Indicazioni e risultati della chirurgia bariatrica - Cattedra Chirurgia ...

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38,0 ECCESSO DI PESO PERSO 35,9 Kg 34,0 30,0 26,0 22,0 18,0 17,0 19,3 22,6 26,2 26,1 27,7 30,8 14,0 12,9 10,0 3 6 9 12 24 36 48 60 72 Mesi EW Medio: 58.2 19.8 (range: 17 - 155) Kg
BASIS FOR EVALUATION OF RESULTS IN OBESITY SURGERY Result BMI EW (%) Excellent < 30 0 – 25 Good 30 – 35 26 – 50 Failure > 35 > 50 MacLean et al. Ann. Surg. April 2000
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Indicazioni e risultati della chiru
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Prevalenza obesità (1)
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“Il minor tasso di mortalità, da
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Obesity Trends* Among U.S. Adults B
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%persone obese 15+ M+F %persone obe
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SURGICAL PROCEDURES 1980 VS 2000
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THE ECOMNOMIST Fonte: The Economist
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Prevalence growth by severity of ob
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"Ho trovato una dieta eccezionale.
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ANCHE SE…….. “L’uso del clo
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1953 1967 1971 Chirurgia dell’obe
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Chirurgia Bariatrica in Italia 1500
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Surgery for Morbid Obesity Jejuno-i
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Scopinaro Diversione Bilio-Pancreat
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Terapia chirurgica Chirurgia Restri
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Bendaggio gastrico regolabile (ASGB
Page 58 and 59: Terapia chirurgica Chirurgia di tip
Page 62 and 63: Trattamenti chirurgici innovativi
Page 64 and 65: Il Bendaggio Gastrico Regolabile Pi
Page 66 and 67: LAP-BANDING Modo d’azione Limita
Page 69 and 70: SLEEVE GASTRECTOMY - OTTIMI RISULTA
Page 72 and 73: IL BY-PASS GASTRICO LAPAROSCOPICO -
Page 74 and 75: Lap-Band + Scopinaro Band-Inaro Alt
Page 77 and 78: RISULTATI
Page 79 and 80: Pz. Operati / anno 1996 411 1997 48
Page 81 and 82: Comorbidità Singole 1355 pz. (30%)
Page 83 and 84: Durata intervento 105 58 (range: 2
Page 85 and 86: COMPLICANZE
Page 87 and 88: Conversioni laparotomiche 99 (2.1%)
Page 89 and 90: MORTALITÀ (non 30 days mortality)
Page 91 and 92: Complicanze post-operatorie Dilataz
Page 95 and 96: Dilatazione tasca gastrica 172 / 33
Page 97 and 98: Dilatazione tasca gastrica 402 / 45
Page 100 and 101: 60 Complicanze Post-operatorie Comp
Page 102 and 103: Complicanze Post-operatorie Erosion
Page 104 and 105: 44,0 BMI medio post-op. (4516 pts)
Page 108 and 109: BASIS FOR EVALUATION OF RESULTS IN
Page 110 and 111: Risultati a 5 anni 573 pts. 568 pts
Page 112 and 113: Suddivisione pazienti per classi di
Page 114 and 115: % E W L 50 45 40 35 30 25 20 15 10
Page 116 and 117: Italian Group for LAP-BAND ® CONCL
Page 118 and 119: ESPERIENZA USA •Bendaggio gastric
Page 120 and 121: EBM E CHIRURGIA BARIATRICA OPEN (1)
Page 122 and 123: EBM & RYGB LAPAROSCOPICO 2 RCT (1 c
Page 124 and 125: RYGB LAPAROSCOPICO TR (I livello) W
Page 126 and 127: RYGB LAPAROSCOPICO Conclusioni •
Page 128 and 129: Surgery decreases long-term mortali
Page 130 and 131: Swedish Obese Subjects (SOS) Study
Page 132 and 133: Incidence of Diabetes, Hypertension
Page 134 and 135: Bariatric Surgery Meta-analysis Sho
Page 136 and 137: Recovery from Diabetes, Hypertensio
Page 138 and 139: Recovery from Lipid Disturbances am
Page 140 and 141: Bariatric Surgery Meta-analysis Sho
Page 142 and 143: FONDAZIONE SALUS PER LA PREVENZIONE
Page 152 and 153: Criteri di selezione preoperatoria
Page 154 and 155: Criteri di selezione preoperatoria
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FILOSOFIA DELLE INDICAZIONI Interve
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INDICAZIONI ALLE PROCEDURE ENDO-LAP
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Superobesi: OPZIONI BPD GBP BIB Lap
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