Transit Bipartition with Duodeno-Ileal Anastomosis, without Duodenal Exclusion, as a First Stage of Bariatric Surgery in Severely Obese Patients: Case Report — Oak Academic Publishing
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Transit Bipartition with Duodeno-Ileal Anastomosis, without Duodenal Exclusion, as a First Stage of Bariatric Surgery in Severely Obese Patients: Case Report
Instituto Paulo Reis, Goiânia, Brazil
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Instituto Paulo Reis, Goiânia, Brazil
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Instituto Paulo Reis, Goiânia, Brazil
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UNIFAN-Centro Universitário Alfredo Nasser, Aparecida de Goiânia, Goiás, Brazil
1 Instituto Paulo Reis, Goiânia, Brazil
2 Instituto Paulo Reis, Goiânia, Brazil
3 Instituto Paulo Reis, Goiânia, Brazil
4 UNIFAN-Centro Universitário Alfredo Nasser, Aparecida de Goiânia, Goiás, Brazil
Obesity is a difficult disease to control; bariatric surgery is one of the tools used to treat obesity and its comorbidities. The present case was chosen because it concerns a very obese patient whose proposed surgery — duodenal switch — resulted in traoperatively difficult to the medical team because the esophagogastric junction could not be reached due to the presence of hepatomegaly. Due to this unfavorable condition, we decided to perform a duodeno-ileal anastomosis with gastric preservation and without duodenal exclusion. The patient has been under follow-up for 14 years. She has lost 55 kg and maintains the comorbidities controlled to date.
Ferreira, A.P.S., Szwarcwald, C.L., Damacena, G.N. and Souza Júnior, P.R.B. (2021) Increasing Trends in Obesity Prevalence from 2013 to 2019 and Associated Factors in Brazil. Revista Brasileira de Epidemiologia, 24, e210009. https://doi.org/10.1590/1980-549720210009.supl.2
Blüher, M. (2019) Obesity: Global Epidemiology and Pathogenesis. Nature Reviews Endocrinoligy, 15, 288-298. https://doi.org/10.1038/s41574-019-0176-8
Dias, P.C., Henriques, P., Anjos, L.A. and Burlandy, L. (2017) Obesity and Public Policies: The Brazilian Government’s Definitions and Strategies. Cadernos de Saúde Pública, 33, e00006016. https://doi.org/10.1590/0102-311x00006016
Courcoulas, A.P., King, W.C., Belle, S.H., Berk, P., Flum, D.R., Garcia, L., Gourash, W., Horlick, M., Mitchell, J.E., Pomp, A., Pories, W.J., Purnell, J.Q., Singh, A., Spaniolas, K., Thirlby, R., Wolfe, B.M. and Yanovski, S.Z. (2018) Seven-Year Weight Trajectories and Health Outcomes in the Longitudinal Assessment of Bariatric Surgery (LABS) Study. JAMA Surgery, 153, 427-434. https://doi.org/10.1001/jamasurg.2017.5025
Wadden, T.A., Neiberg, R.H., Wing, R.R., Clark, J.M., Delahanty, L.M., Hill, J.O., Krakoff, J., Otto, A., Ryan, D.H., Vitolins, M.Z. and Look AHEAD Research Group (2011) Four-Year Weight Losses in the Look AHEAD Study: Factors Associated with Long-Term Success. Obesity, 19, 1987-1998. https://doi.org/10.1038/oby.2011.230
Livhits, M., Mercado, C., Yermilov, I., Parikh, J.A., Dutson, E., Mehran, A., Ko, C.Y. and Gibbons, M.M. (2012) Preoperative Predictors of Weight Loss Following Bariatric Surgery: Systematic Review. Obesity Surgery, 22, 70-89. https://doi.org/10.1007/s11695-011-0472-4
Dutton, G.R. and Lewis, C.E. (2015) The Look AHEAD Trial: Implications for Lifestyle Intervention in Type 2 Diabetes Mellitus. Progress in Cardiovascular Diseases, 58, 69-75. https://doi.org/10.1016/j.pcad.2015.04.002
