Assessment of Alveolar Bone Pattern in Obese and Non-Obese Women, Before and After Bariatric Surgery: A Prospective Cohort Study

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Background: Obesity and bariatric surgery may be related with mental and oral disorders. Aim: To evaluate the impact of bariatric surgery on anxiety, initial dental caries lesion and gingival bleeding in obese patients. Methods: Eighty-nine patients were divided in two groups: Control Group (CG) - obese patients and Experimental Group (EG) - patients submitted to bariatric surgery. EG was analyzed before and 12 months after bariatric surgery; for the CG, was respected an interval of 12 months between the evaluations. International Caries Detection and Assessment System, Gingival Bleeding Index and Trace-State Anxiety Inventory were used. Medical profile, anthropometrics data, sociodemographic and behavioral variables were considered. Results: There were no statistically significant differences between groups in evaluation times regarding to initial dental caries lesion and anxiety. However, the number of teeth with initial dental caries lesion (p=0.0033) and gingival bleeding (p<0.0001) increased significantly after bariatric surgery in EG. Conclusion: These results reinforce the need for multi-professional team follow-up, including dental care, for both obese and bariatric patients.

Section: Introductionmentioning

confidence: 99%

Impact of Bariatric Surgery in Anxiety and Oral Condition of Obese Individuals: A Cohort Prospective Study

Tinós

Foratori‐Junior

Marcenes

et al. 2021

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“…With the growing obesity epidemic, and a consequent increase in the number of procedures for its treatment and control, there is a greater interest in acquiring knowledge, experience and skills for the surgical and anesthetic management of these patients 10,21 . These involve several factors, from measures for postoperative analgesia, presence of nausea, vomiting and effective peristalsis, which contribute to lower morbidity and mortality and early discharge from hospital 4 .…”

Section: Introduction Omentioning

confidence: 99%

“…In the opioid-sparing era, we seek to optimize this recovery by reducing side effects with adequate analgesia and early discharge 21 . Better results are sought with techniques that combine local anesthetic in epidural administration.…”

Section: Introduction Omentioning

confidence: 99%

Roux-in-Y Gastrojejunal Bypass: Which Anesthetic Technique Has Best Results?

Ruzzon

Nassif

Prigol

et al. 2021

Background: As the number of bariatric operations increases, there is a greater interest in knowledge, experience and skills in the operative and anesthetic management of obese people. Anesthetic recovery is an important point in the therapeutic approach and less adverse effects delaying discharge of these patients are necessary to be kept in mind by the surgical team. Aim: To compare anesthetic-analgesic techniques in the opioid-sparing era through epidural administration of local anesthetic associated with low-dose morphine vs. clonidine and analyze the impact of analgesia on the effectiveness of postoperative recovery by comparing these two techniques. Methods: Randomized, double-blind clinical trial with 66 patients candidates for Roux-en-Y gastrojejunal bypass divided into two groups: morphine group and clonidine group. Multimodal analgesia included epidural anesthesia with 0.375% ropivacaine 20 ml at the eighth thoracic vertebra with the association of morphine (morphine group) at a dose of 15 mcg / kg or clonidine (clonidine group) at a dose of 1 mcg / kg. Results: The groups were homogeneous and statistical significance was found when analyzing the difference in pain between them in the first postoperative period. The pain was higher in the clonidine group, as in this period, analgesic rescue was also better in this group. In the other times, there was no significance in the differences regarding pain and rescue. The return of intestinal motility in the morphine group was earlier in the first postoperative period. Nausea, vomiting and hospital discharge did not show significant differences between groups. Conclusion: Epidural anesthesia with low-dose morphine allowed less pain during the entire hospital stay, with a positive impact on patient recovery.

“…T he prevalence of obesity has increased in the last decade and several prospective cohort studies have shown that obese people, defined by body mass index (BMI), are at increased risk of arterial hypertension and cardiovascular disease as well as of mortality from these causes 18,23 . In addition, the distribution of fat deposits, such as visceral abdominal adipose tissue (VAT), regardless of general obesity, has been associated with cardiometabolic risks 11 and others 5 .…”

Section: Introductionmentioning

confidence: 99%

Helical Computerized Tomography Can Measure Subcutaneous, Visceral and Total Fat Areas?

Wendler

Nassif

Malafaia

et al. 2021

Background: Abdominal obesity or android obesity, that is, the increase in adipose tissue in the abdominal region, is considered a risk factor for several morbidities. Different ways of quantifying it have been proposed, one method is the measurement of the abdominal fat area by computed tomography. Aim: To establish correspondence between the groups defined by degree of obesity in relation to the total, subcutaneous and visceral fat area. Methods: Cross-sectional observational study carried out through the analysis of tomographic examinations. Horos v3.3.5 medical image visualization software was used, with abdominal tomography in a single cut including the L4 vertebral body and the umbilical scar, to obtain the areas of total, visceral and subcutaneous fat. Results: Of the 40 patients, 10 had grade II obesity, 23 grade III and 7 superobese. The amount of total fat showed an increase in relation to the degree of obesity. Visceral fat did not show significant differences between the degrees of obesity, but the data showed a lower average in the group of obesity grade II. The area of subcutaneous fat, as well as total fat, showed an increase in its measurements, according to the progression of the patients’ BMI, but there was no statistical significance in this difference between the groups of grade II and super-obese individuals. Conclusion: The area of total and subcutaneous fat showed an increase in its measurements according to the progression of the BMI groups, which did not happen with visceral fat.