| Abstract |
Its strange, especially in a world where a lot of people are starved or undernourished, others to die as a conclusion of too much food and excessive weight. Surgical treatment is the only one that results in significant and permanent loss of weight in the morbidly obese patients. Nowadays the most common surgical operation for the treatment of morbid obesity in Europe is Vertical Banded Gastroplasty (VBG). The energy balance of humans follows the laws of thermodynamics. The general equation of energy balance can be stated as follows: Eintake = Eexpenditure + Estored The first part of this study aimed to compare LVBG with open VBG. The first 19 patients that underwent open VBG were compared with the first 19 patients that underwent LVBG at Bariatric Unit, Dept. of Surgical Oncology, Medical School of the University of Crete. LVBG is an effective treatment for morbid obesity. Patients undergoing LVBG develop less post-operative pain, remain less in hospital, start oral intake sooner, are mobilized faster, have rapid return to their normal activities with better cosmetic results compared to those undergoing open VBG. On the other hand LVBG requires longer operative time, more experience and has a higher cost. Twenty two volunteers took part in the second part of this study. We investigated M.R.E.E. and D.I.T. before and after administrating to them proton pump inhibitors for a period of two months. M.R.E.E. and D.I.T. were determined by indirect calorimetry performed by the DELTATRACTM-II-MBM-200. From our results it is obvious that there is no relation between gastric hydrochloric acid (HCl) secretion and M.R.E.E. and D.I.T. Therefore HCl is not responsible for the changes in energy expenditure and the greater loss of weight which is observed in patients with common characteristic the reduction of HCl, that is patients who have undergone gastrectomy for benign conditions and patients that undergo BPD, RYGB and VBG plus truncal vagotomy.
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Συγκριτική μελέτη της ανοικτής με τη λαπαροσκοπική ενισχυμένη κάθετη γαστροπλαστική και βασικός μεταβολικός ρυθμός
