Risultati preliminari della diversione billopancreatica nel trattamento della grande obesita. Considerazioni cliniche su 69 pazienti con follow-up a 3 anni

Translated title of the contribution: Preliminary results of biliopancreatic diversion in the treatment of major obesity. Clinical considerations in 69 patients with a 3 year follow-up

M. L. Cossu, M. Coppola, E. Fais, M. Ruggiu, G. Noya

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Bacground and aims. The aim of this study was to evaluate the results obtained using Scopinaro's biliopancreatic diversion technique (AHS-BPD) in the surgical treatment of morbid obesity. Methods. A retrospective study was carried out in 69 patients with a follow-up ranging between 6-44 months. AU patients were operated and monitored by the Obesity Surgery Centre operating in Sardinia since february 1995 at the Department of Emergency Surgery of Sassari University. All the patients were severely obese with a mean BMI of 51.58 and, in the majority of cases, presented associated metabolic diseases with the following incidence: type 2 diabetes in 40.57%, arterial hypertension in 36.23%, severe alteration of lipid status in 52.17%; in overall terms, a plurimetabolic syndrome was present in 24.63% of cases. All patients underwent biliopancreatic diversion using Scopinaro's classic technique (AHS-BPD). Controls were carried out at set intervals (1-3-6-12-18 and 24 months) to evaluate weight loss and the metabolic effects of surgery in terms of the lipid, glucose and protein status. Results. Results were good, as confirmed by the marked weight loss (BMI after 24 months: 30) and the normalisation of cholesterol and glycemia. No major reductions were observed in proteinemia and albuminemia levels. Conclusions. In the light of these results, the authors affirm that Scopinaro's technique is a valid solution for the treatment of morbid obesity. Its relatively invasive nature is justified by the results obtained in terms of weight control and its effect on associated metabolic diseases.

Original languageItalian
Pages (from-to)211-219
Number of pages9
JournalMinerva Chirurgica
Volume55
Issue number4
Publication statusPublished - Apr 2000

Fingerprint

Biliopancreatic Diversion
Obesity
Morbid Obesity
Metabolic Diseases
Weight Loss
Lipids
Bariatric Surgery
Therapeutics
Type 2 Diabetes Mellitus
Italy
Hospital Emergency Service
Retrospective Studies
Cholesterol
Hypertension
Weights and Measures
Glucose
Incidence
Proteins

ASJC Scopus subject areas

  • Surgery

Cite this

Risultati preliminari della diversione billopancreatica nel trattamento della grande obesita. Considerazioni cliniche su 69 pazienti con follow-up a 3 anni. / Cossu, M. L.; Coppola, M.; Fais, E.; Ruggiu, M.; Noya, G.

In: Minerva Chirurgica, Vol. 55, No. 4, 04.2000, p. 211-219.

Research output: Contribution to journalArticle

@article{6e5f72dbc39049f592ba14656ca9fd29,
title = "Risultati preliminari della diversione billopancreatica nel trattamento della grande obesita. Considerazioni cliniche su 69 pazienti con follow-up a 3 anni",
abstract = "Bacground and aims. The aim of this study was to evaluate the results obtained using Scopinaro's biliopancreatic diversion technique (AHS-BPD) in the surgical treatment of morbid obesity. Methods. A retrospective study was carried out in 69 patients with a follow-up ranging between 6-44 months. AU patients were operated and monitored by the Obesity Surgery Centre operating in Sardinia since february 1995 at the Department of Emergency Surgery of Sassari University. All the patients were severely obese with a mean BMI of 51.58 and, in the majority of cases, presented associated metabolic diseases with the following incidence: type 2 diabetes in 40.57{\%}, arterial hypertension in 36.23{\%}, severe alteration of lipid status in 52.17{\%}; in overall terms, a plurimetabolic syndrome was present in 24.63{\%} of cases. All patients underwent biliopancreatic diversion using Scopinaro's classic technique (AHS-BPD). Controls were carried out at set intervals (1-3-6-12-18 and 24 months) to evaluate weight loss and the metabolic effects of surgery in terms of the lipid, glucose and protein status. Results. Results were good, as confirmed by the marked weight loss (BMI after 24 months: 30) and the normalisation of cholesterol and glycemia. No major reductions were observed in proteinemia and albuminemia levels. Conclusions. In the light of these results, the authors affirm that Scopinaro's technique is a valid solution for the treatment of morbid obesity. Its relatively invasive nature is justified by the results obtained in terms of weight control and its effect on associated metabolic diseases.",
keywords = "Bilio-pancreatic diversion, Hypercholesterolemia, Hyperglycemia, Obesity, morbid surgery",
author = "Cossu, {M. L.} and M. Coppola and E. Fais and M. Ruggiu and G. Noya",
year = "2000",
month = "4",
language = "Italian",
volume = "55",
pages = "211--219",
journal = "Minerva Chirurgica",
issn = "0026-4733",
publisher = "Edizioni Minerva Medica S.p.A.",
number = "4",

