Excesso de peso em pacientes submetidos ao transplante hepático

Abstract

ABSTRACT ABSTRACT ABSTRACTThis review aims to describe the incidence and prevalence of overweight and obesity after liver transplantation and the consequences associated with it. Literature review consultation was conducted in Medline / PubMed, SciELO, EMBASE and LILACS, with the combination of the following keywords: liver transplantation, overweight, obesity, weight gain. Overweight is incident on more than 60% of patients undergoing liver transplantation and obesity rates exceed 20% in the first year after surgery, during which occurs the largest relative weight gain. Studies have shown that between 60% and 70% of patients undergoing liver transplantation are overweight after the third year, 90% with abdominal obesity. Associated factors are, among others, advanced age, family history of overweight and excess weight prior to liver disease. The contribution of immunosuppressive medication remains controversial. Some of the consequences of overweight are liver steatosis, steatohepatitis, diabetes mellitus, hypertension, dyslipidemia, cardiovascular disease and death.

Sarcopenia, Obesity and Sarcopenic Obesity in Liver Transplantation: A Body Composition Prospective Study

“…Despite the controversy on what occurs with sarcopenia after LTx, it is well known that patients gain too much weight and become obese after surgery. The median weight gain in the three years after the operation is 11.6±8.7 kg 1 , and the majority of the patients after LTx are overweight or obese 2 . Thus, one may wonder if the weight gain after LTx is a reflection of sarcopenic obesity and not necessarily an improvement in nutritional health 5 .…”

Diagnósticos De Enfermagem De Pacientes Pós-Transplantados Hepáticos Em Acompanhamento Ambulatorial

“…Alguns fatores contribuem para os pós-transplantados hepáticos terem ganho de peso acima do normal, associados ao uso dos medicamentos imunossupressores, como a dislipidemia e a hiperglicemia ou diabetes pós-transplante (10) . Sendo assim, a equipe multiprofissional deve promover programas de prevenção do ganho de peso excessivo durante o acompanhamento desses pacientes (22) .…”

Drogas Imunossupressoras Afetam Os Núcleos Hipotalâmicos Envolvidos Na Ingestão Alimentar ? Estudo Experimental

“…Trabalho realizado no 1 ABSTRACT -Background: The treatment of choice for patients with schistosomiasis with previous episode of varices is bleeding esophagogastric devascularization and splenectomy (EGDS) in association with postoperative endoscopic therapy. However, studies have shown varices recurrence especially after long-term follow-up.…”

“…Portanto, há evidências de expressivo ganho de peso associado à terapia imunossupressora pós-transplante em humanos 1,4,13,14 .…”