Alterações metabólicas e digestivas no pós-operatório de cirurgia bariátrica

Abstract

-Background -Changes in digestion and nutrients losses are relevant aspects in weight reduction and maintenance of the nutritional status of patients undergoing gastroplasty, but few studies are available in the literature. Aim -To study the systemic changes arising from the reduction in weight over time after surgery. 28,93 and 35,89). The percentage of weight reduction at this stage was 36,31% (p>0,001), one patient had weight gain, in three (6,8%) patients the albumin level was reduced and nine had anemia. The faecal fat was positive in 16 patients (36,4%), reducing substance in stool was positive in one patient and the presence of faecal occult blood was positive in 13 patients (29,5%). The internal diameter of the silicon ring was between 0,45 and 1,4 cm (mean 0,75, SD = 0,22). Conclusion -After surgery there is a significant weight loss, but the BMI is still above 35 kg/m² in 26 patients (59%), followed for a long time. There is a substantial improvement in cholesterol and glucose blood levels. The diameter of ring in the small stomach showed no significant association with weight reduction, while patients with greater than 1 cm ring did not show anemia or low levels of albumin, clinically better than those with rings smaller than 1 cm.RESUMO -Racional -As alterações na digestão e perdas de nutrientes são aspectos relevantes na redução do peso e na manutenção do estado nutricional do paciente submetido à gastroplastia, mas poucos estudos estão disponíveis na literatura. Objetivo -Estudar as alterações sistêmicas decorrentes da redução de peso ao longo do tempo, após o tratamento cirúrgico.

Perfil clínico, diagnósticos e cuidados de enfermagem para pacientes em pós-operatório de cirurgia bariátrica

“…Hypertension was the most frequent comorbidity, followed by osteoarticular disorders. Brazilian studies with similar populations also found a predominance of young females with class III obesity and comorbidities, especially hypertension (8)(9) . It should be highlighted that, in the present study, 85 (59.4%) of patients had a BMI above 40Kg/m², with high levels of morbid obesity.…”

“…However, studies on nursing care to bariatric surgery patients remain little explored in our institution, since this surgical procedure is relatively recent. In addition, few publications have addressed this topic in the field of nursing (8)(9) , which reveals that there is a knowledge gap on NDs and appropriate care to these patients. Hence, the leading question of the present study was: who are the patients undergoing bariatric surgery and which NDs and nursing care are established in clinical practice?…”

Comparison of Hepatic Profile in Pre and Postoperative of Bariatric Surgery: Private vs Public Network

“…Although invasive, it has achieved satisfactory results, leading to the reduction of more than 50% of the overweight or 30 to 40% of the initial weight. It aims the reduction of hunger signals and increased satiety, thus, producing a controlled state of undernutrition 10 , 17 , 19 .…”

Food intolerances and associated symptoms in patients undergoing Fobi-Capella technique without gastric ring

“…Despite the successful weight loss and improvement of obesity-related comorbidities, the onset of postoperative food intolerances and clinical manifestations are quite common. They are caused by many factors, such as changes in the gastrointestinal system and the slow adaptation of the body to all the changes made by surgery 8 . Intolerances may appear at any time.…”