Effects of Long-Term Roux-en-Y Gastric Bypass on Body Weight and Clinical Metabolic Comorbidities in Bariatric Surgery Service of a University Hospital

Silva, Cátia Ferreira da; Cohen, Larissa; Sarmento, Luciana d'Abreu; Rosa, Felipe Monnerat Marino; Rosado, Eliane Lopes; Carneiro, João Régis Ivar; Souza, Antônio Augusto Peixoto de; Magno, Fernanda Cristina Carvalho Mattos

doi:10.1590/0102-6720201600s10006

Cited by 12 publications

(9 citation statements)

References 22 publications

(18 reference statements)

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“…In the analysis of quality of life using the BAROS protocol, the present study and the studies by Castanha et al 21 , Silva et al 22 and Silva et al 23 , which investigated samples with similar mean age, demonstrated an improvement in quality of life, despite being different types of study. Even studies with very different methodologies, such as the one by Sarwer et al 16 , found an improvement in the quality of life.…”

Section: Discussionsupporting

confidence: 59%

Estudo da função sexual em mulheres submetidas a cirurgia bariátrica

Souza

Corrêa

Schimchak

2021

Rev. Med. (São Paulo)

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Introdução: A Cirurgia Bariátrica (CB) surge como forma de tratamento de várias comorbidades associadas à obesidade, e pode estar associada a melhora significativa tanto da qualidade de vida quanto da função sexual de mulheres submetidas ao procedimento cirúrgico. Objetivo: avaliar a função sexual, qualidade de vida e identificar a prevalência de disfunção sexual em mulheres submetidas à cirurgia bariátrica. Método: Estudo transversal realizado com mulheres que foram submetidas a CB e que fizeram acompanhamento em um Hospital Particular e por busca ativa. Foram aplicados os instrumentos de Índice de Função Sexual Feminina (FSFI) e qualidade de vida (BAROS). Resultados: Foram avaliadas 26 mulheres, que se consideram à vontade ao falar de sexo (46%), 42% consideram que a frequência sexual após a CB aumentou, 30% consideram que diminuiu, 50% relatam que a satisfação sexual após a cirurgia melhorou, 42% consideram sua vida sexual boa, 26% ótima e 23% regular. A disfunção sexual teve prevalência de 38%, a média de desempenho no FSFI foi de 25,93 ± 7,86 pontos (Min=5 e Máx = 35,70 pontos). A qualidade de vida analisada pelo BAROS foi considerada “excelente” por 42% e “muito bom” por 38%. Houve correlação entre a função sexual (FSFI) e qualidade de vida (Baros) (r= 0,67, p<0,001). Além disso, não ter disfunção sexual está associado com melhor qualidade de vida (p=0,001). Conclusão: A prevalência de disfunção sexual foi de 38,5%, sendo que a maioria das mulheres apresentou função sexual preservada. A qualidade de vida foi avaliada como excelente e muito boa, enquanto a vida sexual foi classificada de boa a ótima pela maior parte das mulheres. Qualidade de vida mostrou associação a função sexual.

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Section: Discussionsupporting

confidence: 59%

Estudo da função sexual em mulheres submetidas a cirurgia bariátrica

Souza

Corrêa

Schimchak

2021

Rev. Med. (São Paulo)

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“…Consistently, several studies have shown the efficacy of bariatric surgery in the various comorbidities associated with obesity. A retrospective study of 59 patients evaluated the evolution of Type II Diabetes Mellitus, systemic arterial hypertension and dyslipidemia after Roux-en-Y gastroplasty using anthropometric (height and weight) and laboratory data (low density lipoprotein, high density lipoprotein, triglycerides and glycemia) in the pre-and postoperative periods (mean time 7±3 years) 25 . The study showed that after surgery, 40% of patients continued to be treated for systemic arterial hypertension and that remission of diabetes (81%) and dyslipidemia (94%) had occurred.…”

Section: Discussionmentioning

confidence: 99%

“…In general, these data are consistent with the literature. A study with 160 patients submitted to Roux-en-Y Gastric Bypass (Fobi-Capella), identified through the BAROS protocol that 60.6% of the patients evaluated the quality of life as "excellent", 26.8% as "very good", 9.8% as "good" and 2.8% as "bad" 25 . Another study, using BAROS in 70 patients, showed that the highest proportion of patients presented a "good" quality of life (50%), followed by "acceptable" (35.8%), "very good" (12.8%) and "insufficient" (1.4%) 21 .…”

Section: Discussionmentioning

confidence: 99%

Avaliação da qualidade de vida, perda de peso e comorbidades de pacientes submetidos à cirurgia bariátrica

Castanha

Ferraz

Castanha

et al. 2018

Rev. Col. Bras. Cir.

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“…RYGB continues to demonstrate sustained long‐term weight‐loss results as well as improvement and resolution of ORCs, such as GERD, CVD, degenerative joint disease, T2D, OSA, HTN, pulmonary disease, and psychiatric disease . In addition to weight loss and comorbid disease improvement/resolution, both RYGB and SG were further validated as durable bariatric surgeries with significant improvement in patient‐reported outcomes based on quality‐of‐life scores .…”

Section: Executive Summarymentioning

confidence: 99%

Clinical Practice Guidelines for the Perioperative Nutrition, Metabolic, and Nonsurgical Support of Patients Undergoing Bariatric Procedures – 2019 Update: Cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic and Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists

Mechanick

Apovian

Brethauer

et al. 2020

Obesity

289

420

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Objective The development of these updated clinical practice guidelines (CPGs) was commissioned by the American Association of Clinical Endocrinologists (AACE), The Obesity Society (TOS), American Society for Metabolic and Bariatric Surgery (ASMBS), Obesity Medicine Association (OMA), and American Society of Anesthesiologists (ASA) Boards of Directors in adherence with the AACE 2017 protocol for standardized production of CPGs, algorithms, and checklists. Methods Each recommendation was evaluated and updated based on new evidence from 2013 to the present and subjective factors provided by experts. Results New or updated topics in this CPG include: contextualization in an adiposity‐based chronic disease complications‐centric model, nuance‐based and algorithm/checklist‐assisted clinical decision‐making about procedure selection, novel bariatric procedures, enhanced recovery after bariatric surgery protocols, and logistical concerns (including cost factors) in the current health care arena. There are 85 numbered recommendations that have updated supporting evidence, of which 61 are revised and 12 are new. Noting that there can be multiple recommendation statements within a single numbered recommendation, there are 31 (13%) Grade A, 42 (17%) Grade B, 72 (29%) Grade C, and 101 (41%) Grade D recommendations. There are 858 citations, of which 81 (9.4%) are evidence level (EL) 1 (highest), 562 (65.5%) are EL 2, 72 (8.4%) are EL 3, and 143 (16.7%) are EL 4 (lowest). Conclusions Bariatric procedures remain a safe and effective intervention for higher‐risk patients with obesity. Clinical decision‐making should be evidence based within the context of a chronic disease. A team approach to perioperative care is mandatory, with special attention to nutritional and metabolic issues.

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Effects of Long-Term Roux-en-Y Gastric Bypass on Body Weight and Clinical Metabolic Comorbidities in Bariatric Surgery Service of a University Hospital

Cited by 12 publications

References 22 publications

Estudo da função sexual em mulheres submetidas a cirurgia bariátrica

Estudo da função sexual em mulheres submetidas a cirurgia bariátrica

Avaliação da qualidade de vida, perda de peso e comorbidades de pacientes submetidos à cirurgia bariátrica

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