obesity-2018-keynote

3 / 5

7 t h E u r o p e a n C o n g r e s s o n
Obesity and
Eating Disorder
Journal of Obesity & Eating Disorders
ISSN 2471-8203
A p r i l 1 2 - 1 3 , 2 0 1 8
Am s t e r d a m , N e t h e r l a n d s
Obesity 2018
Page 19
Introduction: According to the Mayo Clinic Staff´s description1. Dumping
syndrome is a condition that can develop after bariatric surgery (gastric bypass)
also called rapid gastric emptying, dumping syndrome occurs when food,
especially sugar, moves from the stomach into the small bowel too quickly. 2Most
people with dumping syndrome develop signs and symptoms, such as abdominal
cramps and diarrhea, 10 to 30 minutes after eating, also present tachycardia,
diaphoresis, nausea, hypotension, and lipotomy. 2Other people have symptoms
one to three hours after eating, and still others have both early and late symptoms.
Generally this condition cans prevent by changing the diet after surgery. Changes
might include eating smaller meals and limiting high-sugar foods. In more-serious
cases of dumping syndrome, it may need medications or this case was
a woman 46 years old, with a history of metabolic syndrome, who underwent
bariatric surgery of 1 year 3 months ago. Our patient begins with symptoms three
months after the completion of her surgery, which is unknown the technique
used, as well as findings during a surgical time, this because it was performed
in other surgical group. Failed medical treatment and diet modification as well as
present weight gain. Regarded as intractable dumping syndrome, for which she is
considered as candidates for revision and surgical conversion.
Methods: Before the surgical protocol, under general anesthesia and endotracheal
intubation, trocar is placed at the level of the midline, 15 cm below the xiphoid
appendix, and the rest of the trocars are placed with direct vision, adding a sixth
in the middle clavicular line at the level of the left ileac crest. Laparoscopic finding
that left three meters of absorption surface, but debuting three months after
surgerywith dumping syndrome andweight gain. Laparoscopic revision procedure
was performed withmodified biliopancreatic divertion like to duodenal switch was
performed to relieve her intractable condition.
Results: The procedure lasted 50 minutes without any intraoperative complication,
the final intestinal absorption surface was 100cm, blood loss was 300 ml,
the postoperative hospitalization stay was 2 days. To this day the patient is
uncomplicated, metabolic syndrome is controlled, and BMI it´s in normal range.
Conclusions: In this case, the syndrome could not be medically treated and
required surgical intervention, in which it was necessary to modify the gastric
emptying by the pyloric restitution, together with the procedure, the intestinal
absorption surface is reduced in order to correct the weight gain. Obtaining
metabolic syndrome and weight gain control.
Biography
Jose Antonio Castaneda Cruz studied medicine at the Univer-
sidad de Guadalajara from 1994 to 2000. He has a specialty in
surgery from the Universidad Autonoma de Chihuahua, at the
Dr. Salvador Zubiran General Hospital in Chihuahua. Chihuahua
México from 2000 to 2005. For 2006 he travels to Barcelona
Spain, to the Laparoscopic Center of Barcelona Centro Teknon,
to do the sub specialty in laparoscopic bariatric surgery, by Pro-
fessor Carlos Ballesta López M.D.
He returned to Mexico where he worked as a bariatric surgeon
at the Instituto Mexicano del Seguro Social. In Cd, Juárez, Chi-
huahua, and later devoted himself to the practice of bariatric
surgery in the private sector in the state of Jalisco. Since 2008
he attends the IFSO congresses that are presented every year.
In 2015, he founded Gastric Bypass México A.C. of which he
is president and responsible. Taking the opportunity at the last
IFSO congress to present his clinical and surgical research
works, in the same way in Mexico at the XX CIAM congress.
Surgeon treating the case of Juan Pedro Franco Salas, "The
most obeseman in the world" and Dayana Camacho "Themost
obese teenager in the world" in both cases with an excellent
medical surgical advance.
Conversion from gastric bypass to
duodenal switch secondary to dumping
syndrome: a case report
Jose Antonio Castaneda Cruz
Universidad de Guadalajara, Mexico.
Jose Antonio Castaneda Cruz, J Obes Eat Disord 2018, Volume: 4
DOI: 10.21767/2471-8203-C1-007