Duke procedure for super obesity: preliminary report with 3.5-year follow-up.

摘要: BACKGROUND Super obese patients pose a major health care problem because their obesity is associated with high risks of morbidity and even death. Neither dietary programs nor surgery results in significant or lasting weight loss. Presented here new surgical approach, combined home infusion therapy, that offers effective loss maintenance for 3.5 years. METHODS Eight super (252% +/- 19% ideal body weight; 62.7 5.6 kg/m2 mass index) underwent near total intestinal bypass anastomosing the proximal 25 to 30 cm jejunum transverse colon. A right atrial catheter was placed necessary fluids, minerals, vitamins, protein. After desired achieved, jejunocolostomy taken down construction vertical banded gastroplasty assist maintenance. RESULTS An average 1.5 kg/week lost. Seven lost an 114% 14% (29.0 2.9 after 333 556 days. eighth patient still losing weight. Weight due mainly fat water. takedown seven patients, has been maintained up 1218 CONCLUSIONS operative approach safe any goal. Subsequent conversion so far afforded