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Article ; Online: Laparoscopic Bypass in Morbidly Obese Patient with End-Stage Heart Failure: Case Report.

Scheibe, Christian Lamar / Pinto, Luis Eduardo Veras / Valadão, José Aparecido / de Oliveira, Caio Márcio Barros / Moura, Ed Carlos Rey / Campelo, Giuliano Peixoto / de Lima, Roclides Castro / Freire, Thyago Trisotto / de Oliveira, Eduardo José Silva Gomes / da Cunha Leal, Plínio

Obesity surgery

2021 Volume 31, Issue 11, Page(s) 5059–5062

MeSH term(s)	Gastric Bypass ; Heart Failure/complications ; Heart Failure/surgery ; Humans ; Laparoscopy ; Obesity, Morbid/surgery
Language	English
Publishing date	2021-07-02
Publishing country	United States
Document type	Case Reports ; Letter
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-021-05549-w
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Article ; Online: Assessment of the Effect of Perioperative Venous Lidocaine on the Intensity of Pain and IL-6 Concentration After Laparoscopic Gastroplasty.

de Oliveira, Caio Marcio Barros / Coelho, Lais Maria Gaspar / Valadão, José Aparecido / Moura, Ed Carlos Rey / da Silva, Antônio Augusto Moura / de Lima, Roclides Castro / Brunialti, Milena Karina Coló / Salomão, Reinaldo / da Cunha Leal, Plinio / Sakata, Rioko Kimiko

Obesity surgery

2020 Volume 30, Issue 10, Page(s) 3912–3918

Abstract: Background and objectives: Opioids are associated with sedation and respiratory depression. The primary objective of this study was to assess pain intensity after gastric bypass with lidocaine. The secondary objective was to assess the IL-6 ... ...

Abstract	Background and objectives: Opioids are associated with sedation and respiratory depression. The primary objective of this study was to assess pain intensity after gastric bypass with lidocaine. The secondary objective was to assess the IL-6 concentration, consumption of morphine, time to morphine request, time to extubation, and side effects. Methods: Sixty patients aged 18 to 60 years, with ASA (American Society of Anesthesiologists) scores of 2 or 3, who underwent bariatric surgery were allocated to two groups. Patients in group 1 were administered lidocaine (1.5 mg/kg) 5 min before the induction of anesthesia, and group 2 was administered 0.9% saline solution in an equal volume. Subsequently, lidocaine (2 mg/kg/h) or 0.9% saline was infused during the entire surgical procedure. Anesthesia was performed with fentanyl (5 μg/kg), propofol, rocuronium, and sevoflurane. Postoperative patient-controlled analgesia was provided with morphine. The following were evaluated: pain intensity, IL-6, 24-h consumption of morphine, time to the morphine request, time to extubation, and adverse effects. Results: The lidocaine group had a lower pain intensity than the saline group for up to 1 h, with no differences between groups in IL-6 and time to extubation. The lidocaine group consumed less morphine within 24 h, had a longer time until the first supplemental morphine request, and had a lower incidence of nausea. Conclusions: Lidocaine reduced the intensity of early postoperative pain, incidence of nausea, and consumption of morphine within 24 h and increased time to the first morphine request, without reducing the plasma concentrations of IL-6.
MeSH term(s)	Adolescent ; Adult ; Analgesics, Opioid ; Anesthetics, Local ; Double-Blind Method ; Gastroplasty ; Humans ; Interleukin-6 ; Laparoscopy ; Lidocaine ; Middle Aged ; Morphine ; Obesity, Morbid/surgery ; Pain Measurement ; Pain, Postoperative/drug therapy ; Young Adult
Chemical Substances	Analgesics, Opioid ; Anesthetics, Local ; Interleukin-6 ; Morphine (76I7G6D29C) ; Lidocaine (98PI200987)
Language	English
Publishing date	2020-06-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-020-04748-1
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Article ; Online: Long Biliopancreatic Limb Roux-en-Y Gastric Bypass Revisional Surgery in a Myasthenia Gravis Patient: Case Report.

