Cirurgia bariátrica: aspectos clínico-cirúrgicos e psiquiátricos

Fandiño, Julia; Benchimol, Alexander; Coutinho, Walmir; Appolinário, José Carlos

doi:10.1590/s0101-81082004000100007

Cited by 87 publications

(117 citation statements)

References 16 publications

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“…(26), utilizando dados do Third National Health and Nutrition Examination Survey, encontraram que a associação entre obesidade e depressão depende da gravidade da obesidade. Há um aumento da psicopatologia em pacientes gravemente obesos (obesidade grau III) (17,18). Todos esses transtornos apresentaram-se em freqüência mais elevada que na população geral.…”

Section: Discussionunclassified

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Transtorno da compulsão alimentar periódica em uma população de obesos mórbidos candidatos a cirurgia bariátrica do Hospital Universitário Oswaldo Cruz, em Recife - PE

Petribú

Ribeiro

Oliveira

et al. 2006

Arq Bras Endocrinol Metab

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RESUMOObjetivos: Avaliar a freqüência de transtorno da compulsão alimentar periódica (TCAP) e dos principais transtornos psiquiátricos associados à obesidade mórbida em indivíduos à espera de cirurgia bariátrica. To analyze the frequency of binge eating disorder (BED) and of the main psychiatric disorders associated with morbid obesity in individuals on the waiting list for bariatric surgery. Method: Cross sectional study. Interviews with patients from the Surgery for Obesity Program of Oswaldo Cruz University Hospital were conducted evaluating sociodemographic profile, quality of life (SF-36 scale), BED (Binge Eating Scale -BES) and psychiatric disorders (M.I.N.I./DSM-IV). Results: 67 out of 400 patients enrolled in the program were interviewed (16.8%). The BMI varied from 36.1 to 81.8 kg/m 2 (average 48.5 ± 8.8). All have associated diseases, the most frequent being systemic arterial hypertension, sleeping disorders and osteopathies. The most frequent psychiatric disorders were: 47.8% generalized anxiety disorder, 29.9% major depressive disorder, single episode, 34.3% recurrent major depressive disorder. In this group 56.7% showed BED (25.4% moderate and 31.3% severe) and the worse scores in all the domains of quality of life (SF-36 scale). Conclusions: High artigo original

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Section: Discussionunclassified

“…Entretanto, ocorre um aumento da psicopatologia em pacientes gravemente obesos (obesidade grau III) (17,18).…”

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Transtorno da compulsão alimentar periódica em uma população de obesos mórbidos candidatos a cirurgia bariátrica do Hospital Universitário Oswaldo Cruz, em Recife - PE

Petribú

Ribeiro

Oliveira

et al. 2006

Arq Bras Endocrinol Metab

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“…Depression has been reported to be one of the most frequent late complications (23.4%). [72][73][74][75] van Hout et al 76 pointed out that the psychiatric effects of bariatric surgery might take from 6 to 24 months to emerge.…”

Section: Antidepressantsmentioning

confidence: 99%

Medication and nutritional supplement use before and after bariatric surgery

Backes

Lopes²,

Tetelbom

et al. 2016

Sao Paulo Med. J.

