Capella's gastroplasty: metabolites and early phase proteins changes in midline and bilateral arciform approaches

Arquivos de Gastroenterologia

Luiz Gonzaga De Moura Jr.¹  Sérgio Botelho Guimarães²  Heládio Feitosa De Castro-filho²  Heine Ferreira Machado²  Francisca Das Chagas Feijó²  Paulo Roberto Leitão De Vasconcelos² 

[1] ,Federal University of Ceará Faculty of Medicine Department of SurgeryFortaleza CE ,Brazil

关键词: Obesity;    morbid;    Obesity;    morbid;    Gastroplasty;    Obesidade mórbida;    Obesidade mórbida;    Gastroplastia;   

DOI  :  10.1590/S0004-28032004000400003

来源: SciELO

【 摘 要 】

BACKGROUND: Obesity has adverse health effects. Dietary reeducation does not seem to offer sustained weight loss. For appropriately selected patients, surgery may be beneficial. AIM: To evaluate early postoperative metabolic response to surgery in patients submitted to Capella's gastroplasty using two different surgical approaches to the abdominal cavity. PATIENTS/METHOD: Twenty patients (9 males and 11 females, aged 21 to 53 years) were randomized prior to submission to either one of the surgical access incisions (bilateral arciform or supra-umbilical midline incisions). Blood samples were collected at the beginning and end of the operation, 12 (T-12 h) and 24 hours (T-24 h) postoperatively. Dieresis and synthesis time, blood loss, planimetry of operative field, operative time, hospital stay, hemoglobin, hematocrit, lymphocytes, potassium, albumin, erythrocyte sedimentation rate, C-reactive protein, glucose, pyruvate, lactate and ketone bodies were analyzed. RESULTS: Dieresis time was significantly decreased when median approach was used. Total operating time, hospital stay, hematocrit, hemoglobin, lymphocyte count, potassium and albumin concentrations were similar in both groups. C-reactive protein (T-12 h), glucose and pyruvate concentrations (T-24 h) increased significantly after completion of surgical procedure. Ketone bodies concentrations were significantly decreased 24 hour following completion of surgical procedure. CONCLUSION: Capella's gastroplasty induces metabolic and inflammatory changes in blood parameters. There is no evidence of technical superiority of arciform over midline incisions in this study.

【 授权许可】

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