Avaliação da qualidade de vida tardia após gastroplastia vertical

Pimenta, Gunther Peres; Moura, Danielle das Neves; Filho, Elson Taveira Adorno; Jaudy, Thiago Rachid; Jaudy, Thaissa Rachid; Aguilar-Nascimento, José Eduardo de

doi:10.1590/s0100-69912013000600006

Cited by 12 publications

(11 citation statements)

References 35 publications

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“…Regarding systemic arterial hypertension (SAH), the study of Carvalho et al 28 , which evaluated 47 patients between the pre-and post-operative moments, pointed a reduction of 28.7 mmHg in SBP and 20.8 mmHg in DBP, corresponding to 19.0% and 20.8%, respectively. A similar result was verified in another study 29 with 41 patients monitored for up to 1 year of BS postoperative period. In the preoperative period, 56% of the individuals had SAH and, after the surgical procedure, this number was reduced to 31.7%, and the use of hypertensive medication was suspended by more than 50% of the patients.…”

Section: Discussionsupporting

confidence: 84%

Repercussões da cirurgia bariátrica na qualidade de vida, no perfil bioquímico e na pressão arterial de pacientes com obesidade mórbida

et al. 2018

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RESUMO A indicação da cirurgia bariátrica (CB) para perda de peso e redução de comorbidades associadas à obesidade é crescente. O objetivo do presente estudo foi analisar as repercussões da CB na qualidade de vida (QV), no perfil bioquímico e na pressão arterial (PA) de indivíduos obesos mórbidos em três momentos distintos: um mês antes, três meses depois e seis meses após a CB. Participaram da pesquisa 42 indivíduos com obesidade mórbida do programa de CB de um hospital da cidade de Juiz de Fora - MG, os quais foram aleatoriamente divididos em grupo intervenção (GI, n=21) e grupo controle (GC, n=21). O GI sofreu intervenção cirúrgica e o GC foi orientado a manter os afazeres diários usuais durante todo período do estudo, além de receberem acompanhamento nutricional. Foram avaliados a QV, o perfil bioquímico e a PA através do instrumento SF-36, do exame laboratorial de sangue obtido no prontuário dos pacientes e do esfigmomanômetro e estetoscópio, respectivamente. Os resultados demonstraram redução nas variáveis bioquímicas High-density lipoproteins (HDL), Low-density lipoproteins (LDL), Very Low-Density Lipoprotein (VLDL), colesterol, triglicerídeos, hemoglobina glicada, glicose, pressão arterial sistólica e pressão arterial diastólica no GI, após 6 meses de cirurgia. Houve melhora significativa nas variáveis relacionadas à QV, exceto nos aspectos emocionais. Conclui-se que a CB pode repercutir positivamente na maioria dos domínios da QV, na melhora do perfil bioquímico e na PA de pacientes obesos mórbidos após 3 e 6 meses de CB.

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Section: Discussionsupporting

confidence: 84%

Repercussões da cirurgia bariátrica na qualidade de vida, no perfil bioquímico e na pressão arterial de pacientes com obesidade mórbida

et al. 2018

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“…In "medical conditions", the individual reaches a higher score as there is clinical improvement or cure of one, several or all preexisting comorbidities before surgery. Finally, the "questionnaire of quality of life" includes questions about physical activity, social interaction, working performance, sexual interest and improvement in the general condition 25 . The sum of the three major areas generates the final score of the protocol.…”

Section: Introductionmentioning

confidence: 99%

Quality of Life After Vertical Gastrectomy Evaluated by the Baros Questionnaire

MENDES

Vargas

2017

ABCD, arq. bras. cir. dig.

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Background: The satisfactory outcome in the surgical treatment of obesity must include, in addition to weight loss, a significant change in the pre-existing comorbidities and in the quality of life. Aim: To evaluate the quality of life in the late postoperative period in patients that underwent videolaparoscopic sleeve gastrectomy. Methods: It was applied the questionnaire "Bariatric Analysis and Reporting Outcome System" (BAROS) in patients that underwent videolaparoscopic sleeve gastrectomy. Results: A total of 47 patients between 21-60 years old were evaluated. The total mean of BMI before surgery was 43.06±5.87 kg/m². The average percentage of the reduction of excess weight after surgery was 85.46±23.6%. The score obtained by patients in the questionnaire about the improvement in the quality of life showed excellent (36.17%), very good (40.43%), good (21.28%) and reasonable (2.13%) results. There was clinical improvement after surgery in all comorbidities investigated. Conclusion: The weight loss was critical to improve the quality of life and offered the resolution or clinical improvement in all of the investigated comorbidities in patients submitted to sleeve gastrectomy.

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“…A variety of treatment options exist for the management of insulin resistance, including a multidisciplinary clinical approach designed to promote weight loss, pharmacological therapies, and bariatric and metabolic surgical techniques 15 , 17 - 18 . Ileal transposition involves the removal of a segment of the distal ileum and its insertion into the proximal small intestine, a procedure that promotes early satiety and exerts beneficial effects on glucose metabolism and weight loss.…”

Section: Introductionmentioning

confidence: 99%

Immunological Evaluation of Patients With Type 2 Diabetes Mellitus Submitted to Metabolic Surgery

Borges

Terra

Takeuti

et al. 2015

ABCD, arq. bras. cir. dig.

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Background : Immunological and inflammatory mechanisms play a key role in the development and progression of type 2 diabetes mellitus. Aim : To raise the hypothesis that alterations in immunological parameters occur after duodenojejunal bypass surgery combined with ileal interposition without gastrectomy, and influences the insulin metabolism of betacells.Methods : Seventeen patients with type 2 diabetes mellitus under clinical management were submitted to surgery and blood samples were collected before and six months after surgery for evaluation of the serum profile of proinflammatory (IFN-γ, TNF-α, IL-17A) and anti-inflammatory cytokines (IL-4, IL-10). In addition, anthropometric measures, glucose levels and insulin use were evaluated in each patient. Results : No changes in the expression pattern of proinflammatory cytokines were observed before and after surgery. In contrast, there was a significant decrease in IL-10 expression, which coincided with a reduction in the daily insulin dose, glycemic index, and BMI of the patients. Early presentation of food to the ileum may have induced the production of incretins such as GLP-1 and PYY which, together with glycemic control, contributed to weight loss, diabetes remission and the consequent good surgical prognosis of these patients. In addition, the control of metabolic syndrome was responsible for the reduction of IL-10 expression in these patients. Conclusion : These findings suggest the presence of low-grade inflammation in these patients during the postoperative period, certainly as a result of adequate glycemic control and absence of obesity, contributing to a good outcome of surgery.

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Avaliação da qualidade de vida tardia após gastroplastia vertical

Cited by 12 publications

References 35 publications

Repercussões da cirurgia bariátrica na qualidade de vida, no perfil bioquímico e na pressão arterial de pacientes com obesidade mórbida

Repercussões da cirurgia bariátrica na qualidade de vida, no perfil bioquímico e na pressão arterial de pacientes com obesidade mórbida

Quality of Life After Vertical Gastrectomy Evaluated by the Baros Questionnaire

Immunological Evaluation of Patients With Type 2 Diabetes Mellitus Submitted to Metabolic Surgery

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