 1, 1991

Research paper thumbnail of Adenokarzinom in kurzstreckigem Barrett-Ösophagus: Bericht über 5 Fälle und eine Übersicht der Literatur

Research paper thumbnail of Síndrome de shock tóxico postoperatorio

Rev Chil Cir, Sep 1, 1988

Research paper thumbnail of Counts of bacteria and pyocites of choledochal bile in controls and in patients with gallstones or common bile duct stones with or without acute cholangitis

Hepato-gastroenterology

The number of colonies of bacteria and the number of pyocites present per ml of choledochal bile ... more The number of colonies of bacteria and the number of pyocites present per ml of choledochal bile was studied. There were 42 controls, 100 patients with symptomatic gallstones, 42 patients with common duct stones without cholangitis and 24 patients with common duct stones and acute cholangitis. Control subjects had no bacteria present at gallbladder bile. Only 3% of patients with gallstones had more than 10(5) colonies per ml which increased to 36% in patients with common duct stones without cholangitis and to 84% among patients with acute cholangitis (p < 0.001). There were more polybacterial flora among patients with acute cholangitis and anaerobic bacteria were not seen in patients with gallstones. Patients with acute cholangitis had significantly more pyocites present at choledochal bile. There is a direct correlation between the number of colonies present per ml of choledochal bile and the severity of biliary tract disease. Patients with acute cholangitis had significantly mo...

Research paper thumbnail of Indications and results of choledochoduodenostomy in benign biliary tract diseases

Hepato-gastroenterology, 1989

During a 12-year period ending December 1987, 17,200 operations for biliary tract disease were pe... more During a 12-year period ending December 1987, 17,200 operations for biliary tract disease were performed at the Dept. of Surgery of the University of Chile. Choledochoduodenostomy was performed in 140 of these patients operated upon for benign biliary tract and/or gallbladder diseases. The indications for this procedure were choledocholithiasis, stenosis of the sphincter of Oddi, compression of the extrahepatic biliary duct, stenosis of the distal biliary duct and duodenal diverticula. The postoperative course was uncomplicated in 126 patients (90%). The mortality rate was 4.2%. Although the mortality was somewhat greater in patients with acute cholangitis, the difference was not significant, and no significant relation could be established with other factors that might affect mortality. Choledocholithiasis is the main cause of benign obstruction of the biliary tract in Chile. This is also the most frequent indication for external choledochoduodenostomy and is a promising method eve...

Research paper thumbnail of Factors affecting mortality in patients over 70 years of age submitted to surgery for gallbladder or common bile duct stones

Hepato-gastroenterology, 1989

Chile is the country with the highest incidence of gallstone disease in the world. Nearly 44% of ... more Chile is the country with the highest incidence of gallstone disease in the world. Nearly 44% of the women and 25% of the men over 20 years of age have gallstones. Biliary tract surgery accounts for about 35% of all the operations performed in Chilean general hospitals. The present paper aims at assessing the risk factors associated with a higher mortality in patients over 70 years of age subjected to elective or emergency surgery for gallstones or common bile duct stones. No specific factors of mortality were found in the group of elderly patients subjected to elective cholecystectomy. There was also no correlation between types of cholecystitis and postoperative mortality. However, acute suppurative cholangitis made the postoperative mortality rate increase almost 20-fold in patients with common bile duct stones. The mortality also shows a steep increase (up to 12%) if cholecystectomy is performed in acute cholecystitis. Cholecystostomy seems to be associated with a low mortality ...

Research paper thumbnail of Treatment of residual common bile duct stones after cholecystectomy

Hepato-gastroenterology, 1989

This study was conducted to determine the occurrence of "open" residual common bile duc... more This study was conducted to determine the occurrence of "open" residual common bile duct stones after cholecystectomy to establish predisposing factors and possible alternative treatments. Correct diagnosis of choledocholithiasis before or during surgery, adequate exploration of the common bile duct, and suitable selection of technical procedures are the most important points in preventing retained CBD stones. If these occur, an adequate alternative treatment may prove helpful. Classical "clysis" of the bile duct is least recommended because of its high failure rate. The best method of chemical dissolution seems to be the use of mono-octanoin with 60% good results and a no-response rate of 30-40%. Instrumental extraction has been reported to be very successful (80-98%). Endoscopic sphincterotomy is currently the most frequently employed procedure for retained CBD stones, especially in poor risk patients. The reported success rate is 82-93% according to literature...