Campelo, Giuliano Peixoto / da Cunha Leal, Plinio / de Oliveira, Caio Márcio Barros / Moura, Ed Carlos Rey / de Oliveira, Eduardo José Silva Gomes / de Lima, Roclides Castro / Valadão, José Aparecido

Obesity surgery

2020 Volume 30, Issue 7, Page(s) 2800–2801

Language	English
Publishing date	2020-02-27
Publishing country	United States
Document type	Letter
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-020-04501-8
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Article ; Online: Weight loss and adherence to postoperative follow-up after vertical gastrectomy for obesity treatment.

Lima, Roclides Castro de / Rodrigues, Thállisso Martins da Silva / Scheibe, Christian Lamar / Campelo, Giuliano Peixoto / Pinto, Luís Eduardo Veras / Valadão, Gustavo José Cavalcante / Carvalho, Gustavo Pereira Câmara de / Machado Junior, Marcos Roberto Dias / Valadão, José Aparecido / Lima, Patrícia Cavalcante Ribeiro de / Leal, Plinio da Cunha / Oliveira, Caio Marcio Barros de / Moura, Ed Carlos Rey

Acta cirurgica brasileira

2021 Volume 36, Issue 2, Page(s) e360203

Abstract: Purpose: To analyze the effectiveness of vertical gastrectomy in the treatment of obese patients, adherence to clinical follow-up and the influence of factors such as gender and age.: Methods: This is a retrospective, observational and descriptive ... ...

Abstract	Purpose: To analyze the effectiveness of vertical gastrectomy in the treatment of obese patients, adherence to clinical follow-up and the influence of factors such as gender and age. Methods: This is a retrospective, observational and descriptive study, conducted with patients undergoing vertical gastrectomy, operated at Hospital São Domingos, between January 2016 and July 2018. Results: Most patients undergoing vertical gastrectomy were female (n = 193, 72.28%) and had a mean age of37.11 ± 8.96 years old. The loss of follow-up was 56.18%. Among adherent patients (n = 117; 43.82%), most patients were female (n = 89; 76.07%) and had a mean age of 37.92 ± 9.85 years old. The mean body mass index (BMI) of the adherents in the preoperative was 37.85 ± 3.72 kg/m2. Both BMI and excess weight (EW) showed a statistically significant difference between pre- and postoperative period. Percentage of excess weight loss (% EWL) was satisfactory for 96.6% of adherent patients. Older patients had a statistically significant lower % EWL compared to the other groups. Conclusions: Vertical gastrectomy was effective in the treatment of obese patients, with significant weight loss.
MeSH term(s)	Adult ; Female ; Follow-Up Studies ; Gastrectomy ; Humans ; Middle Aged ; Obesity/surgery ; Postoperative Period ; Retrospective Studies ; Weight Loss
Language	English
Publishing date	2021-02-22
Publishing country	Brazil
Document type	Journal Article ; Observational Study
ZDB-ID	2012156-8
ISSN	1678-2674 ; 1678-2674
ISSN (online)	1678-2674
ISSN	1678-2674
DOI	10.1590/ACB360203
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Article ; Online: Comparative analysis between patients undergoing Gastric Bypass and Sleeve Gastroplasty in a private hospital in Sao Luis-MA.

Lima, Rodrigo Lira Sousa / Oliveira, Eduardo Jose Silva Gomes de / Pereira, Emanuel Cabral / Costa, Lucas da Silva / Dourado, Thiago Sousa / Valadão, José Aparecido / Lima, Roclides Castro / Campelo, Giuliano Peixoto / Brito, Roger Moura de / Oliveira, Caio Márcio Barros de / Moura, Ed Carlos Rey / Leal, Plinio da Cunha

Acta cirurgica brasileira

2020 Volume 35, Issue 3, Page(s) e202000307

Abstract: Purpose: To compare the satisfaction levels about the surgery and anesthesia management, and to analyze the postoperative outcomes of patients undergoing Gastric Bypass and Sleeve Gastroplasty surgeries in a private hospital in Sao Luís-MA.: Methods: ...

