Bariatrična kirurgija v Splošni bolnišnici Slovenj Gradec
Bariatric surgery in the Slovenj Gradec General Hospital

slovenian

2007

volume 12, issue 28

Obesity, Morbid   Surgery    Gastric Bypass 

Slovensko zdravniško društvo, Združenje za endoskopsko kirurgijo

Introduction. The beginings of bariatric surgery in the Slovenj Gradec GeneralHospital and its basic principles are described. Patients and methods. Approximately 100 bariatric operations have been carried out so far. The most common procedure is gastric banding involving exposure of the angle of Hiss and introduction of the goldfinger instrument through the pars flaccida. Theband is pulled behind the stomach and closed in front of it. It is fixed with suture of the fundus to the left crus and gastric pouch. The reservoir isfixed on the fascia under the left rib arc. The first filling is carried outat six weeks after surgery, and later when needed. The patients are instructed to have small meals and to eat more frequently throughout the day. The first series of 50 bands is presented . Results. In our series, the weightloss was 12.9 kg after the first three months, 22.9 kg after six months and 26.6 kg in one year. Eight patients were followed up for one year, 15 for six months and 48 for three months. Two bands had to be removed, and in one case sleeve gastrectomy was done later on. No patient died. There were no stomach wall lesions, pneumothorax or haemorrhage. Conclusion. Gastric bandingis a procedure reserved for selected obese patients. Other bariatric operations, including sleeve gastrectomy and gastric by-pass, were therefore introduced in this hospital.

16.09.2009