Debe de ser el imc un criterio para la cirugía metabólica
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Debe de ser el imc un criterio para la cirugía metabólica
- 1. METABOLIC SURGERY CENTRO HOSPITALAR DE ENTRE O DOURO E VOUGA GASTRO OBESO CENTER SAO PAULO, BRAZIL BMI AS A PARAMETER TO RECOMMEND METABOLIC SURGERY Almino Ramos, MD Mário Nora, MD Galvao Neto, MD
- 3. diabetes mellitus type II
- 4. arterial hypertension Metabolic Syndrome
- 5. dislipidemia
- 7. Final comments Pierda de peso 2. Dieta restrictiva
- 8. DMT2TRATAMIENTO QUIRÚRGICO Mecanismos de acción Hormonal 1a Hipótesis “Grasa visceral” Órgano endocrino Ramos, Almino. Galvão Neto, Manoel. Galvão Manoela. Carlo, Andrey OMENTECTOMIA LAPAROSCÓPICA NA BGA. BGA x ALT METABÓLICAS, ESTUDO PROSPECTIVO VII Congresso Brasileiro de Cirurgia Bariátrica – Florianópolis – Santa Catarina – Brasil, 2005
- 9. DMT2TRATAMIENTO QUIRÚRGICO Mecanismos de acción Hormonal 2a Hipótesis Grelhina
- 10. DMT2TRATAMIENTO QUIRÚRGICO Mecanismos de acción Hormonal 3ahipótesis “Hindgut” Estimulación ilealprecose “Ileal break” 100 años Hoy
- 11. Duodenal-Jejunal Bypass 100cm 100cm
- 12. GASTRECTOMIA EM MANGA (“SLEEVE”) + INTERPOSIÇÃO ILEAL “ILEAL BREAK”
- 13. Device – Concept
- 14. Effect of bariatric procedures on T2DM < <
- 15. DM>5yrs is not good Resolution (%) of diabetes at six months after sleeve gastrectomy according to diabetes duration. Rosenthal :SOARD Volume 5, Issue 4, Pages 429-434
- 16. C-Peptide < 3 is not good C-peptide > 3 is the most important predictor for a successful treatment for LSG. WJ Lee; Surgery. 2010 May;147(5):664-9. Epub 2009 Dec 11.
- 19. DUODENAL-JEJUNAL BYPASSJesus Arguilles – Mexico - 2004
- 20. Porque pensar en la DMT2 y Tratamiento quirúrgico – Datos en humanos Arguelles – México T2DM patients– “no selection” Duodenal-Jejunal Bypass – open N = 10p Resolution 5p Improvement 2p No results 3p Arguelles - Obesity Surgery. 2007, Latin American IFSO Meeting
- 21. Porque pensar en la DMT2 y Tratamiento quirúrgico – Datos en humanos Arguelles – México T2DM patients– “no selection” Duodenal-Jejunal Bypass – open N = 10p – 4 years follow up Resolution 0 Improvement 1p No results 9p Arguelles – Mexican National Bariatric Congress - 2009
- 22. Duodenal-Jejunal bypass Surgical treatment - Human data
- 23. Duodenal-Jejunal bypass Surgical treatment - Human data
- 24. Duodenal-Jejunal bypass Surgical treatment - Human data
- 25. MetabolicgastricBypass GastricPouch 50 cm³ Gastro-jejunostomynotcalibrate? Alimentarylimb 150 cm Biliopancreaticlimb 100 cm Laparotomy - 17 N= 27 December 2010 Laparoscopy - 10
- 26. MetabolicgastricBypass Gastric Pouch ? Gastro-jejunostomy calibrated 12mm Alimentary limb 150 cm Biliopancreatic limb 50 cm N = 37 February 2006
- 27. MetabolicgastricBypass Metabolic Bypass , inicial experience with Roux-en-Y Gastric Bypass on tipe II diabetes treatment AlminoC Ramos, Manoel Galvão, Manuela Galvão, AndreyCarlo,EdwinCanseco, Thales D. Galvão, Luis F Evangelista, Alvaro Ferraz e Josemberg L Campos São Paulo and Recife - Brasil GastricPouch “doublesize” Gastro-ileostomynotcalibrate Alimentarylimb 100 – 200 cm Biliopancreaticlimb 200 cm IFSO 2010 IFSO 2010
- 28. MetabolicgastricBypass October 2007 N=44
- 29. MetabolicgastricBypass 100 cm 200 cm May 2008 N=20
- 30. Metabolic gastric Bypass Gastric Pouch 25-30 cm³ Gastro-jejunostomy not calibrate Alimentary limb 150 cm Biliopancreatic limb 50 cm N=15 August 2009
- 33. MetabolicgastricBypass LAPAROSCOPIC SURGERY XVIII Mário Nora 2011
- 36. Age
- 37. DMT2 – Time?
- 38. Use of insulin
- 39. C peptide
- 40. HbA1c
- 41. ComorbiditiesLAPAROSCOPIC SURGERY XVIII Mário Nora 2011
- 42. METABOLIC SURGERY CENTRO HOSPITALAR DE ENTRE O DOURO E VOUGA GASTRO OBESO CENTER SAO PAULO, BRAZIL BMI AS A PARAMETER TO RECOMMEND METABOLIC SURGERY Almino Cardoso Ramos ramos.almino@gmail.com Phone55 11 83722322