PAPADIA , Francesco Saverio

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Gentileschi et al. [1], in the article entitled ''Evidence based medicine: open and laparoscopic bariatric surgery,'' state that the only procedures proved to be highly effective on a long-term basis are open Roux-en-Y grastric bypass (RYGB) for morbidly obese and open longlimb RYGB (L-L RYGB) for superobese patients. RCTs are essential when...

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I read with interest the article "Major Hepatectomy with Simultaneous Pancreatectomy for Advanced Hepatobiliary Cancer" by D'Angelica and colleagues. In their article, the authors submitted 17 patients to combined major hepatectomy with pancreatectomy (MHP), reporting considerable morbidity and mortality (mainly because of liver failure), but...

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Incidence of gastric cancer after Roux-en-Y gastric bypass.

Marginal ulceration (MU) is a well recognized complication after gastric resection. It develops on the intestinal side of the gastroenteric anastomosis, the possible causes being a too large gastric pouch, inadequate mucosal blood flow, Helicobacter infection or NSAID use. Since May 1976, 2,316 patients underwent biliopancreatic diversion...

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BACKGROUND: The authors investigated the weight loss and maintenance in type 2 diabetic obese patients undergoing biliopancreatic diversion (BPD). METHODS: Two series of diabetic and non-diabetic obese patients matched for gender, age and baseline body mass index (BMI) were evaluated prior to BPD, on the occasion of the regular follow-up visit...

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Hypertension is a medical disorder frequently associated with severe obesity, and the effect of weight loss on the reduction of blood pressure has been well established. In this study, the relationships between the weight loss surgically obtained by biliopancreatic diversion and blood pressure were investigated in a population of severely...

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BACKGROUND: Because of the rearrangement of the gastrointestinal tract, biliopancreatic diversion (BPD) could lead to an increased risk of colorectal cancer caused by possible carcinogenetic action of the unabsorbed food and bile acid on colonic mucosa. METHODS: The incidence of colorectal cancer in 1,898 obese subjects submitted to BPD from...

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BACKGROUND - Bariatric operations are the most powerful means of curing type 2 diabetes mellitus (T2D) and the other major components of the metabolic syndrome. Despite the very frequent occurrence of metabolic disturbances in patients with BMI from 30 to 35, there is a general reluctance to operate on these patients, as their disease is...

OBJECTIVE: Gastric bypass and biliopancreatic diversion (BPD) are known to have a beneficial effect on glucose metabolism superior to that of the other bariatric operations. Thanks to its excellent weight loss results and to its specific actions, BPD has proven able to guarantee permanent normalization of serum glucose, triglyceride, and...

BACKGROUND: The benefits of bariatric surgery in adult obese patients are well known, but data are lacking regarding the outcome of the surgery in adolescents. The aim of this study was to retrospectively assess the operative morbidity and mortality, percentage of loss of initial excess weight, and the incidence of long-term complications and...

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Setting: Obesity surgeryhasbeenproposedasatreatmentoptionfordiabeticpatientswithbody mass index(BMI) o 35 kg/m2, buttheefficacy ofmetabolicsurgeryhasnotbeenconclusively determined. Objectives: To evaluatethelong-termmetabolicoutcomeofnon–morbidly obese(NMO)patients with type2diabetes(T2D)afterbiliopancreaticdiversion(BPD). Material andmethods:...