<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0378-6420</journal-id>
<journal-title><![CDATA[Revista Venezolana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[RevVenezCir]]></abbrev-journal-title>
<issn>0378-6420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Venezolana de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0378-64202024000100057</article-id>
<article-id pub-id-type="doi">10.48104/rvc.2024.77.1.15</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[GASTRECTOMÍA VERTICAL LAPAROSCÓPICA Y BYPASS GÁSTRICO LAPAROSCÓPICO EN Y DE ROUX: MORBIMORTALIDAD POSTOPERATORIA. ESTUDIO RETROSPECTIVO]]></article-title>
<article-title xml:lang="en"><![CDATA[Laparoscopic vertical gastrectomy and laparoscopic Roux-en-Y gastric bypass: postoperative morbimortality]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Herrera]]></surname>
<given-names><![CDATA[Stefany Daniela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rondón Arreaza]]></surname>
<given-names><![CDATA[Gabriel Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vassallo P]]></surname>
<given-names><![CDATA[Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morao Pompili]]></surname>
<given-names><![CDATA[José Leonardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinoza Altahona]]></surname>
<given-names><![CDATA[Antonio José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario de Caracas  ]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario de Caracas  ]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario de Caracas  ]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Dr. José María Vargas  ]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<volume>77</volume>
<numero>1</numero>
<fpage>57</fpage>
<lpage>61</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://hml-ve.scielo.org/scielo.php?script=sci_arttext&amp;pid=S0378-64202024000100057&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://hml-ve.scielo.org/scielo.php?script=sci_abstract&amp;pid=S0378-64202024000100057&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://hml-ve.scielo.org/scielo.php?script=sci_pdf&amp;pid=S0378-64202024000100057&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo:  Establecer la morbimortalidad postoperatoria de la gastrectomía vertical laparoscópica y el bypass gástrico laparoscópico en Y de Roux.  Método:  estudio retrospectivo, descriptivo, longitudinal. La muestra estuvo conformada por pacientes sometidos a gastrectomía vertical laparoscópica y bypass gástrico laparoscópico en la unidad de Cirugía Bariátrica del Hospital Universitario de Caracas, Venezuela, con seguimiento posterior de los mismos por parte de esta unidad.  Resultados:  La muestra estuvo conformada por 153 pacientes, de los cuales el 85,6 % (131) fueron sometidos a bypass gástrico laparoscópico y 14,4 % (22) a gastrectomía vertical laparoscópica. El 17,6 % eran del sexo masculino, 82,4 % del sexo femenino; el peso, talla, índice de masa corporal (IMC) y tiempo quirúrgico promedios fueron 126,9 kg, 1,6 m, 47,1 kg/m2 y 131,7 minutos, para bypass gástrico respectivamente, al comparar con el grupo de pacientes sometidos a gastrectomía vertical laparoscópica se encontraron diferencias estadísticamente significativas en peso e IMC (p&lt;0,001). La comorbilidad más frecuente fue la hipertensión arterial (29,4 %), seguida de la resistencia a la insulina (27,5 %). No se encontraron complicaciones médicas en la serie de pacientes estudiados. Dos pacientes con bypass gástrico tuvieron fuga de la gastroyeyunoanastomosis, sin diferencia estadísticamente significativa (p = 0,83). No hubo mortalidad postoperatoria en ningún grupo.  Conclusión:  El bypass gástrico y la gastrectomía en manga son procedimientos seguros, siendo la gastrectomía vertical laparoscópica el procedimiento con menor tendencia a presentar complicaciones postoperatorias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective:  To establish the postoperative morbidity and mortality of laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass.  Method:  retrospective, descriptive, longitudinal study. The sample was made up of patients undergoing laparoscopic vertical gastrectomy and laparoscopic gastric bypass in the Bariatric Surgery unit of the University Hospital of Caracas, Venezuela, with subsequent follow-up by this unit.  Results:  The sample consisted of 153 patients, of which 85.6% (131) underwent laparoscopic gastric bypass and 14.4% (22) underwent laparoscopic sleeve gastrectomy. 17.6% were male, 82.4% were female; The average weight, height, body mass index (BMI) and surgical time were 126.9 kg, 1.6 m, 47.1 kg/m2 and 131.7 minutes, for gastric bypass, respectively, when compared with the group of patients undergoing laparoscopic vertical gastrectomy, statistically significant differences were found in weight and BMI (p&lt;0.001). The most common comorbidity was high blood pressure (29.4%), followed by insulin resistance (27.5%). No medical complications were found in the series of patients studied. Two patients with gastric bypass had gastrojejunostomy leak, without a statistically significant difference (p = 0.83). There was no postoperative mortality in any group.  Conclusion:  Gastric bypass and sleeve gastrectomy are safe procedures, with laparoscopic vertical gastrectomy being the procedure with the least tendency to present postoperative complications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Obesidad]]></kwd>
<kwd lng="es"><![CDATA[gastrectomía vertical]]></kwd>
<kwd lng="es"><![CDATA[bypass gástrico]]></kwd>
<kwd lng="es"><![CDATA[complicaciones bariátrica]]></kwd>
<kwd lng="en"><![CDATA[Obesity]]></kwd>
<kwd lng="en"><![CDATA[vertical gastrectomy]]></kwd>
<kwd lng="en"><![CDATA[gastric bypass]]></kwd>
<kwd lng="en"><![CDATA[bariatric complications]]></kwd>
</kwd-group>
</article-meta>
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