Abstract	Purpose: To compare the satisfaction levels about the surgery and anesthesia management, and to analyze the postoperative outcomes of patients undergoing Gastric Bypass and Sleeve Gastroplasty surgeries in a private hospital in Sao Luís-MA. Methods: The sample consisted of patients undergoing Bypass and Sleeve bariatric surgeries from August 2018 to August 2019, who were in the range of 18 and 70 years old and had not used drugs or presented cardiac arrhythmias, dilated cardiomyopathy, and conduction disorder heart. Data were collected from the evaluation forms and recorded in a form with closed questions. Results: Most patients were female (Bypass - 56% and Sleeve - 67.4%) and aged between 30 and 39 years old (Bypass - 32% and Sleeve - 55.8%). Information (Bypass - 92% and Sleeve - 86.1%) was the highest satisfaction index found. Sleepiness in the immediate postoperative period (Bypass - 92% and Sleeve - 93%) was the main side effect. There were no postoperative complications in patients between the two types of surgery. Conclusions: Patients submitted to Bypass and Sleeve were completely satisfied with the perioperative management. There was no statistically significant difference when comparing adverse effects between the techniques.
MeSH term(s)	Adolescent ; Adult ; Aged ; Female ; Gastrectomy ; Gastric Bypass ; Gastroplasty ; Hospitals, Private ; Humans ; Laparoscopy ; Male ; Middle Aged ; Obesity, Morbid/surgery ; Postoperative Complications ; Retrospective Studies ; Treatment Outcome ; Weight Loss ; Young Adult
Language	English
Publishing date	2020-07-21
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2012156-8
ISSN	1678-2674 ; 0102-8650
ISSN (online)	1678-2674
ISSN	0102-8650
DOI	10.1590/s0102-865020200030000007
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Article ; Online: Technical modification for sleeve gastrectomy.

Nassif, Paulo Afonso Nunes / Valadão, José Aparecido / Malafaia, Osvaldo / Torres, Orlando Jorge Martins / Garcia, Rodrigo Ferreira / Klostemann, Flávia Caroline

Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery

2014 Volume 26 Suppl 1, Page(s) 74–78

Abstract: Introduction: The surgical technique of sleeve gastrectomy has not been fully standardized and, therefore, there are issues to be solved. There is a tendency to increase its application due to proved efficiency in weight loss, low morbidity and good ... ...

Abstract	Introduction: The surgical technique of sleeve gastrectomy has not been fully standardized and, therefore, there are issues to be solved. There is a tendency to increase its application due to proved efficiency in weight loss, low morbidity and good postoperative results. However, gastroesophageal reflux disease, which can result from it, is still not well understood. Aim: To present variant technique for sleeve gastrectomy that leaves the stomach totally with the appearance of a homogeneous tube, without manipulation in pyloric and lower esophageal sphincters. Tecnique: Vertical gastrectomy starts with vessel ligation of the greater curvature at the pylorus till esophagogastric angle. Stapling also starts from the pylorus in the same direction. For modeling was used Fouchet 32 F and all the staple line was done just to it. At the end, oversuture of the staple line and "sump" drainage were done. Results: The procedure was used in 55 patients with BMI between 35 and 41. Complications in this group were two fistulas at the esophagogastric angle, one twist of the gastric tube and one postoperative conversion to Roux-en-Y gastric bypass due to untreatable gastroesophageal reflux disease. Fistulas were treated by endoscopic procedure with dilation and septotomy. Mild dysphagia due to tube twisting responded satisfactorily to dilatation. The longest follow-up was two years. The loss of overweight was 67.7% at one year and 69.7% in two. Patients who were suffering from type 2 diabetes mellitus showed disease control in 84.6 % in the first year and 91.6 % in the second. Comorbidities were controlled in all cases. Conclusion: The variant technique proposed here for sleeve gastrectomy leaves the stomach homogeneously in a shape of a tube and in small caliber, providing small free gastric cavity and keeping natural functional activity of the sphincters. However, it may lead to unwanted gastroesophageal reflux, which needs to be better measured in future research.
MeSH term(s)	Gastrectomy/methods ; Humans ; Obesity/surgery
Language	Portuguese
Publishing date	2014-01-24
Publishing country	Brazil
Document type	Journal Article
ISSN	2317-6326
ISSN (online)	2317-6326
DOI	10.1590/s0102-67202013000600016
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Article ; Online: A Prospective Single-Arm Trial of Modified Long Biliopancreatic and Short Alimentary Limbs Roux-En-Y Gastric Bypass in Type 2 Diabetes Patients with Mild Obesity.

