{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T03:40:17Z","timestamp":1792726817085,"version":"4.5.0"},"reference-count":31,"publisher":"FapUNIFESP (SciELO)","issue":"5","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO  Objetivo: o duodenal switch \u00e9 um procedimento disabsortivo complexo, associado aos melhores resultados de perda de peso e controle metab\u00f3lico. A cirurgia em etapas, com gastrectomia vertical como primeiro passo, \u00e9 uma op\u00e7\u00e3o para reduzir complica\u00e7\u00f5es em pacientes superobesos. No entanto, alguns problemas persistem, como f\u00edgados grandes, que dificultam a abordagem cir\u00fargica, e complica\u00e7\u00f5es, como f\u00edstulas graves. A biparti\u00e7\u00e3o do tr\u00e2nsito intestinal \u00e9 um modelo modificado e simplificado de desvio biliopancre\u00e1tico que complementa a gastrectomia vertical. \u00c9 semelhante ao duodenal switch com menores complexidade e consequ\u00eancias nutricionais. Este estudo avaliou a viabilidade e a seguran\u00e7a da biparti\u00e7\u00e3o de tr\u00e2nsito isolada como o procedimento inicial para tratar a superobesidade.  M\u00e9todos: foram inclu\u00eddos 41 pacientes superobesos, com IMC m\u00e9dio de 54,5\u00b13,5kg\/m2. Uma biparti\u00e7\u00e3o de tr\u00e2nsito isolada laparosc\u00f3pica foi realizada como o primeiro procedimento em uma nova abordagem em duas etapas. Perda de peso e complica\u00e7\u00f5es foram analisadas durante um ano de acompanhamento.  Resultados: todos os procedimentos foram completados por laparoscopia. Ap\u00f3s seis meses, a perda m\u00e9dia de excesso de peso percentual foi de 28%, permanecendo est\u00e1vel at\u00e9 o final do estudo. N\u00e3o houve dificuldades intraoperat\u00f3rias. Metade dos pacientes apresentou diarreia precoce e tr\u00eas tiveram \u00falceras marginais. N\u00e3o houve complica\u00e7\u00f5es cir\u00fargicas maiores ou mortes.  Conclus\u00e3o: a biparti\u00e7\u00e3o de tr\u00e2nsito isolada laparosc\u00f3pica \u00e9 uma nova op\u00e7\u00e3o para uma abordagem em est\u00e1gios na superobesidade, que pode permitir um segundo procedimento mais seguro ap\u00f3s a perda de peso ao longo de seis meses. Pode ser \u00fatil, particularmente, para pacientes com obesidade grave.<\/jats:p>","DOI":"10.1590\/0100-6991e-20192264","type":"journal-article","created":{"date-parts":[[2019,12,20]],"date-time":"2019-12-20T13:13:37Z","timestamp":1576847617000},"source":"Crossref","is-referenced-by-count":5,"title":["Biparti\u00e7\u00e3o de tr\u00e2nsito intestinal isolada: uma nova estrat\u00e9gia para cirurgia em est\u00e1gios em superobesos."],"prefix":"10.1590","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5254-446X","authenticated-orcid":false,"given":"Eudes Paiva de","family":"Godoy","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e9rgio Santoro dos Santos","family":"Pereira","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1261-7046","authenticated-orcid":false,"given":"Daniel","family":"Coelho","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor Marreiros de Medeiros","family":"Pinto","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vin\u00edcius Fernando da","family":"Luz","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge Landivar","family":"Coutinho","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatyane Ribeiro de Castro","family":"Palitot","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamilton Belo de Fran\u00e7a","family":"Costa","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josemberg Marins","family":"Campos","sequence":"additional","affiliation":[{"name":"Universidade Federal de Pernambuco,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos Teixeira","family":"Brandt","sequence":"additional","affiliation":[{"name":"Universidade Federal de Pernambuco,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"6","key":"ref1","doi-asserted-by":"crossref","first-page":"1509","DOI":"10.1007\/s00464-011-2085-3","article-title":"Sleeve gastrectomy 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