Research paper thumbnail of Indications and results of hepaticojejunostomy in benign strictures of the biliary tract

Hepato-gastroenterology, 1992

The postoperative and late results of 99 patients with benign strictures of the biliary tract are... more The postoperative and late results of 99 patients with benign strictures of the biliary tract are presented. Patients were classified according to Bismuth into 24 cases with lesion type I, 36 cases with type II, 35 cases with type III and 4 patients with type IV. All were submitted to hepaticojejunostomy with a long Roux-en-Y loop. The etiology of the strictures varied according to the type of stricture. In patients of type I, inflammatory and iatrogenic causes were observed. Among type II and III patients, previous cholecytocholedochal fistulas were the main cause, together with accidental section or ligature of the common bile duct. Operative mortality was absent in strictures of types I and II, while it was around 25% in cases of types III and IV. At late control, the best results were seen among patients with strictures of types I and II. We believe that the main factor determining the early and late outcome of these cases with benign strictures is the location of the stricture ...

Research paper thumbnail of Resultados premilinares de la gastroplastia horizontal con anastomosis en Y de Roux como cirugía bariática en pacientes con obesidad severa y mórbida

Revista médica de Chile, 1999

Background: Morbidly obese subjects have a high incidence of complications. The poor results of d... more Background: Morbidly obese subjects have a high incidence of complications. The poor results of dietary treatments, has prompted the search of new therapies for obesity and among these, surgical procedures. Aim: To report the long term results of horizontal ...

Research paper thumbnail of Reflujo gastroesofágico patológico en pacientes con obesidad severa, mórbida e hiper obesidad

Revista médica de Chile, 2001

... 1 Tecnólogo Médico. Bajar de peso es una de las primeras medidas que se recomiendan para el t... more ... 1 Tecnólogo Médico. Bajar de peso es una de las primeras medidas que se recomiendan para el tratamiento médico de pacientes con síntomas de reflujo gastroesofágico crónico patológico (RGCP). Esto se basa en el hecho ...

Research paper thumbnail of Hallazgos clínicos, endoscópicos y magnitud del reflujo de contenido gástrico y duodenal en pacientes con metaplasia intestinal cardial y esófago de Barrett corto, comparados con controles

Revista médica de Chile, 1999

Background: The diagnosis of patients with short segments of intestinal metaplasia in the distal ... more Background: The diagnosis of patients with short segments of intestinal metaplasia in the distal esophagus, has increased in recent years. Aim: To assess the clinical, pathological and functional features of patients with esophageal intestinal metaplasia. Patients and ...

Research paper thumbnail of Present Role of Classic Open Choledochostomy in the Surgical Treatment of Patients with Common Bile Duct Stones

World Journal of Surgery, 1998

Open choledochostomy still represents an important step of biliary surgery, even during the era o... more Open choledochostomy still represents an important step of biliary surgery, even during the era of laparoscopic surgery. Although its application has decreased with the widespread use of endoscopic retrograde cholangiopancreatography (ERCP) and papillotomy, still there are some patients in whom it is necessary to perform open choledochostomy and place a T-tube. The morbidity and mortality rates depend mainly on the presence or absence of an acute suppurative cholangitis, rather than the performance of the choledochostomy. In patients with mild cholangitis or those no cholangitis and less than 60 years of age, the mortality rate is lower than that observed after ERCP. This procedure is still an important technique for surgeons dedicated to biliary surgery, and therefore several technical aspects of common bile duct exploration are important to remember.

Research paper thumbnail of Clasificación y tratamiento del síndrome de Mirizzi y fístula colecistocoledociana; Classification and treatment of Mirizzi's syndrome and cholecystocholedocian fistula

Rev. chil. cir, 1989

Resumo: Se presenta una nueva clasificación de dos entidades que se han tratado en forma diferent... more Resumo: Se presenta una nueva clasificación de dos entidades que se han tratado en forma diferente y que en realidad corresponden a etapas evolutivas de un mismo proceso. Los pacientes con lesión tipo I corresponden a una compresión extrínseca de la vía biliar. ...

