Brazil looking for completing his space in bariatric surgery

Ramos, Almino Cardoso

doi:10.1590/s0102-6720201400s100001

Cited by 13 publications

(6 citation statements)

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“…The number of bariatric surgeries in Brazil accompanies this epidemic with the accomplishment of 80,000 operations in 2014, as shown in a recent study by Brazilian Society of Bariatric and Metabolic Surgery 26 .…”

Section: Introductionmentioning

confidence: 98%

Correlation of Non-Alcoholic Fatty Liver Disease and Features of Metabolic Syndrome in Morbidly Obese Patients in the Preoperative Assessment for Bariatric Surgery

Barros¹,

Setúbal

Martinho

et al. 2016

ABCD, arq. bras. cir. dig.

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Background: Obesity is an epidemic and chronic disease that can bring other comorbidities to the patient. Non-alcoholic fatty liver disease is present in up to 90% of these patients and can progress to hepatitis and hepatocarcinoma. The relationship of this liver disease and obesity is already well known; however, it is possible that some parameters of the comorbidities are more related than others in the pathophysiology of the disease. Aim: Was analyzed the relationship between non-alcoholic fatty liver disease (NAFLD) and the comorbidities of metabolic syndrome in morbidly obese patients. Methods: Was involved ultrasonography and laboratory assessment of obese patients before bariatric surgery. NAFLD was assessed using the same sonography parameters for all patients. Based on the results, the patients were divided into groups with and without NAFLD. Comparisons between them involved clinical and laboratory variables such as fasting blood glucose, insulin, HOMA-IR (homeostasis model assessment - insulin resistance), glycated hemoglobin, total cholesterol and fractions, triglycerides, alanine aminotransferase, aspartate aminotransferase, gamma glutamyl transferase, C-reactive protein, albumin and ferritin. Patients who reported alcohol abuse (defined as the consumption of >14 drinks per week) or who had hepatitis were excluded. Results: Eighty-two patients (74 women and 8 men) were studied, of whom 53 (64.6%) had NAFLD and 29 (35.4%) did not. The levels of glycated hemoglobin (p=0.05) and LDL cholesterol (p=0.01) were significantly altered in patients with NAFLD. However, weight, body mass index and excess weight did not differ significantly between the groups (p=0.835, p=0.488 and p=0.727, respectively). Conclusions: Altered LDL cholesterol and glycated hemoglobin levels were related to the presence of NAFLD.

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Section: Introductionmentioning

confidence: 98%

Correlation of Non-Alcoholic Fatty Liver Disease and Features of Metabolic Syndrome in Morbidly Obese Patients in the Preoperative Assessment for Bariatric Surgery

Barros¹,

Setúbal

Martinho

et al. 2016

ABCD, arq. bras. cir. dig.

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“…The obesity rate increased by 50% between 2006 and 2012 and it is predicted that by 2022, almost two-thirds of the population will be overweight and a quarter obese (3). Brazil performs the second highest number of bariatric surgeries (0.04334% of the total population) following the USA (0.044% of the total population) (4,5). In comparison, the rate of bariatric surgeries in the UK population is 0.0087% (5).The rise in prevalence of obesity is attributed to cheap high caloric foods, increased prices on nutritious foods, physical inactivity and stress (6).…”

Section: Introductionmentioning

confidence: 99%

Views and Experiences of Overweight and Obese Adults on the Barriers and Facilitators to Weight Loss in Southeast Brazil: A Qualitative Study

