Gastrectomía Vertical y Derivación Duodeno-Ileal de anastomosis única termino-lateral en Bariatría: Experiencia en 100 casos

Background : Currently morbid obesity and the metabolic disorders associated are an increasing health problems that shorten the life expectancy of the population. Bariatric surgery appears to be the most effective tool for managing it, developing a rapid growth and development, and laparoscopic gastric bypass ( LRNY-GBP ) is today the "gold standard". Objective: technical description and preliminary results of the first 100 patients undergoing it. Design: Retrospective descriptive study. Results: In the present series the average age was 35 years, 81% were female, the average BMI was 37.05, found 33% of smoking and pathologies were salient dyslipidemia 60%, resistance insulin 56%, 37% fatty liver, hypertension 28% and II Diabetes Mellitus (T2DM) 18%. There were no conversions to open surgery, and the mean operative time was 75 ± 20 minutes. There were no surgical complications and mortality were the order of 12%, 6% required re intervention and 6% of fistulas successfully managed medically in 50% of cases. Conclusions: In the present study raises the Laparoscopic gastric sleeve ( LGS ) associated with  a single end-to-side anastomosis duodeno-ileal ( SESDID) as a feasible and reproducible, which presents in our series a zero mortality and low morbidity, being a novel technique, goes hand in hand with the learning curve that is expected to be shortened because of technical simplification. Keywords : Vertical gastrectomy, gastric sleeve, duodenal-ileal bypass, single anastomosis; Morbid obesity, diabetes surgery