Research paper thumbnail of Resultados del tratamiento quirúrgico de la obesidad mórbida: análisis de 180 pacientes; Results of the surgical treatment in morbid obesity: analysis of 180 patients

Rev. chil. cir, 2002

Base de dados : LILACS. Pesquisa : 314826 [Identificador único]. Referências encontradas : 1 [ref... more Base de dados : LILACS. Pesquisa : 314826 [Identificador único]. Referências encontradas : 1 [refinar]. Mostrando: 1 .. 1 no formato [Detalhado]. página 1 de 1, 1 / 1, LILACS, seleciona. para imprimir. Fotocópia. Texto completo. experimental, Documentos relacionados. Id: 314826 ...

Research paper thumbnail of Common Bile Duct Pressure in Patients With Common Bile Duct Stones With or Without Acute Suppurative Cholangitis

Archives of Surgery, 1988

Resting common bile duct pressure was measured in three groups of patients: group 1, 53 patients ... more Resting common bile duct pressure was measured in three groups of patients: group 1, 53 patients with gallstones but without common duct stones; group 2, 35 patients with common bile duct stones unaccompanied by cholangitis; and group 3, 36 patients with common duct stones and acute suppurative cholangitis. A significantly higher pressure in the common bile duct was documented in patients with cholangitis when compared with the other two groups. Twenty-four patients with cholangitis had common duct pressure values above 20 cm H2O, the maximal values of normal. Additionally, patients with cholangitis with pressure values over 30 cm H2O (nine patients) showed absence of green bile in the extrahepatic biliary tract, suggesting cessation of bile excretion into biliary duct. In all these cases, an impacted stone at the distal end of the common bile duct was documented.

Research paper thumbnail of Estudio de microscopia electrónica de barrido en superficie peritoneal en controles y pacientes con cancer gástrico

Revista Chilena De Cirugia, Feb 1, 2007

Research paper thumbnail of Síntomas ácido-pépticos gastroesofágicos como causa de consumo de antiácidos y ácido-supresores y su asociación con el índice de masa corporal en población adulta urbana* Use of antacids and acid-suppressors for gastro-esophageal peptic symptoms and body mass index in adult urban population

Research paper thumbnail of Planificación y factibilidad de un proyecto de investigación clínica

Revista Médica Clínica Las Condes, 2019

La investigación científica se ha consolidado como el mejor modo de generar conocimiento confiabl... more La investigación científica se ha consolidado como el mejor modo de generar conocimiento confiable, válido, verificable y reproducible. En el ámbito de la salud humana, la investigación biomédica ha permitido ampliar la comprensión de las enfermedades y avanzar en su prevención y en el tratamiento y rehabilitación de las personas en situación de enfermedad. El método científico es un sistema ordenado de generación de conocimiento mediante pasos secuenciales, que brindan mayor certidumbre a un resultado y permiten obtener conclusiones válidas, que aporten verosimilitud al nuevo conocimiento generado. Al planificar un proyecto de investigación, se debe tener presente que existe el riesgo de dilapidar tiempo, energía y recursos para finalmente obtener resultados pobres, decepcionantes y a veces inútiles. Para minimizar estos riesgos, la planificación ofrece un modo de anticipar eventos y obstáculos, a la vez de reconocer alternativas que hagan del proyecto, un producto útil, que logre su objetivo y que sea eficiente en el uso de los recursos. Respecto a estos recursos, el análisis de factibilidad del proyecto permitirá conocer en detalle los recursos necesarios para su mejor ejecución y cumplir así, los objetivos del estudio.

Research paper thumbnail of Horizontal gastroplasty with Roux en Y anastomosis in morbidly obese patients. Preliminary results

Revista medica de Chile

Morbidly obese subjects have a high incidence of complications. The poor results of dietary treat... more Morbidly obese subjects have a high incidence of complications. The poor results of dietary treatments, has prompted the search of new therapies for obesity and among these, surgical procedures. To report the long term results of horizontal gastroplasty with Roux en Y anastomosis in morbidly obese subjects. Fifty patients with an initial body mass index of 41.3 +/- 6 kg/m2 have been subjected to a horizontal gastroplasty with Roux en Y anastomosis. During the study period, surgical techniques were modified, reducing the gastric pouch size, adding a truncal vagotomy, cholecystectomy, and increasing the length of the Roux en Y loop from 70 to 100 cm. Twenty five patients have been followed for two years. There was no operative mortality and one patient had an anastomotic leak that required 35 days of hospitalization. During follow up, in one patient, the stapled suture line loosened. After two years of follow up, weight decreased from 112 +/- 19 to 77.2 +/- 14 kg. Horizontal gastropla...