Gregg, E.W., Chen, H., Wagenknecht, L.E., Clark, J.M., Delahanty, L.M., Bantle, J., Pownall, H.J., Johnson, K.C., Safford, M.M., Kitabchi, A.E., Pi-Sunyer, F.X., Wing, R.R., Bertoni, A.G. and Look AHEAD Research Group (2012) Association of an Intensive Lifestyle Intervention with Remission of Type 2 Diabetes. JAMA, 308, 2489-2496. https://doi.org/10.1001/jama.2012.67929
Courcoulas, A.P., Christian, N.J., Belle, S.H., Berk, P.D., Flum, D.R., Garcia, L., Horlick, M., Kalarchian, M.A., King, W.C., Mitchell, J.E., Patterson, E.J., Pender, J.R., Pomp, A., Pories, W.J., Thirlby, R.C., Yanovski, S.Z., Wolfe, B.M. and Longitudinal Assessment of Bariatric Surgery (LABS) Consortium (2013) Weight Change and Health Outcomes at 3 Years after Bariatric Surgery among Individuals with Severe Obesity. JAMA, 310, 2416-2425. https://doi.org/10.1001/jama.2013.280928
Purnell, J.Q., Selzer, F., Wahed, A.S., Pender, J., Pories, W., Pomp, A., Dakin, G., Mitchell, J., Garcia, L., Staten, M.A., McCloskey, C., Cummings, D.E., Flum, D.R., Courcoulas, A. and Wolfe, B.M. (2016) Type 2 Diabetes Remission Rates after Laparoscopic Gastric Bypass and Gastric Banding: Results of the Longitudinal Assessment of Bariatric Surgery Study. Diabetes Care, 39, 1101-1107. https://doi.org/10.2337/dc15-2138
Kral, J.G. and Näslund, E. (2007) Surgical Treatment of Obesity. Nature Clinical Practice Endocrinology & Metabolism, 3, 574-583. https://doi.org/10.1038/ncpendmet0563
Deitel, M., Gawdat, K. and Melissas, J. (2007) Reporting Weight Loss 2007. Obesity Surgery, 17, 565-568. https://doi.org/10.1007/s11695-007-9116-0
Bray, G.A., Heisel, W.E., Afshin, A., Jensen, M.D., Dietz, W.H., Long, M., Kushner, R.F., Daniels, S.R., Wadden, T.A., Tsai, A.G., Hu, F.B., Jakicic, J.M., Ryan, D.H., Wolfe, B.M. and Inge, T.H. (2018) The Science of Obesity Management: An Endocrine Society Scientific Statement. Endocrine Reviews, 39, 79-132. https://doi.org/10.1210/er.2017-00253
Fontaine, K.R., Redden, D.T., Wang, C., Westfall, A.O. and Allison, D.B. (2003) Years of Life Lost Due to Obesity. JAMA, 289, 187-193. https://doi.org/10.1001/jama.289.2.187
Prospective Studies Collaboration, Whitlock, G., Lewington, S., Sherliker, P., Clarke, R., Emberson, J., Halsey, J., Qizilbash, N., Collins, R. and Peto, R. (2009) Body-Mass Index and Cause-Specific Mortality in 900,000 Adults: Collaborative Analyses of 57 Prospective Studies. The Lancet, 373, 1083-1096. https://doi.org/10.1016/S0140-6736(09)60318-4
Halpern, B., Mancini, M.C., de Melo, M.E., Lamounier, R.N., Moreira, R.O., Carra, M.K., Kyle, T.K., Cercato, C. and Boguszewski, C.L. (2022) Proposal of an Obesity Classification Based on Weight History: An Official Document by the Brazilian Society of Endocrinology and Metabolism (SBEM) and the Brazilian Society for the Study of Obesity and Metabolic Syndrome (ABESO). Archives of Endocrinology and Metabolism, 66, 139-151. https://doi.org/10.20945/2359-3997000000465
Halpern, B. and Halpern, A. (2015) Why Are Anti-Obesity Drugs Stigmatized? Expert Opinion on Drug Safety, 14, 185-189. https://doi.org/10.1517/14740338.2015.995088
Santoro, S., Milleo, F.Q., Malzoni, C.E., Klajner, S., Borges, P.C., Santo, M.A., Campos, F.G. and Artoni, R.F. (2008) Enterohormonal Changes after Digestive Adaptation: Five-Year Results of a Surgical Proposal to Treat Obesity and Associated Diseases. Obesity Surgery, 18, 17-26. https://doi.org/10.1007/s11695-007-9371-0
Santoro, S. (2005) Hipertrofia intestinal induzida por alimento e obesidade. Einstein, 3, 312.
