Skip to main content Skip to main navigation menu Skip to site footer
International Journal of Nutrology
Articles
DOI: 10.1055/s-0039-3402030
Submitted: 03-06-2022
Published: 03-06-2022

Evaluation of the Scopinaro Modified Technique in the Surgical Treatment of Obesity Compared to the Classic Scopinaro Surgery – Results after an 18-Month Randomized Clinical Trial

Departamento de Cirurgia, Instituto Paulo Reis, Goiânia, Brasil
Departamento de Cirurgia, Instituto Paulo Reis, Goiânia, Brasil
Departamento de Cirurgia, Instituto Paulo Reis, Goiânia, Brasil
Departamento de Cirurgia, Instituto Paulo Reis, Goiânia, Brasil
Departamento de Cirurgia, Instituto Paulo Reis, Goiânia, Brasil
Departamento de Cirurgia, Instituto Paulo Reis, Goiânia, Brasil
Departamento de Cirurgia, Instituto Paulo Reis, Goiânia, Brasil
obesity bariatric surgery scopinaro

Abstract

Objective: To assess whether the modified Scopinaro surgery is as effective and safe as the classic Scopinaro surgery to reduce excess weight, control the comorbidities, and evaluate the onset of clinical and nutritional intercurrences, if any. Methods: The study sample was composed of 28 participants who were randomized to undergo one of the surgical procedures, and who were monitored by a multiprofessional health team to evaluate the impact of the surgery in the treatment of obesity. We assessed the following variables: comorbidities, clinical and nutritional intercurrences and quality of life. The research protocol was approved by the Ethics in Research Committee of Faculdades Integradas de Pitágoras de Montes Claros (under CAAE 26919414.9.0000.5109). All of the participants signed the informed consent form (ICF). Results: The mean pre-surgery body mass index (BMI) for the classic Scopinaro group and the modified Scopinaro group was of 46.89 kg/m2 and 43.22 kg/m2 respectively. After 540 days of the surgery, these values dropped to 32.16 kg/m2 and 28.79 kg/m2. The evaluation of the percentage of excess BMI lost (%EBL) in the period proved the surgical success, with values of 67.33%% for the classic Scopinaro surgery, and of 80.37% for the modified Scopinaro surgery. Control of the comorbidities, as well as a general improvement in the laboratory test results, was achieved by most of the participants subjected to either one of the techniques. Flatulence and diarrhea were the clinical intercurrencesfound as a result of both procedures. Conclusion: We concluded that the modified Scopinaro surgery is as effective and safe as the classic Scopinaro surgery in reducing weight and in the control of comorbidities, and it also presents the possibility of endoscopic access of all of the stomach and duodenum, surgical reversibility, and conversion into another surgical procedure.

Metrics

Metrics Loading ...

