Abstract

PORTIE, Antonio Félix et al. Portie I technique of Biliopacreatic diversion for the surgical treatment of morbid obesity. Rev Cubana Cir [online]. 2013, vol.52, n.2, pp.78-90. ISSN 0034-7493.

Introduction: obesity is considered an epidemic nowadays. Though it has several ways of treatment, surgery has been proved to be the best option. Objective: to show Portie I technique for the surgical treatment of morbid obesity and its most frequent comorbidities. Methods: a prospective and descriptive longitudinal study is conducted between January 2000 and January 2012, in which 683 patients with morbid obesity treated with the Portie I surgical technique were included. Different types of obesities and the associated comorbodities were evaluated to set the appropriate surgical strategy. Post-surgical results and classifications of early and late complications are presented. Results: prevalence of 465 female patients over 268 male patients was significant, meanwhile comorbidity was 66 (9.6 %), mortality was 4 (0.5 %), weight loss was over 80 % in 75 % of the total of cases by the end of 5 years after surgery. Average surgical time was 3.5 hours. (Ranking 2.74.3 hours) Conclusions: the technique of biliopacreatic diversion is an effective and safe surgical option in the management of morbid obesity.

Keywords : morbid obesity; Roux- en Y; metabolic and bariatric surgery.

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