Purpose -
Estudo Morfométrico do Miocárdio em Adultos com Subnutrição Protéico-Energética Artigo OriginalA subnutrição protéico-energética (SPE) crônica, do tipo marasmo, decorre do aporte alimentar insuficiente para suprir as necessidades energéticas e protéicas do indiví-duo, processo que se acompanha de emagrecimento progressivo, com diminuição do peso corporal e das reservas de gordura e de massa muscular. Em adultos, a SPE do tipo kwashiorkor está associada com hipoalbuminemia e edema, geralmente com evolução mais rápida e muitas vezes desencadeada por infecção, trauma ou cirurgia 1 . Nos seres humanos, uma conseqüência da subnutrição é a progressiva perda das reservas corporais de musculatura e de tecido adiposo, com hipotrofia de diversos órgãos, incluindo rins, intestinos e órgãos linfóides 1 . O fígado (esteatose hepática) e os pulmões (maior susceptibilidade às infecções) também podem ser afetados 2 .
OBJECTIVE:To evaluate the effectiveness of the treatment of acromegaly patients at the Federal University of Triangulo Mineiro.METHODS:Cross-sectional and retrospective study of thirty cases treated over a period of two decades.RESULTS:17 men (56.7%) aged 14-67 years and 13 women aged 14-86 years were analyzed. Twenty-one patients underwent transphenoidal surgery, whichwas associated with somatostatin receptor ligands in 11 patients (39.3%), somatostatin receptor ligands + radiotherapyin 5 patients (17.8%), radiotherapy in 3 patients (10.7%), and radiotherapy + somatostatin receptorligands + cabergoline in 1 patient (3.6%). Additionally, 2 patients underwent radiotherapy and surgeryalone. Six patients received somatostatin receptor ligands before surgery, and 2 were not treated due to refusal and death. Nine patients have died, and 20 are being followed; 13 (65%) have growth hormonelevels o1 ng/mL, and 11 have normal insulin-like growth factor 1 levels.CONCLUSION:The current treatment options enable patients seen in regional reference centers to achieve strict control parameters, which allows them to be treated close to their homes.
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