References

  1. Ellulu M, Abed Y, Rahmat A, Ranneh Y, Ali F. Epidemiology of obesity in developing countries: challenges and prevention. Global Epidemic Obesity. 2014; 2 (01) 1-6
  2. Tchernof A, Després JP. Pathophysiology of human visceral obesity: an update. Physiol Rev 2013; 93 (01) 359-404
  3. Nguyen DM, El-Serag HB. The epidemiology of obesity. Gastroenterol Clin North Am 2010; 39 (01) 1-7
  4. Kaila B, Raman M. Obesity: a review of pathogenesis and management strategies. Can J Gastroenterol 2008; 22 (01) 61-68
  5. Sippel C, Bastian RMA, Giovanella J, Faccin C, Contini V, Dal Bosco SM. Processos inflamatórios da obesidade. Revista de Atenção à Saúde 2014; 12 (42) 48-56
  6. Deitel M, Gawdat K, Melissas J. Reporting weight loss 2007. Obes Surg 2007; 17 (05) 565-568
  7. Mason EE. Vertical banded gastroplasty for obesity. Arch Surg 1982; 117 (05) 701-706
  8. Dixon JB, Straznicky NE, Lambert EA, Schlaich MP, Lambert GW. Surgical approaches to the treatment of obesity. Nat Rev Gastroenterol Hepatol 2011; 8 (08) 429-437
  9. Yanovski SZ, Yanovski JA. Long-term drug treatment for obesity: a systematic and clinical review. JAMA 2014; 311 (01) 74-86
  10. Kashyap SR, Bhatt DL, Wolski K. , et al. Metabolic effects of bariatric surgery in patients with moderate obesity and type 2 diabetes: analysis of a randomized control trial comparing surgery with intensive medical treatment. Diabetes Care 2013; 36 (08) 2175-2182
  11. Scopinaro N, Gianetta E, Adami GF. , et al. Biliopancreatic diversion for obesity at eighteen years. Surgery 1996; 119 (03) 261-268
  12. Scopinaro N, Gianetta E, Pandolfo N. , et al. Biliopancreatic diversion. Minerva Clin. 1976; 31: 560
  13. Baker MT. The history and evolution of bariatric surgical procedures. Surg Clin North Am 2011; 91 (06) 1181-1201 , viii
  14. Domene CO, Volpe P, Puzzo DB, Pimente MP, Camargo RB. Derivação bliopancreática com preservação gástrica videolaparoscópica para tratamento da obesidade mórbida. Rev Bras Videocir. 2005; 3 (03) 143-151
  15. Mason EE, Tang S, Renquist KE. , et al; National Bariatric Surgery Registry (NBSR) Contributors. A decade of change in obesity surgery. Obes Surg 1997; 7 (03) 189-197
  16. Linner JR, Drew RL. Technique of anterior wall Roux-en-Y gastric bypass for the treatment of morbid obesity. Contemp Surg 1985; 26: 46-59
  17. Oria HE, Moorehead MK. Bariatric analysis and reporting outcome system (BAROS). Obes Surg 1998; 8 (05) 487-499
  18. Oria HE, Moorehead MK. Updated Bariatric Analysis and Reporting Outcome System (BAROS). Surg Obes Relat Dis 2009; 5 (01) 60-66
  19. Hess DS, Hess DW, Oakley RS. The biliopancreatic diversion with the duodenal switch: results beyond 10 years. Obes Surg 2005; 15 (03) 408-416
  20. Gomez CA. Gastroplasty in morbid obesity. Surg Clin North Am 1979; 59 (06) 1113-1120
  21. Manson EE. Gastroplasty. Major Probl Clin Surg 1981; 26: 1-386
  22. Manson EE. Surgical treatment of obesity. Philadelphia: WB Saunders Co.; 1981: 493
  23. Pace WG, Martin Jr EW, Tetirick T, Fabri PJ, Carey LC. Gastric partitioning for morbid obesity. Ann Surg 1979; 190 (03) 392-400
  24. MINISTÉRIO DA SAÚDE. 2015. Metade dos brasileiros está com excesso de peso [acesso em 1 jul 2015]. Disponível em: http://www.brasil.gov.br/saude/2015/04/metade-dos-brasileiros-esta-com-excesso-de-peso
  25. Buchwald H, Avidor Y, Braunwald E. , et al. Bariatric surgery: a systematic review and meta-analysis. JAMA 2004; 292 (14) 1724-1737
  26. ABESO. Diretrizes brasileiras de obesidade 2009/2010. Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica 2009 [acesso em 14 set 2005]. Disponível em: http://www.abeso.org.br/pdf/diretrizes_brasileiras_obesidade_2009_2010_1.pdf
  27. Bastos EC, Barbosa EM, Soriano GM, dos Santos EA, Vasconcelos SM. Determinants of weight regain after bariatric surgery. Arq Bras Cir Dig 2013; 26 (Suppl. 01) 26-32
  28. Sarmento R, Casagrande D, Schaan B. Cirurgia bariátrica no tratamento da obesidade: impacto sobreo metabolismo ósseo. Revista HUPE 2014; 13 (01) 87-93
  29. Michielson D, Hendrickx L, Hendrickx L. Complications of biliopancreatic diversion surgery as proposed by Scopinaro in the treatment of morbid obesity. Obes Surg 1996; 6 (05) 416-420
  30. Dolan K, Hatzifotis M, Newbury L, Lowe N, Fielding G. A clinical and nutritional comparison of biliopancreatic diversion with and without duodenal switch. Ann Surg 2004; 240 (01) 51-56
  31. Hess DS, Hess DW. Biliopancreatic diversion with a duodenal switch. Obes Surg 1998; 8 (03) 267-282
  32. Marceau P, Biron S, Hould FS. , et al. Duodenal switch: long-term results. Obes Surg 2007; 17 (11) 1421-1430
  33. Baltasar A, Bou R, Miró J, Bengochea M, Serra C, Pérez N. Laparoscopic biliopancreatic diversion with duodenal switch: technique and initial experience. Obes Surg 2002; 12 (02) 245-248
  34. Santoro S, Velhote MCP, Malzoni CE, Mechenas ASG, Damiani D, Makskoud JG. Digestive adaptation with intestinal reserve: a new surgical proposal for morbid obesity. Rev Bras Videocir. 2004; 2 (03) 130-138

How to Cite

Melo, P. R. E. de, Braga, T. C., Moura, N. D. de, Gonçalves Junior, J. C., Oliveira, M. V. M. de, Gava-Brandolis, M. G., & Homar, D. G. (2022). Evaluation of the Scopinaro Modified Technique in the Surgical Treatment of Obesity Compared to the Classic Scopinaro Surgery – Results after an 18-Month Randomized Clinical Trial. International Journal of Nutrology, 12(2), 71–80. https://doi.org/10.1055/s-0039-3402030