Balsiger, B.M., Murr, M.M., Poggio, J.L. and Sarr, M.G. (2000) Bariatric Surgery. Surgery for Weight Control in Patients with Morbid Obesity. The Medical Clinics of North America, 84, 477-489. https://doi.org/10.1016/S0025-7125(05)70232-7
DeMaria, E.J. (2007) Bariatric Surgery for Morbid Obesity. The New England Journal of Medicine, 356, 2176-2183. https://doi.org/10.1056/NEJMct067019
Aurora, A.R., Khaitan, L. and Saber, A.A. (2012) Sleeve Gastrectomy and the Risk of Leak: A Systematic Analysis of 4,888 Patients. Surgical Endoscopy, 26, 1509-1515. https://doi.org/10.1007/s00464-011-2085-3
Godoy, E.P., Pereira, S.S.S., Coelho, D., Pinto, I.M.M., Luz, V.F., Coutinho, J.L., Palitot, T.R.C., Costa, H.B.F., Campos, J.M. and Brandt, C.T. (2019) Isolated Intestinal Transit Bipartition: A New Strategy for Staged Surgery in Superobesity. Revista do Colégio Brasileiro de Cirurgioes, 46, e20192264. https://doi.org/10.1590/0100-6991e-20192264
Gould, J.C., Garren, M.J., Boll, V. and Starling, J.R. (2006) Laparoscopic Gastric Bypass: Risks vs. Benefits up to Two Years Following Surgery in Super-Super Obese Patients. Surgery, 140, 524-531. https://doi.org/10.1016/j.surg.2006.07.002
Regan, J.P., Inabnet, W.B., Gagner, M. and Pomp, A. (2003) Early Experience with Two-Stage Laparoscopic Roux-en-Y Gastric Bypass as an Alternative in the Super-Super Obese Patient. Obesity Surgery, 13, 861-864. https://doi.org/10.1381/096089203322618669
Nguyen, N.T., Longoria, M., Gelfand, D.V., Sabio, A. and Wilson, S.E. (2005) Staged Laparoscopic Roux-en-Y: A Novel Two-Stage Bariatric Operation as an Alternative in the Super-Obese with Massively Enlarged Liver. Obesity Surgery, 15, 1077-1081. https://doi.org/10.1381/0960892054621062
Santoro, S., Castro, L.C., Velhote, M.C., Malzoni, C.E., Klajner, S., Castro, L.P., Lacombe, A. and Santo, M.A. (2012) Sleeve Gastrectomy with Transit Bipartition: A Potent Intervention for Metabolic Syndrome and Obesity. Annals of Surgery, 256, 104-110. https://doi.org/10.1097/SLA.0b013e31825370c0
Pereira, S.S. (2007) Neuroendocrine Surgery of the Digestive System: An Amazing Field! Revista Brasileira de Videocirurgia, 5, 113-116.
