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Aniceto Baltasar

Aniceto Baltasar

Spain

Title: 39 nine years in Bariatrics

Biography

Biography: Aniceto Baltasar

Abstract

Introduction
We want to present the evolution of  bariatrics in a  Community Hospital setting since the 70´s Evolution The 19/06/1977 we made the first open gastric bypass (DGA) in Spain and published 18 patients and we developed hypercholesterolaemia surgery in 1987, thus beginning bariatric and metabolic surgery in Spain.
80-The GVA
We published in 1986 the VBG and the radiologist described the "peanut deformity" related to the GVA. To avoid gastro-gastric fistulas we devised in 1989, the "vertical division of the sleeve suture and stapled the suture-line" and separate the two lines with a continuous suture in 130 patients.
We reviewed the same patients 5 years later and published "The VBG ... is a frustrated experience" in Spanish, and English. The VBG disappeared in 2 years. Arlandis publishes a complicated case of bulimia nervosa with gastric perforation the first in Spanish.
90´s. Gastric Bands. We helped Dr. Favretti 25/09/1995 of Italy to perform in Spain the insertion of first gastric band in Hospital La Paz in Madrid.
Duodenal Switch on the 90´s .In 03.17.1994 we started our first Open DS in 527 patients with 5 deaths (0.9%). The 06/05/1995 at ASMBS meeting in Seattle present a video using division of the stomach with staples and continuous on-suture staples.We used the abdominal supraumbilical giving a transverse incision incisional hernias 10% instead of 39% in the vertical incision. The transverse incision facilitates body contouring surgery
LAPAROSCOPY IN THE MID-90. On 01.14.1997 we made the first LGBP (Lap Gastric bypass) in Spain, and presented at Second National Meeting of SECO of Granada Cir Esp the 4.12.1997 and 2000 and was awarded the National Prize By REEAD  with 1st non-use of the circular stapler without trocar in the world. Serra in 1999 described the world 1st internal hernia after LGBP.
Founding of Spanish Society for Surgery of Obesity (SECO)