[Our experience in selecting patients for bariatric surgery].
OBJECTIVE
To evaluate the parameters applied in Authors' experience for the selection of candidates undergoing bariatric surgery.


METHODS
A retrospective analysis has been performed of 447 patients who underwent bariatric surgery from December 1998 to December 2006 at the 1st Service of General Surgery of Spedali Civili of Brescia - Abdominal Surgical Department of University of Study of Brescia; 317 patients underwent a mal-absorptive procedure, 35 a gastro-restrictive procedure and 10 had a conversion from a gastro-restrictive procedure to a mal-absorptive one.


RESULTS
At 7 years of follow-up the Authors observed that the excess weight loss was 74.1% +/- 6.2 for mal-absorptive procedures and 42.3% +/- 2.6 for gastro-restrictive procedures. At 2 years of follow-up a progressive weight resumption was observed in the 20% of patients who had a gastro-restrictive procedures.


CONCLUSIONS
Optimal clinical outcome were achieved confirming the belief that a strict and rigorous selection of the patients and the applied therapeutic algorithm have to be followed; though even more selective criteria can be suggested such as the preventive BIB. The clinical results supported our preference of mal-absorptive procedures (317 of 352 surgical performances, excepting the 10 conversions with an obliged surgical choice).
Mittempergher
Franceso
F
Università degli studi di Brescia, Cattedra di chirurgia generale. fmitt@libero.it
Di Betta
Ernesto
E
Crea
Nicola
N
Casella
Claudio
C
Nascimbeni
Riccardo
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D000465:Algorithms; D050110:Bariatric Surgery / Q000379:methods*; D005500:Follow-Up Studies; D015905:Gastric Balloon; D015390:Gastric Bypass / Q000379:methods; D015391:Gastroplasty / Q000379:methods; D006801:Humans; D007581:Jejunoileal Bypass / Q000379:methods; D008875:Middle Aged; D009767:Obesity, Morbid / Q000175:diagnosis / Q000601:surgery*; D018579:Patient Selection; D012189:Retrospective Studies; D015431:Weight Loss