RESULT OF BILIOINTESTINAL BYPASS IN TREATMENT OF MORBID OBESITY

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MOUSAVI NAEINI M.; MEHRVARZ SH.

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Journal: KOWSAR MEDICAL JOURNAL Year:2007 | Volume:12 | Issue:3 Page(s): 239-248

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Title

RESULT OF BILIOINTESTINAL BYPASS IN TREATMENT OF MORBID OBESITY

Author(s)

MOUSAVI NAEINI M. | MEHRVARZ SH. | Issue Writer Certificate

Keywords

MORBID OBESITYQ3

BODY MASS INDEXQ3

BILIOINTESTINAL BYPASSQ3

JEJUNOILEAL BYPASSQ3

Abstract

Introduction: There are a lot of surgical methods for the treatment of morbidly obese patients. BILIOINTESTINAL BYPASS (BIB), a Bariatric surgery, produces significant long term weight reduction by malabsorption in the intestine. This operation is a modification of JEJUNOILEAL BYPASS (JIB) with anastomosis of the proximal end of jejunum to the fundus of the gall bladder.In this study, we evaluated the efficacy and complications of JIB in the treatment of MORBID OBESITY.Materials and Methods: The indication for the surgery was BMI > 40 or BMI =35-40 with comorbid illness. In this prospective study that was conducted between Sep 2004 and March 2006, 23 patients (16 female and 7 male), with median weight of 125±18 and (mean???) BODY MASS INDEX of 44±5, underwent BIB surgery in khatam and Baqiyatallah(a.s) hospitals. At least 83% of the patients complained of one of the co-morbid illnesses due to excess weight such as musculoskeletal problems, diabetes, cardio-pulmonary diseases, etc. After surgery, the patients were evaluated for weight reduction and other surgical and metabolic complications for averagely 16months (11-24 mo).Results: During follow up, there were no significant adverse metabolic complications. None of the patients had DVT or PE and the mortality rate was zero. The average weight reduction after 6, 12, 18 and 24 months were 22.1, 34.5, 39.6 and 42.5 Kg, respectively. The average BMI after 6, 12, 18 and 24 months were 37.5, 33, 32 and 33, respectively. Diarrhea was the most frequent complication which was observed in 21% of the patients Two (8.6%) incisional hernias were observed because of postoperative wound infection. This study showed that the amount of weight loss was significantly better in men.Conclusion: BIB is a simple and reversible method for the morbidly obese patients.Anastomosis of the proximal end of jejunum to the gall bladder eliminates the blind loop in JIB and maintains entrohepatic circulation of bile and prevents bacterial overgrowth, renal calculi formation and hepatic failure and in comparison with the original technique, reduces the risk of metabolic side effects.

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References

RESULT AND COMPLICATION OF VERTICAL BANDED GASTROPLASTY IN MORBID OBESITY

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APA: Copy

MOUSAVI NAEINI, M., & MEHRVARZ, SH.. (2007). RESULT OF BILIOINTESTINAL BYPASS IN TREATMENT OF MORBID OBESITY. KOWSAR MEDICAL JOURNAL, 12(3), 239-248. SID. https://sid.ir/paper/32705/en

Vancouver: Copy

MOUSAVI NAEINI M., MEHRVARZ SH.. RESULT OF BILIOINTESTINAL BYPASS IN TREATMENT OF MORBID OBESITY. KOWSAR MEDICAL JOURNAL[Internet]. 2007;12(3):239-248. Available from: https://sid.ir/paper/32705/en

IEEE: Copy

M. MOUSAVI NAEINI, and SH. MEHRVARZ, “RESULT OF BILIOINTESTINAL BYPASS IN TREATMENT OF MORBID OBESITY,” KOWSAR MEDICAL JOURNAL, vol. 12, no. 3, pp. 239–248, 2007, [Online]. Available: https://sid.ir/paper/32705/en

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