}

TY - JOUR

T1 - Risultati preliminari della diversione billopancreatica nel trattamento della grande obesita. Considerazioni cliniche su 69 pazienti con follow-up a 3 anni

AU - Cossu, M. L.

AU - Coppola, M.

AU - Fais, E.

AU - Ruggiu, M.

AU - Noya, G.

PY - 2000/4

Y1 - 2000/4

N2 - Bacground and aims. The aim of this study was to evaluate the results obtained using Scopinaro's biliopancreatic diversion technique (AHS-BPD) in the surgical treatment of morbid obesity. Methods. A retrospective study was carried out in 69 patients with a follow-up ranging between 6-44 months. AU patients were operated and monitored by the Obesity Surgery Centre operating in Sardinia since february 1995 at the Department of Emergency Surgery of Sassari University. All the patients were severely obese with a mean BMI of 51.58 and, in the majority of cases, presented associated metabolic diseases with the following incidence: type 2 diabetes in 40.57%, arterial hypertension in 36.23%, severe alteration of lipid status in 52.17%; in overall terms, a plurimetabolic syndrome was present in 24.63% of cases. All patients underwent biliopancreatic diversion using Scopinaro's classic technique (AHS-BPD). Controls were carried out at set intervals (1-3-6-12-18 and 24 months) to evaluate weight loss and the metabolic effects of surgery in terms of the lipid, glucose and protein status. Results. Results were good, as confirmed by the marked weight loss (BMI after 24 months: 30) and the normalisation of cholesterol and glycemia. No major reductions were observed in proteinemia and albuminemia levels. Conclusions. In the light of these results, the authors affirm that Scopinaro's technique is a valid solution for the treatment of morbid obesity. Its relatively invasive nature is justified by the results obtained in terms of weight control and its effect on associated metabolic diseases.

AB - Bacground and aims. The aim of this study was to evaluate the results obtained using Scopinaro's biliopancreatic diversion technique (AHS-BPD) in the surgical treatment of morbid obesity. Methods. A retrospective study was carried out in 69 patients with a follow-up ranging between 6-44 months. AU patients were operated and monitored by the Obesity Surgery Centre operating in Sardinia since february 1995 at the Department of Emergency Surgery of Sassari University. All the patients were severely obese with a mean BMI of 51.58 and, in the majority of cases, presented associated metabolic diseases with the following incidence: type 2 diabetes in 40.57%, arterial hypertension in 36.23%, severe alteration of lipid status in 52.17%; in overall terms, a plurimetabolic syndrome was present in 24.63% of cases. All patients underwent biliopancreatic diversion using Scopinaro's classic technique (AHS-BPD). Controls were carried out at set intervals (1-3-6-12-18 and 24 months) to evaluate weight loss and the metabolic effects of surgery in terms of the lipid, glucose and protein status. Results. Results were good, as confirmed by the marked weight loss (BMI after 24 months: 30) and the normalisation of cholesterol and glycemia. No major reductions were observed in proteinemia and albuminemia levels. Conclusions. In the light of these results, the authors affirm that Scopinaro's technique is a valid solution for the treatment of morbid obesity. Its relatively invasive nature is justified by the results obtained in terms of weight control and its effect on associated metabolic diseases.

KW - Bilio-pancreatic diversion

KW - Hypercholesterolemia

KW - Hyperglycemia

KW - Obesity, morbid surgery

UR - http://www.scopus.com/inward/record.url?scp=0033623893&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033623893&partnerID=8YFLogxK

M3 - Articolo

VL - 55

SP - 211

EP - 219

JO - Minerva Chirurgica

JF - Minerva Chirurgica

SN - 0026-4733

IS - 4

ER -