Dermolipectomias após procedimentos bariátricos no Sistema Público de Saúde: um longo caminho a percorrer

FILHO, ANTONINHO JOSÉ TONATTO; MORAES, JORGE LUÍS DE; LUPION, FABIOLA GRIGOLETTO; MANDU, SILVIA HELENA; OGAWA, VANESSA SAYURI; PERESSUTTI, CAROLINA; Freitas, Renato da Silva

doi:10.5935/2177-1235.2022rbcp0009

Cited by 1 publication

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“…Bariatric surgery is a theme constantly analyzed from different perspectives by several studies. Although Roux-en-Y gastric bypass is still the most used technique in Brazil, sleeve gastrectomy, or sleeve, has increased considerably in recent years 12 . The current study covers the comparative analysis of two primary forms of bariatric surgery: bypass and sleeve.…”

Section: Discussionmentioning

confidence: 99%

“…Bariatric surgery is widely available in the public health system; however, the disparity between regions is striking: while the South-Southeast axis realized, respectively, in 2018 the amount of 7.307 and 2.991 bariatric surgeries, the northeast region had only 476 procedures performed 12 . In addition to the different access to bariatric surgery faced by regional disparities, there is unequal access between patients in the public system and those who have health insurance.…”

Section: Discussionmentioning

confidence: 99%

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Intraoperative, sociodemographic, and postoperative parameters in individuals undergoing bariatric surgery

Lira,

Cavalcante,

Freire

et al. 2023

Rev. Assoc. Med. Bras.

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OBJECTIVE:This study aimed to comparatively analyze sociodemographic data and postoperative parameters of patients undergoing bypass and sleeve surgeries in a private hospital in São Luís, MA. METHODS: The study was descriptive, prospective, observational, and comparative, with a quantitative approach between August 2020 and July 2021. We analyzed 74 participants of both genders, aged between 18 and 70 years, with 31 undergoing Roux-en-Y gastric bypass surgery and 43 undergoing sleeve gastrectomy surgery. In the postoperative period, sociodemographic characteristics, surgery and anesthesia duration, pain levels, adverse effects, weight loss, and complications from the surgical procedure were analyzed. RESULTS: Males predominated in Roux-en-Y gastric bypass and females in sleeve gastrectomy surgery. Clinical characteristics regarding self-declared ethnicity, age and place of birth, education, and marital status were similar between the studied groups. Roux-en-Y gastric bypass had an average surgery time of 112.14±10.06 min and sleeve gastrectomy 91.11±23.69 min, with a significant difference (p<0.001). Regarding anesthesia time, gastric bypass averaged 160.36±13.99 min and sleeve gastrectomy 154.88±29.10 min, with no statistical difference between groups (p=0.335). Nausea, vomiting, and drowsiness were more common in Sleeve gastrectomy, with no significant difference (p=0.562). Roux-en-Y gastric bypass showed a higher rate of weight loss from 1 month after surgery (14.2±4.15) and more variation in body mass index within 3 months after surgery (32.17±4.76). Complications occurred in a small number of patients. CONCLUSION: The two surgical techniques proved effective in delivering the best results for patients, with the group undergoing bypass showing statistically significant weight loss from 1 month after the surgical procedure.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%