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M Iordache

Publications and source records attributed to M Iordache.

4 recordsLinked to original sources
PubMedDate not supplied

[Laparoscopic adjustable gastric-banding treatment for morbid obesity our first year experience].

The authors present the results of a prospective study regarding their 1st year experience in laparoscopic adjustable gastric banding (LABG), which included 21 patients (5 males, 16 females), with an average age of 39 (between 20-53 years). The follow up was made at one and six months postoperative. The medium weight was 138 kg (between 95-172 kg), with a medium excess of body mass of 66.89 kg (extremes between 27.75 and 104 kg). The medium BMI (body mass index) was 48.9 (extremes: 34.5-66), 8 patients being superobese (BMI > 50). The average operating time was 120 min, all operations were finished laparosopically. Postoperative complications were: total disfagia (1 case), parietal suppuration (2 cases) and partial intragastric migration of the prosthesis (1 case). There were no deceased patients. The medium excess of body mass at 6 months after surgery was 46.57 (only 13 patients evaluated in this interval). After 6 months postoperative the comorbidities were healed at half of the patients. Although we do not benefit of a long time follow up, the favorable initial results permits us to state that LABG must find its place in the efforts of struggling against obesity and its consequences.

Adult↗
PubMedDate not supplied

[Bilio-pancreatic diversion with duodenal switch (DS) in morbid obesity--surgical technique].

Obesity is one of the biggest health problems nowadays with growing prevalence. Co morbidities and decreasing life-expectancy have imposed various treatments, of which surgery has the best efficiency. Bilio-pancreatic diversion modified with duodenal switch represents the procedure with both malabsorbtive and restrictive effects. This procedure has the best results in reducing excessive body mass and in maintaining this loss. Complexity of this procedure, early and late complications suggests that the main operative indication is for morbid obesity patients (body mass index BMI > 50 kg/mp). The procedure that we have done was a success in efficiency and in quality of life, but for conclusions is necessary more experience.

Biliopancreatic Diversion↗
PubMedDate not supplied

[Laparoscopic surgery for small bowel obstruction].

At the beginning of the laparoscopic surgery, intestinal obstruction was considered an absolute contraindication for this approach, because of the high risk of injuring the bowel. Today, the increased experience allows to apply this method in certain selected cases of small intestine obstruction. We realised a retrospective study, over a period of 7 and a half years (January 1997 - June 2004), regarding the patients admitted and treated in our department for small intestine obstruction, both by open surgery (88 cases) and by laparoscopic surgery (11 cases). We compared the preoperative characteristics of the two subgroups, highlighting the importance of a careful selection of the cases for the success of the laparoscopic approach. We analysed the postoperative evolution of these patients (return of bowel function, postoperative wound evolution, hospital stay, socioeconomic reintegration), which allowed us to draw the conclusion that some of the patients with obstruction of the small intestine may benefit from the advantages of the mini-invasive surgery.

Adult↗