Murad, Abdon José / Cohen, Ricardo Vitor / de Godoy, Eudes Paiva / Scheibe, Christian Lamar / Campelo, Giuliano Peixoto / Ramos, Almino Cardoso / de Lima, Roclides Castro / Pinto, Luís Eduardo Veras / Coelho, Daniel / Costa, Hamilton Belo França / Pinto, Ígor Marreiros Pereira / Pereira, Tiago / Teófilo, Francisco Raúl Santos / Valadão, José Aparecido

Obesity surgery

2017 Volume 28, Issue 3, Page(s) 599–605

Abstract: Background: Type-2 diabetes (T2D) patients with body mass index (BMI) below 35 kg/m: Methods: From January 2011 to May 2015, 102 T2D patients with BMI from 30 to 34.9 kg/m: Results: There were no deaths or reoperations. The mean follow-up was 28.1 ...

Abstract	Background: Type-2 diabetes (T2D) patients with body mass index (BMI) below 35 kg/m Methods: From January 2011 to May 2015, 102 T2D patients with BMI from 30 to 34.9 kg/m Results: There were no deaths or reoperations. The mean follow-up was 28.1 months. The mean BMI dropped from 32.5 to 25.1 kg/m Conclusions: RYGB with long-biliopancreatic and short-alimentary limbs is safe and seems effective in achieving complete control of T2D in patients with BMIs between 30 and 35 kg/m
MeSH term(s)	Adult ; Blood Glucose/metabolism ; Body Mass Index ; Diabetes Mellitus, Type 2/complications ; Diabetes Mellitus, Type 2/surgery ; Dyslipidemias/prevention & control ; Female ; Gastric Bypass/adverse effects ; Gastric Bypass/methods ; Glycated Hemoglobin A/metabolism ; Humans ; Hypertension/prevention & control ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Male ; Middle Aged ; Obesity/complications ; Obesity/pathology ; Obesity/surgery ; Severity of Illness Index ; Treatment Outcome ; Weight Loss
Chemical Substances	Blood Glucose ; Glycated Hemoglobin A
Language	English
Publishing date	2017-09-21
Publishing country	United States
Document type	Clinical Trial ; Journal Article
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-017-2933-x
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Article ; Online: FIXING JEJUNAL MANEUVER TO PREVENT PETERSEN HERNIA IN GASTRIC BYPASS.

Murad-Junior, Abdon José / Scheibe, Christian Lamar / Campelo, Giuliano Peixoto / de Lima, Roclides Castro / Murad, Lucianne Maria Moraes Rêgo Pereira / dos Santos, Eduardo Pachu Raia / Ramos, Almino Cardoso / Valadão, José Aparecido

Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery

2015 Volume 28 Suppl 1, Page(s) 69–72

Abstract: Background: Among Roux-en-Y gastric bypass complications is the occurrence of intestinal obstruction by the appearance of internal hernias, which may occur in Petersen space or the opening in mesenteric enteroenteroanastomosis.: Aim: To evaluate the ... ...

