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

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Bariatric Surgery Meta-analysis Short-term effects on Dyslipidemia. Lipid levels (mmol/l) HDL TG - Total + 0.07 - 0.90 - Gastric Banding + 0.12 - 0.78 - Gastroplasty + 0.13 - 0.89 - Gastric Bypass + 0.05 - 1.07 - BPD or DS + 0.07 - 0.80 Buchwald et al. JAMA 2004;292:1724
% Changes of lipid levels 12-1818 months after gastric banding. Weight losers Weight Stable Weight gainers (n = 296) (n = 136) (n = 183) TOT-CHOL - 4.9 - 0.5 - 2.7 HDL-CHOL - 1.3 + 9.7 + 6.5 TG - 10.8 - 15.2 - 17.2 Busetto et al. Obes Res 2004;12:1256
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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
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Terapia chirurgica Chirurgia di tip
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Trattamenti chirurgici innovativi
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Il Bendaggio Gastrico Regolabile Pi
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LAP-BANDING Modo d’azione Limita
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SLEEVE GASTRECTOMY - OTTIMI RISULTA
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IL BY-PASS GASTRICO LAPAROSCOPICO -
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Lap-Band + Scopinaro Band-Inaro Alt
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RISULTATI
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Pz. Operati / anno 1996 411 1997 48
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Comorbidità Singole 1355 pz. (30%)
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Durata intervento 105 58 (range: 2
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COMPLICANZE
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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 106 and 107: 38,0 ECCESSO DI PESO PERSO 35,9 Kg
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 142 and 143: FONDAZIONE SALUS PER LA PREVENZIONE
Page 152 and 153: Criteri di selezione preoperatoria
Page 154 and 155: Criteri di selezione preoperatoria
Page 156 and 157: FILOSOFIA DELLE INDICAZIONI Interve
Page 158 and 159: INDICAZIONI ALLE PROCEDURE ENDO-LAP
Page 160: Superobesi: OPZIONI BPD GBP BIB Lap
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Indicazioni e risultati della chirurgia bariatrica - Cattedra Chirurgia ...

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