The periodontal disease increased in severity and P. gingivalis increased after GBS. A systemic inflammation resolution due to bariatric surgery in obese subjects does not seem to affect the course of periodontal disease.

Bariatric surgery may improve systemic conditions. However, it had a negative impact on oral health conditions because of an increase in periodontal disease and dental wear.

Objetivo: Avaliar a evolução e a classificação do peso corporal em relação aos resultados da cirurgia bariátrica em mulheres submetidas ao procedimento cirúrgico há mais de dois anos. Sujeitos e método: Foram avaliadas 141 mulheres submetidas à derivação gástrica em Y de Roux (DGYR) com anel de contenção. As participantes foram divididas de acordo com o tempo de pós-operatório e conforme o percentual da perda do excesso de peso (%PEP): < 50; 50 ┤ 75; e, ≥ 75. Resultados: As mulheres do grupo com %PEP ≤ 50 (15,6%) se mantiveram obesas, enquanto aquelas que apresentaram %PEP ≥ 75 (36,2%) situaram-se entre a eutrofia e pré-obesidade e tiveram menor índice de recuperação tardia de peso em relação aos demais grupos. Conclusão: A evolução de peso após dois ou mais anos da cirurgia mostrou sua esperada redução com variados graus de resposta, apontando a necessidade de monitoramento, investigação e intervenção para obtenção dos resultados esperados. Arq Bras Endocrinol Metab. 2010;54(3):303-10 Descritores Obesidade mórbida; cirurgia bariátrica; peso corporal; perda de peso ABSTRACT Objective: The objective of this study was to assess the evolution and classification of body weight in relation to the results of bariatric surgery in women who underwent the procedure more than two years ago. Subjects and method: A total of 141 women underwent banded Roux-en-Y gastric bypass (RYGB). The participants were divided according to the time elapsed since surgery and the percentage of excess weight lost (%EWL): < 50; 50 ┤ 75; and ≥ 75. Results: The women in the group with %EWL ≤ 50 (15.6%) remained obese, while those with %EWL ≥ 75 (36.2%) ranged from normal to pre-obese and presented lower late weight gain than the women in the other groups. Conclusion: Weight evolution two or more years after surgery showed the expected reductions, with some individuals responding better to surgery than others. This shows that it is necessary to monitor, investigate and intervene to obtain the desired results. Arq Bras Endocrinol Metab. 2010;54(3):303-10 Keywords Morbid obesity; bariatric surgery; body weight; weight loss INTRODUÇÃO A obesidade tornou-se epidemia e problema de saúde pública em todo o mundo, sem distinção de sexo e idade (1-3). As consequências da obesidade no indivíduo, principalmente em seu grau mais avançado, são evidentes, como a redução na expectativa e na qualidade de vida, os problemas psicossociais e a incidência de doen ças concomitantes (4-6).Em situação grave, a cirurgia bariátrica tem configurado como o único tratamento para alcançar perda

Background: Since the publication of the first Brazilian Consensus on Gastric Cancer (GC) in 2012 carried out by the Brazilian Gastric Cancer Association, new concepts on diagnosis, staging, treatment and follow-up have been incorporated. Aim: This new consensus is to promote an update to professionals working in the fight against GC and to provide guidelines for the management of patients with this condition. Methods: Fifty-nine experts answered 67 statements regarding the diagnosis, staging, treatment and prognosis of GC with five possible alternatives: 1) fully agree; 2) partially agree; 3) undecided; 4) disagree and 5) strongly disagree A consensus was adopted when at least 80% of the sum of the answers “fully agree” and “partially agree” was reached. This article presents only the responses of the participating experts. Comments on each statement, as well as a literature review, will be presented in future publications. Results: Of the 67 statements, there was consensus in 50 (74%). In 10 declarations, there was 100% agreement. Conclusion: The gastric cancer treatment has evolved considerably in recent years. This consensus gathers consolidated principles in the last decades, new knowledge acquired recently, as well as promising perspectives on the management of this disease.

Restricted food intake after bariatric surgery can be an important factor both in the long-term control of body weight and in the onset of nutritional deficiencies. The objective of this study was to assess the adequacy of food intake in women two or more years after bariatric surgery according to the excess weight lost. A group of 141 women who underwent banded Roux-en-Y gastric bypass (RYGB) was divided according to the percentage of excess weight they lost (%EWL)<50; 50┤75; = 75. The habitual energy and nutrient intakes were determined by a 24-hour recall over two days and the probability of adequate intake was based on the Dietary Reference Intake. The mean total estimated energy requirement (EER) as well as energy, macronutrient and cholesterol intakes did not differ among the groups. Only the %EWL<50 group had an intake equal to their EER, but they presented a higher number of inadequacies, such as low levels of magnesium, folic acid and vitamins C and E. Calcium and dietary fiber intakes were extremely low in all three groups. In conclusion, weight loss after surgery is associated with food habits that favor energy intake over micronutrient intake.