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BMI < 35 kg/m 2 Gastric Bypass the BEST option 5 min V Congreso Internacional de Cirugia Bariatrica y Metabolica Mendoza Argentina May 19 & 20, 2011
BMI:  Weighing the Risks Neural birth defects (versus BMI 19 - 27) Gallstones (versus BMI < 24) Degenerative arthritis (versus BMI < 25) High blood pressure (versus BMI 23) Type II diabetes (versus BMI 22 - 23) Death / cancer (versus BMI < 19) Death / heart disease (versus BMI < 19) Death / all causes (versus BMI < 19) 60%  110% 120% 480% 360% 210% 110% 80% 1,480% 2,660% 3,930% 5,300% 180% 260% 350% 400% 90% 270% 150% Body Mass Index (BMI) 26 27 28 29 30 31 32 33 34 35 Source: Scientific American 1996
Diet Programs ,[object Object],[object Object],[object Object],[object Object],1992 NIH study:  “ 96-98% patients lost no weight or gained weight after 5 years in a medically supervised diet including behavior modification
RCT: Surgery vs Best Medical Practice ,[object Object],[object Object],[object Object],[object Object],age: 20-60  T2 DM ≤ 2 years  BMI 30-40 Surgery
73% vs 13% Surgery vs Best Practice Conventional Therapy
[object Object],[object Object],[object Object],[object Object],[object Object],Summary

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By pass gástrico en imc menor de 35 por que si

  • 1. BMI < 35 kg/m 2 Gastric Bypass the BEST option 5 min V Congreso Internacional de Cirugia Bariatrica y Metabolica Mendoza Argentina May 19 & 20, 2011
  • 2. BMI: Weighing the Risks Neural birth defects (versus BMI 19 - 27) Gallstones (versus BMI < 24) Degenerative arthritis (versus BMI < 25) High blood pressure (versus BMI 23) Type II diabetes (versus BMI 22 - 23) Death / cancer (versus BMI < 19) Death / heart disease (versus BMI < 19) Death / all causes (versus BMI < 19) 60% 110% 120% 480% 360% 210% 110% 80% 1,480% 2,660% 3,930% 5,300% 180% 260% 350% 400% 90% 270% 150% Body Mass Index (BMI) 26 27 28 29 30 31 32 33 34 35 Source: Scientific American 1996
  • 3.
  • 4.
  • 5. 73% vs 13% Surgery vs Best Practice Conventional Therapy
  • 6.