Morbid ObesityAlternative to surgery for obesity
MORBID OBESITY. END TO MORBID OBESITY
Myself, Dr. Humberto Hurtado Zambrana, formed at the National University of La Plata, Christmann Surgical School, made contributions to medicine and the use of honey in reducing pancreatic abscess hospital stay for ten days. On this occasion creates an alternative for patients with morbid obesity to be totally against the routine of practicing section stapled gastric and virtually cripples the patient body. This practice is in progress it brings should be revised morbidity and mortality as it is known today. The folding technique is the best gastric surgery for these patients and not transected the gastric wall and gives excellent results in all three techniques I am proposing. The call z1, z2 and z3. My current role is as a surgeon in the National Health Fund (CNS) of the city of Santa Cruz de la Sierra, Bolivia, I am instructor of general surgery residents and university professor of the Faculty of Medicine UDABOL.
Obesity Surgery
Bar Surgery iátrica BAROS derives its name which means WEIGHT. The standard operation is the bypass combines gastric restriction with malabsorption of food. IOWA MASON in practice it for the first time in 1996.Bar iátrica surgery is not only about the surgical procedure, it is also important to find a trained team of anesthesiologists, nurses and health club quality nutrition where a long-term postoperative carried by friendly people and to provide nutritional security the patient.
ALTERNATIVE SURGERY
For 10 years, with the advent of the gastric staple-again became popular among surgeons and corporations driven largely unmeasured consequences of mortality that currently exist.
Z 1This method comprises: ligation of the short vessels to access the back of the stomach. With silk thread takes the serosa of the greater curvature and is attached to the serosa of curvature less than 4 cm of the gastro esophageal and so on the suture reaches 4 cm from the pylorus.
Then he proceeds to perform the same way to the back. This technique reduces by 85 percent the gastric chamber, sufficient to obtain significant results. This technique is easy to perform has the advantage of returning to its natural state when the patient requires.
Z 2This technique is similar to the z1: short vessels are cut then proceeds to perform the suture from the greater curvature taking the serosa of the same to two or three finger widths of the anterior suture of the stomach with the top down , then again bends to the completed part and start the second suture serosa-serosa from top to bottom 4 cm respecting the 4 cm proximal and distal ends with this surgery. The gastric chamber is reduced to 85 percent.
CONCLUSIONS
It is known that mechanical suture techniques brings about an irreversible situation for the patient. Disconnect the camera in my opinion is gastric maul the patient has a body that other known physiologic functions.
Morbidity is high as immunosuppression, excessive weight loss, TB and mortality is low because the suture fails, this will almost certainly equals death. So does this physiological alternative I would say that must be taken into account because morbidity and mortality is 0 percent.
Note. This surgery is performed by the year 2001 in the person of MARLENE SUARES SPAIN CURRENT RESIDENCE IN 2001 as stated in the HC of the National SANTA CRUZ DE LA SIERRA BOLIVIA.To date 64 patients undergoing surgery VAN WHICH ALL SO SUCCESSFULLY DEMONSTRATES THAT THESE TECHNIQUES TO EXCEED mutilating surgery AND THAT IS WHY WE HAVE bariatric surgeons OBLIGATION TO REVISE ITS resective surgery.THESE TECHNIQUES favors the severely obese.
Details, refer to me, my email is:Doctor_humbertozambranahurtado@hotmail.com
PHONE: (+591) 70074956
I live in SANTA CRUZ DE LA SIERRA BOLIVIA-
NOTE: In recent weeks I have created other techniques known as Z3 and Z4 that are variants of the above according to the gastric camera with which we meet during surgery.
Preoperative protocol
1. The patient must be informed and postoperative psyched for the long term.
2. Complete clinical examination.
3. Knowing your form bowel.
4. Upper GI endoscopy.
5. Surgical risk.
6. Informed consent.
POSTOPERATIVE PROTOCOL
1. Hydration without neglecting electrolytes.
2. Try the 2nd day liquid diet.
3. Obese patients present with slow transitointestinal. Help with enemas, rectal probe Prostigmin.
4. Using nutritional drink twice a day to lose weight without being weak for six months, these techniques lose ten kilos per month once per day should eat no carbs.