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CONTEXT AND OBJECTIVE: Bariatric surgery has been an effective alternative treatment for morbid obesity and has resulted in decreased mortality, better control over comorbidities and reduced use of drugs. The objective of this study was to analyze the impact of bariatric surgery on medication drug and nutritional supplement use. DESIGN AND SETTING: Longitudinal study of before-and-after type, on 69 morbidly obese patients in a public hospital in Porto Alegre. METHODS: Through interviews, the presence of comorbidities and use of drugs with and without prescription were evaluated. RESULTS: Among the 69 patients interviewed, 85.5% had comorbidities in the preoperative period, with an average of 2.3 (± 1.5) per patient. The main comorbidities reported were hypertension, diabetes and dyslipidemia. 84.1% of the patients were using prescribed drugs in the preoperative period. The mean drug use per patient was 4.8, which decreased to 4.4 after the procedure. The surgery enabled significant reduction in use of most antidiabetic (84%), antilipemic (77%) and antihypertensive drugs (49.5%). On the other hand, there was a significant increase in use of multivitamins and drugs for disorders of the gastrointestinal tract. The dosages of most of the drugs that continued to be prescribed after surgery were decreased, but not significantly. CONCLUSION: After bariatric surgery, there were increases in the use of vitamins, gastric antisecretory drugs and antianemic drugs. Nevertheless, there was an overall reduction in drug use during this period, caused by suspension of drugs or dose reduction. RESUMO CONTEXTO E OBJETIVO:A cirurgia bariátrica tem sido uma alternativa efetiva de tratamento para a obesidade mórbida, resultando na diminuição da mortalidade, melhor controle das comorbidades e redução no uso de medicamentos. O objetivo deste estudo foi analisar o impacto da cirurgia bariátrica sobre a utilização de medicamentos e suplementos nutricionais. TIPO DE ESTUDO E LOCAL: Estudo longitudinal do tipo antes e depois com 69 pacientes obesos mórbi-dos em um hospital público de Porto Alegre. MÉTODOS: Nas entrevistas, foram avaliados a presença de comorbidades e o uso de medicamentos com e sem prescrição médica. RESULTADOS: De 69 pacientes entrevistados, 85,5% apresentaram comorbidades no período pré-cirúrgi-co, média de 2,3 (± 1,5) por paciente. As principais comorbidades relatadas foram hipertensão, diabetes e dislipidemias. 84,1% dos pacientes estavam em uso de medicamentos sob prescrição médica, no período pré-cirúrgico. A média de uso de medicamentos por paciente foi de 4,8, reduzindo para 4,4 após o procedimento. A cirurgia proporcionou diminuição significativa do uso da maioria dos antidiabéticos (84%), antilipêmicos (77%) e anti-hipertensivos (49,5%). Por outro lado, observou-se aumento significativo na utilização de multivitamínicos e medicamentos para desordens do trato gastrointestinal. A maior parte dos medicamentos que continuaram sendo prescritos após a cirurgia teve sua dose reduzida, no entanto, esta redução nã...

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“…Thus, bariatric surgery has been used increasingly, and has shown itself to be a very helpful technique in the clinical management of some cases of obesity. 5 Class III obese patients (BMI above 40 kg/m²) or class II obese (BMI 35-39.9 kg/m 2 ) with diseases associated with being overweight, such as type II diabetes, hypertension, and obstructive sleep apnea syndrome, among others, are candidates for this type of intervention, according to the North American National Institute of Health.…”

Section: Introductionmentioning

confidence: 99%

Avaliação angular do equilíbrio sagital em pacientes obesos

et al. 2013

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Objectives: Given the small amount of information regarding the pathological and degenerative changes of the spine, this study was carried out in order to evaluate and quantify the angular values of sagittal balance in the obese population. Methods: We measured the angles of pelvic incidence (PI), pelvic version (PV) and sacral slope (SS). Results: We evaluated 30 patients, 19 females and 11 males, in 2012, who were to be submitted tobariatric surgery. The mean age was 33 years old. The mean BMI was 41 kg/m2, the mean value for men being 43 kg/ m2 and 39 kg/m2 for women. The mean PI was 57°. The PV was 19°. The DS was 38°. The value of pelvic incidence and pelvic version was on average higher than those found in people with normal body mass index. Regarding the sacral slope the value were the same of those of the normal population. Conclusions: Increasingly the sagittal balance has gained importance in the evaluation of the spine. It is necessary further literature and increasing medical knowledge of diseases and comorbidities that may alter sagittal balance in patients, such as obesity.Keywords: Obesity; Postural balance; Posture; Pelvis; Body mass index. RESUMO Objetivo: Tendo em vista a pouca quantidade de informações a respeito das alterações degenerativas e patológicas da coluna vertebral realizou-se este estudo com objetivo de avaliar e quantificar os valores angulares do equilíbrio sagital na população obesa. Métodos: Foram medidos os ângulos de incidência pélvica (IP), versão pélvica (VP) e declive sacral (DS

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Cirurgia bariátrica: aspectos clínico-cirúrgicos e psiquiátricos

Cited by 87 publications

References 16 publications

Transtorno da compulsão alimentar periódica em uma população de obesos mórbidos candidatos a cirurgia bariátrica do Hospital Universitário Oswaldo Cruz, em Recife - PE

Transtorno da compulsão alimentar periódica em uma população de obesos mórbidos candidatos a cirurgia bariátrica do Hospital Universitário Oswaldo Cruz, em Recife - PE

Medication and nutritional supplement use before and after bariatric surgery

Avaliação angular do equilíbrio sagital em pacientes obesos

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