Abstract	Background: Among Roux-en-Y gastric bypass complications is the occurrence of intestinal obstruction by the appearance of internal hernias, which may occur in Petersen space or the opening in mesenteric enteroenteroanastomosis. Aim: To evaluate the efficiency and safety in performing a fixing jejunal maneuver in the transverse mesocolon to prevent internal hernia formation in Petersen space. Method: Two surgical points between the jejunum and the transverse mesocolon, being 5 cm and 10 cm from duodenojejunal angle are made. In all patients was left Petersen space open and closing the opening of the mesenteric enteroenteroanastomosis. Results: Among 52 operated patients, 35 were women (67.3%). The age ranged 18-63 years, mean 39.2 years. BMI ranged from 35 to 56 kg/m2 (mean 40.5 kg/m2). Mean follow-up was 15.1 months (12-18 months). The operative time ranged from 68-138 min. There were no intraoperative complications, and there were no major postoperative complications and no reoperations. The hospital stay ranged from 2-3 days. During the follow-up, no one patient developed suspect clinical presentation of internal hernia. Follow-up in nine patients (17.3%) showed asymptomatic cholelithiasis and underwent elective laparoscopic cholecystectomy. During these procedures were verified the Petersen space and jejunal fixation. In all nine, there was no herniation of the jejunum to the right side in Petersen space. Conclusion: The fixation of the first part of the jejunum to left side of the transverse mesocolon is safe and effective to prevent internal Petersen hernia in RYGB postoperatively in the short and medium term. It may be interesting alternative to closing the Petersen space.
MeSH term(s)	Adolescent ; Adult ; Female ; Gastric Bypass/methods ; Hernia/prevention & control ; Humans ; Jejunum ; Male ; Mesocolon ; Middle Aged ; Postoperative Complications/prevention & control ; Young Adult
Language	Portuguese
Publishing date	2015
Publishing country	Brazil
Document type	Journal Article
ISSN	2317-6326
ISSN (online)	2317-6326
DOI	10.1590/S0102-6720201500S100019
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Article ; Online: EFEITO DE CÁLCULOS BILIARES HUMANOS NA CAVIDADE PERITONEAL DE RATOS

Torres Orlando Jorge Martins / Valadão José Aparecido / Silva Ailton José Rodrigues / Macau Rosane Penha / Cintra Jean Carlos Antunes / Dietz Ulrich Andreas / Nassif Paulo Afonso Nunes

Acta Cirurgica Brasileira, Vol 13, Iss 4, Pp 226-

1998 Volume 230

Abstract: Este estudo tem por objetivo analisar experimentalmente as características macroscópicas e microscópicas de cálculos biliares humanos na cavidade peritoneal de ratos. Foram utilizados 32 ratos Wistar, machos, pesando entre 205 e 268 g. Estes animais ... ...

Abstract	Este estudo tem por objetivo analisar experimentalmente as características macroscópicas e microscópicas de cálculos biliares humanos na cavidade peritoneal de ratos. Foram utilizados 32 ratos Wistar, machos, pesando entre 205 e 268 g. Estes animais foram distribuídos em dois grupos e o procedimento cirúrgico foi realizado em cada grupo: no grupo A (n =16), os animais foram submetidos a manipulação intestinal; no grupo B (n=16), cálculos biliares humanos foram colocados na cavidade peritoneal. Os ratos foram avaliados no 21º e 42º dias do período pós-operatório. Os resultados mostraram que a simples manipulação causou aderências nos animais (n=10). As aderências foram notadas em 11 cálculos no grupo B. Histologicamente não houve fibrose intensa em torno do cálculo, principalmente no 42º dia do período pós-operatório. Não foram observados macro ou micro abscessos e não houve evidências de fluído livre intra-peritoneal. Este estudo demonstra que apesar da baixa incidência de complicações, todas as tentativas devem ser feitas para recuperar cálculos perdidos durante colecistectomia.
Keywords	cálculos na cavidade peritoneal ; cálculos biliares retidos ; colecistectomia laparoscópica ; Surgery ; RD1-811 ; Medicine ; R ; DOAJ:Surgery ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
Language	English
Publishing date	1998-01-01T00:00:00Z
Publisher	Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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