Authors

1Estefanía García Arnau, 2María del Carmen Madico Cerezo, 3Begoña Lozano Calvo, 4Silvia Macho Márquez, 5María José Del Barrio Martín, 6Amador García Ruiz de Gordejuela

Position

¹Enfermera Gestora en el Servicio de Endocrinología, Ginecología y Oftalmología del Hospital Universitario de Bellvitge. L’Hospitalet de Llobregat (Barcelona).²Enfermera asistencial en el Servicio de Cirugía General y del Aparato Digestivo del Hospital Universitario de Bellvitge. L’Hospitalet de Llobregat.³Enfermera Gestora en el Servicio de Cirugía Cardiaca del Hospital Universitario de Bellvitge. L’Hospitalet de Llobregat.⁴Enfermera asistencial en el Servicio de Cirugía General y del Aparato Digestivo del Hospital Universitario de Bellvitge. L’Hospitalet de Llobregat.⁵Jefa de Área del Servicio de Cirugía General y del Aparato Digestivo del Hospital Universitario de Bellvitge. L’Hospitalet de Llobregat.⁶Médico adjunto del Servicio de Cirugía General y del Aparato Digestivo del Hospital Universitario de Bellvitge. L’Hospitalet de Llobregat.

Contact address

Estefanía García Arnau C/ Enric Prat de la Riba, 166, 2º 4ª. 08901 L’Hospitalet de Llobregat (Barcelona).

Contact email: fanygar2009@hotmail.com

Abstract

Over the last decades, bariatric surgery has shown medium- and long-term effectiveness in morbid obesity therapy. According to the criteria of national and international societies, an ideal procedure should be able to reduce associated diseases with minimal postoperative morbidity and mortality; achieve a long-term sustained weight loss; be reversible and replicable; and improve patient’s quality of life.
Based on such premises, a new surgical procedure, tubular gastroplasty with plication, was used since November 2009 at the General and Gastrointestinal Surgery Department of the University Hospital of Bellvitge (Barcelona, Spain). Reduced gastric capacity is achieved by means of a gastric wall invagination; thus, reversibility is a major advantage with the new operation.
Experience at the hospital unit with postoperative therapy of patients having undergone gastroplasty with plication from November 2009 to December 2011 is reported.
Twenty-one patients (4 men, 17 women) with a maximal BMI
between 34-50.2 kg/m² are described. Our results show the advantages and disadvantages of such a new operation, which is still in a development and validation process and has resulted in a need to change and adjust nursing care accordingly.

Keywords:

Morbid obesity; tubular gastroplasty with plicationbariatric surgery

Versión en Español

Título:

Gastroplastia tubular plicada: una nueva técnica de cirugía bariátrica