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Results of revisional operations following vertical banded gastroplasty performed due to morbid obesity - comparison between restoration of vertical banded gastroplasty and conversion to gastric bypass up to three years

100%

Wylezol M., Pardela M.

Journal of Physiology and Pharmacology. Supplement

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2005

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tom 56

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nr 6

135-144

The aim of this study was to analyse incidence and efficacy of revisional surgery for failed vertical banded gastroplasty among 458 patients who underwent primary surgery between 1993 and 2003. Staple line disruption was diagnosed in 29 patients and was an indication for restoration of gastroplasty in 10 cases and a conversion to Roux-en-Y gastric bypass in 19 patients. In two cases of outlet stenosis the band was exchanged to enlarge the collar. In two cases of psychological intolerance of restriction the band was removed because of refusion by patients the conversion to Roux-en-Y gastric bypass. A substantial weight reduction without statistical differences between restoration and conversion group was recognized. In two patients (20%) after restoration and three patients (15.8%) after conversion we observed weight regain (p=0.57). In cases with removed band weight regained up to its value recorded before surgery. In patients with exchanged band weight was under control. No serious complications were observed. We could conclude that patients with weight regain after vertical banded gastroplasty should be offered conversion to Roux-en-Y gastric bypass. When malabsorption is refused, restoration of vertical banded gastroplasty could be also performed. Both of procedures are technically difficult but safe.

2

The progress in bariatric surgery

81%

Pardela M., Wiewiora M., Sitkiewicz T., Wylezol M.

Journal of Physiology and Pharmacology. Supplement

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2005

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tom 56

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nr 6

35-44

Morbid obesity, caused by fat tissue accumulation, is a serious multi-factorial chronic disease, with rapidly increasing prevalence in most countries in the world including Poland. Conservative treatment of morbid obesity is almost always unsatisfactory and that is why several surgical methods have been developed. There are four kinds of methods: malabsorptive procedures; restrictive procedures; malabsorptive/restrictive procedures and experimental procedures. The development of bariatric surgery goes back to 1952 and since that time it has been evolving dynamically. All the surgical methods have benefits and disadvantages. Presently the introduction of minimally invasive surgical techniques seems to be very safe, efficient and cost-effective in treatment for morbid obesity. New methods are also being evaluated, such as gastric myo-electrical stimulation. Bariatric surgery will still be developing until we understand all the factors responsible for it is origin.

3

Biliopancreatic diversion in Poland

71%

Wylezol M., Gluck M., Zubik R., Kobielski A., Pardela M.

Journal of Physiology and Pharmacology. Supplement

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2005

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tom 56

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nr 6

117-126

Biliopancreatic diversion (BPD) is a bariatric operation of proved efficacy especially in patients with metabolic comorbidities. The aim was to assess the results of BPD in relation to weight loss and coexisting lipid and glucose metabolism disturbances in the Polish population. Between October 2001 and December 2003 57 morbidly obese patients (24 male and 33 female) underwent BPD. Median age was 46 years (range: 17-58) and median body mass index (BMI) was 50.2 kg/m2 (range: 40.1-73 kg/m2). Type 2 diabetes mellitus was observed in 11 patients (19.3%), hypercholesterolaemia in 38 patients (66.7%) and hypertriglyceridaemia in 37 patients (64.9%). Median value of BMI decreased at three months to 40.0 kg/m2, at six months to 36.7 kg/m2, and after a year to 32.3 kg/m2. Diabetes was completely resolved in all patients. After six months, triglycerides and cholesterol levels were higher than normal only in one patient. Early specific complications that manifested as seroma and nosocomial pneumonia occurred in 5.3% and 3.5% patients, respectively. The following specific late complications were observed: ulceration of stomach stump (3.4%), anaemia (14.0%), hypoalbuminaemia (8.8%), deterioration of haemorrhoids (15.8). All of above complications were treated conservatively expect two haemorrhoidectomies. One patient died due to myocardial infarction eight months after BPD. Five cases of incisional hernias (8.8%) were found. BPD is an effective bariatric procedure also in the Polish population, resulting not only in weight loss but also in the improvement of lipid and glucose metabolism.

4

The nasal airway evaluation in morbid obesity

71%

Namyslowski G., Mrowka-Kata K., Scierski W., Wylezol M., Pardela M.

Journal of Physiology and Pharmacology. Supplement

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2005

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tom 56

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nr 6

67-75

The aim of the present study was to evaluate objectively the nasal patency in the obese patients. A total of 18 morbidly obese patients were recruited for the study. All of them were surgically treated because of morbid obesity using Bilo-Pancreatic Diversion (BPD) or Laparoscopic Gastric Banding (LGB) methods. The patients were free of nasal abnormalities, such as septum deviation, polyps, nasal concha hypertrophy and paranasal sinus diseases. This group comprised 10 men and 8 women aged from 17 to 54. The mean Body Mass Index (BMI) was 51.6 kg/m2, ranged from 34.7 to 61.8 kg/m2. In all of the patients the nasal patency was examined by active anterior rhinomanometry according International Standardization Rhinomanometric Committee using air pressure 75, 100 and 150 dPa. The results were compared to the healthy control group. The correlation between BMI and nasal airflow pressure was also examined. We found that inspiration values for 75, 100 and 150 dPa as well as the expiration values for 100 and 150 dPa in standard method and expiration values for 100 and 150 dPa in Broms method using anterior rhinomanometry in morbidly obese patients were statistically significant higher in comparison with the healthy controls. No statistical significant correlation between BMI of obese patients and the airflow pressure values was found. We conclude that in the morbide obesity the nasal patency is reduced as compared to the healthy controls.

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Evaluation of overweight and obesity in Helicopter Emergency Medical Service (HEMS) worker

71%

Galazkowski R., Gazdzinska A., Kopka M., Drozdowski R., Wylezol M.

Annals of Agricultural and Environmental Medicine

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2015

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tom 22

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nr 3

6

Zachowania zdrowotne wojskowego personelu lotniczego i podchorążych Wyższej Szkoły Oficerskiej Sił Powietrznych w Dęblinie

61%

Baran P., Gazdzinska A., Jagielski P., Jakacka A., Piotrowski M., Wylezol M.

Bromatologia i Chemia Toksykologiczna

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2014

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tom 47

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nr 3

7

Basal and postprandial plasma levels of PYY, ghrelin, cholecystokinin, gastrin and insulin in women with moderate and morbid obesity and metabolic syndrome

42%

Zwirska-Korczala K., Konturek S. J., Sodowski M., Wylezol M., Kuka D., Sowa P., Adamczyk-Sowa M., Kukla M., Berdowska A., Rehfeld J. F., Bielanski W., Brzozowski T.

Journal of Physiology and Pharmacology. Supplement

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2007

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tom 58

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nr 1

13-35

Ograniczanie wyników

Results of revisional operations following vertical banded gastroplasty performed due to morbid obesity - comparison between restoration of vertical banded gastroplasty and conversion to gastric bypass up to three years

The progress in bariatric surgery

Biliopancreatic diversion in Poland

The nasal airway evaluation in morbid obesity

Evaluation of overweight and obesity in Helicopter Emergency Medical Service (HEMS) worker

Zachowania zdrowotne wojskowego personelu lotniczego i podchorążych Wyższej Szkoły Oficerskiej Sił Powietrznych w Dęblinie

Basal and postprandial plasma levels of PYY, ghrelin, cholecystokinin, gastrin and insulin in women with moderate and morbid obesity and metabolic syndrome