Azevedo, F.R., Santoro, S., Correa-Giannella, M.L., Toyoshima, M.T., Giannella-Neto, D., Calderaro, D., Gualandro, D.M., Yu, P.C. and Caramelli, B. (2018) A Prospective Randomized Controlled Trial of the Metabolic Effects of Sleeve Gastrectomy with Transit Bipartition. Obesity Surgery, 28, 3012-3019. https://doi.org/10.1007/s11695-018-3239-3
Reiber, B.M.M., Leemeyer, A.M.R., Bremer, M.J.M., Brauw, M. and Bruin, S.C. (2021) Weight Loss Results and Compliance with Follow-Up after Bariatric Surgery. Obesity Surgery, 31, 3606-3614. https://doi.org/10.1007/s11695-021-05450-6
Alfonsson, S., Weineland-Strandskov, S. and Sundbom, M. (2017) Self-Reported Hedonism Predicts 12-Month Weight Loss after Roux-en-Y Gastric Bypass. Obesity Surgery, 27, 2073-2078. https://doi.org/10.1007/s11695-017-2603-z
Ettleson, M.D., Lager, C.J., Kraftson, A.T., Esfandiari, N.H. and Oral, E.A. (2017) Roux-en-Y Gastric Bypass versus Sleeve Gastrectomy: Risks and Benefits. Minerva Chirurgica, 72, 505-519. https://doi.org/10.23736/S0026-4733.17.07441-7
Luo, D., Yang, Q., Zhou, L., Wang, H., Li, F., Ge, H., Huang, H., Liu, J. and Liu, Y. (2020) Comparative Effects of Three Kinds of Bariatric Surgery: A Randomized Case-Control Study in Obese Patients. Diabetes Therapy, 11, 175-183. https://doi.org/10.1007/s13300-019-00719-7
Batsis, J.A., Romero-Corral, A., Collazo-Clavell, M.L., Sarr, M.G., Somers, V.K. and Lopez-Jimenez, F. (2008) Effect of Bariatric Surgery on the Metabolic Syndrome: A Population-Based, Long-Term Controlled Study. Mayo Clinic Proceedings, 83, 897-906. https://doi.org/10.1016/S0025-6196(11)60766-0
Buchwald, H., Estok, R., Fahrbach, K., Banel, D., Jensen, M.D., Pories, W.J., Bantle, J.P. and Sledge, I. (2009) Weight and Type 2 Diabetes after Bariatric Surgery: Systematic Review and Meta-Analysis. The American Journal of Medicine, 122, 248-256.e5. https://doi.org/10.1016/j.amjmed.2008.09.041
Sjöström, L., Lindroos, A.K., Peltonen, M., Torgerson, J., Bouchard, C., Carlsson, B., Dahlgren, S., Larsson, B., Narbro, K., Sjöström, C.D., Sullivan, M., Wedel, H. and Swedish Obese Subjects Study Scientific Group (2004) Lifestyle, Diabetes, and Cardiovascular Risk Factors 10 Years after Bariatric Surgery. The New England Journal of Medicine, 351, 2683-2693. https://doi.org/10.1056/NEJMoa035622
Lim, R.B., Blackburn, G.L. and Jones, D.B. (2010) Benchmarking Best Practices in Weight Loss Surgery. Current Problems in Surgery, 47, 79-174. https://doi.org/10.1067/j.cpsurg.2009.11.003
Lindekilde, N., Gladstone, B.P., Lübeck, M., Nielsen, J., Clausen, L., Vach, W. and Jones, A. (2015) The Impact of Bariatric Surgery on Quality of Life: A Systematic Review and Meta-Analysis. Obesity Reviews, 16, 639-651. https://doi.org/10.1111/obr.12294
Szmulewicz, A., Wanis, K.N., Gripper, A., Angriman, F., Hawel, J., Elnahas, A., Alkhamesi, N.A. and Schlachta, C.M. (2019) Mental Health Quality of Life after Bariatric Surgery: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. Clinical Obesity, 9, e12290. https://doi.org/10.1111/cob.12290
Choban, P.S., Onyejekwe, J., Burge, J.C. and Flancbaum, L. (1999) A Health Status Assessment of the Impact of Weight Loss Following Roux-en-Y Gastric Bypass for Clinically Severe Obesity. Journal of the American College of Surgeons, 188, 491-497. https://doi.org/10.1016/S1072-7515(99)00030-7
Anthone, G.J., Lord, R.V., DeMeester, T.R. and Crookes, P.F. (2003) The Duodenal Switch Operation for the Treatment of Morbid Obesity. Annals of Surgery, 238, 618-628. https://doi.org/10.1097/01.sla.0000090941.61296.8f
Strain, G.W., Torghabeh, M.H., Gagner, M., Ebel, F., Dakin, G.F., Abelson, J.S., Connolly, D. and Pomp, A. (2017) The Impact of Biliopancreatic Diversion with Duodenal Switch (BPD/DS) over 9 Years. Obesity Surgery, 27, 787-794. https://doi.org/10.1007/s11695-016-2371-1