SVIBOR - Project code: 3-01-350

MINISTRY OF SCIENCE AND TECHNOLOGY

Strossmayerov trg 4, HR - 10000 ZAGREB
tel.: +385 1 459 44 44, fax: +385 1 459 44 69
E-mail: ured@znanost.hr

SVIBOR

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Project code: 3-01-350


SURGICAL TREATMENT FOR MORBID OBESITY


Main researcher: KOŠUTA, DRAGUTIN (48494)


Assistants
Type of research: applied
Duration from: 01/01/95.
Papers on project (total): 13
Papers on project quoted in Current Contents: 2
Institution name: Bolnica "Sveti duh", Zagreb (129)
Department/Institute: General Hospital "Sveti Duh" (Surgical Clinic), The Scientific Department
Address: Ulica Sveti Duh 64
City: 10000 - Zagreb, Croatia
Communication
Phone: 385 (0)41 171-111
Phone: 385 (0)41 573-693
Fax: 385 (0)41 570-224
Summary: Morbid obesity is very significant risk factor of health, and at the same time is esthetic defect causing psychosocial problems. Project "Surgical treatment for morbid obesity" is related to the application of the own modified surgical treatment in human medicine, if the experimental work on animals will give the expected results. Considering own experiences and satisfactory results of the existing surgical methods for morbid obesity, we are aware of some deficiencies of the mentioned methods and are trying to obtain certain improvements. There are already known treatments on small intestine (jejunoileal bypass) by which absorption surface is reduced and weight loss occurs. Then there are treatments on stomach (Vertical Ring Gastroplasty) by which small reservoirs are created, so that food intake is reduced and weight loss starts. There are some known combinations and some others. Our suggested method is combined surgical treatment that we have called gastroplasty besides double banding with partial jejunoileal bypass. By operation small gastric pouch is created for food intake with two outlets, which actually enable the expansion of this stomach, and by partial jejunoileal bypass food absorption is reduced. The aim of our method is: 1. to reduce body weight surplus for 60-100%, 2. to obtain permanent reduction of food intake into the created stomach reservoir and the reduction of absorption of small intestine surface, respectively to preserve the complete functionality of both systems, and to avoid possible metabolic changes, 3. to enable diagnostics (X-ray, endoscopy) of the complete stomach and small intestine, that by other treatments is difficult, 4. to investigate lipides metabolism and the influence of operation besides the expected decrease of arteriosclerosis risk factors, 5. to achieve better patient's outlook, 6. to achieve patient's psychosocial reintegration.

Keywords: adiposity, surgical treatment for morbid obesity, metabolic changes, Ring Vertical Gastroplasty, jejunoileal bypass, modified surgical treatment

Research goals: The aim and purpose of the application of our method in human medicine are the following: 1. to obtain the reduction of overweight for 60-100%, 2. by the combined treatment on stomach and small intestine in the described form to obtain the reduction of food intake and the decrease of intestinal absorption surface respectively to preserve the complete function of both systems, and by this avoid the eventual metabolic changes, 3. by the foreseen treatment to enable diagnostics (X-ray, endoscopy) of the complete stomach and small intestine, that by existing treatments is not possible or is difficult, 4. to investigate lipides metabolism and the influence of the operation upon the risk facts of arteriosclerosis, 5. to achieve better patient's outlook, 6. to achieve patient's psychosocial reintegration.

COOPERATION - INSTITUTIONS


  1. Name of institution: Kirurška klinika Veterinarskog fakulteta
    Type of institution: International organization
    City: 10000 - Zagreb, Croatia

OTHER ACHIEVEMENTS


  1. Name: Primjena aktualne operacije debljine
    Type of achievement: Other
    Authors: Košuta D., Tomičić M., Barišić J., Musić Milanović S.
Other information about the project.
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