Morgan

Wildt

Virmond

et al. 2020

Preprint

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Background Brazil has seen a large increase in obesity with 54% of the Brazilian population being overweight, of which 20% is obese. Obesity is a major risk factor for non-communicable diseases such as cardiovascular disease: the leading cause of mortality in Brazil. Weight loss can reduce the health and economic burden of obesity-related diseases. Despite many weight loss strategies, the obesity rate in Brazil remains high. This study aims to identify the barriers and facilitators to weight loss as perceived by patients with a view to reducing the burden of obesity-related diseases on patients and healthcare services.Methods Fifteen qualitative, semi-structured, in-depth interviews were conducted with the primary researcher in the preventive medicine department in a private health clinic in Bauru, Sao Paulo State, Southeast Brazil. Inductive thematic analysis was conducted.Results Barriers and facilitators were classified into three key themes: lifestyle, motivation and education. Barriers included the expensive cost of a healthy lifestyle, junk food advertising, risks of outdoor exercise, time restrictions, poor mental health, sleep deprivation, medication side-effects, misinformation and lack of accessibility to weight loss treatment through the public healthcare system. Facilitators to weight loss included a change in eating habits, packed meals, documenting eating habits, motivation from consequences of obesity, acceptance of a lifelong commitment, support from social capital, psychologists in the multidisciplinary team, financial support and good quality education, particularly the use of expert patients as educators.Conclusion The study contributes to the existing literature on obesity in Brazil. Barriers to a healthy lifestyle such as financial difficulties, accessibility to treatment and junk food advertising need to be addressed. Education is vital to promote the facilitators and target these barriers and dispelling myths on weight loss. Expert patients should be utilised as an education method, as they increase motivation and provide realistic expectations of the weight loss process.

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“…This high prevalence provoked the curious phenomenon that the majority of the world's population nowadays lives in countries where overweight and obesity kills more people than underweight (32) . Brazil is nowadays the second country in which more bariatric surgeries are yearly performed, only behind the United States of America (USA) (27) . Bariatric surgery has become the gold standard treatment for morbidly obese subjects as it leads to significant weight loss and control of comorbidities in most cases.…”

Section: Introductionmentioning

confidence: 99%

Preoperative multidisciplinary program for bariatric surgery: a proposal for the Brazilian Public Health System

Chaim

Pareja

Gestic

et al. 2017

Arq. Gastroenterol.

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-Background -Bariatric surgery has become the gold standard treatment for morbid obesity, but access to surgery remains difficult and low compliance to postoperative follow-up is common. To improve outcomes, enable access and optimize follow-up, we developed a multidisciplinary preoperative approach for bariatric surgery. Objective -To determine the impact of this program in the outcomes of bariatric surgery in the Brazilian public health system. Methods -A prospective evaluation of the individuals who underwent a preoperative multidisciplinary program for bariatric surgery and comparison of their surgical outcomes with those observed in the prospectively collected historical database of the individuals who underwent surgery before the beginning of the program. Results -There were 176 individuals who underwent the multidisciplinary program and 226 who did not. Individuals who underwent the program had significantly lower occurrence of the following variables: hospital stay; wound dehiscence; wound infection; pulmonary complications; anastomotic leaks; pulmonary thromboembolism; sepsis; incisional hernias; eventrations; reoperations; and mortality. Both loss of follow-up and weight loss failure were also significantly lower in the program group. Conclusion -The adoption of a comprehensive preoperative multidisciplinary approach led to significant improvements in the postoperative outcomes and also in the compliance to the postoperative follow-up. It represents a reproducible and potentially beneficial approach within the context of the Brazilian public health system. HEADINGS -Obesity. Bariatric surgery. Gastric bypass. Public health. Preoperative care.

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Brazil looking for completing his space in bariatric surgery

Cited by 13 publications

References 0 publications

Correlation of Non-Alcoholic Fatty Liver Disease and Features of Metabolic Syndrome in Morbidly Obese Patients in the Preoperative Assessment for Bariatric Surgery

Correlation of Non-Alcoholic Fatty Liver Disease and Features of Metabolic Syndrome in Morbidly Obese Patients in the Preoperative Assessment for Bariatric Surgery

Views and Experiences of Overweight and Obese Adults on the Barriers and Facilitators to Weight Loss in Southeast Brazil: A Qualitative Study

Preoperative multidisciplinary program for bariatric surgery: a proposal for the Brazilian Public Health System

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