Long-term evaluation of patients with BMI = 50kg/m2 who underwent Bariatric Surgery
ABSTRACT Purpose: to determine the risks and benefits of bariatric surgery in patients with super obesity (SO) in comparison with obesity grades II and III. Methods: retrospective cohort that included a study group of 178 patients with SO and a control group of 181 patients with BMI 35-49.9Kg/m2...
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| Format: | Article |
| Language: | English |
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Colégio Brasileiro de Cirurgiões
2023-04-01
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| Series: | Revista do Colégio Brasileiro de Cirurgiões |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912023000100215&tlng=pt |
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| author | MATHEUS DUARTE MEIRA FERNANDO DE SANTA CRUZ OLIVEIRA LUCAS RIBEIRO COUTINHO LUÍS HENRIQUE DE ALBUQUERQUE LEÃO GÉSSICA DE PAULA VASCONCELOS LUCIANA TEIXEIRA DE SIQUEIRA ÁLVARO ANTÔNIO BANDEIRA FERRAZ |
| author_facet | MATHEUS DUARTE MEIRA FERNANDO DE SANTA CRUZ OLIVEIRA LUCAS RIBEIRO COUTINHO LUÍS HENRIQUE DE ALBUQUERQUE LEÃO GÉSSICA DE PAULA VASCONCELOS LUCIANA TEIXEIRA DE SIQUEIRA ÁLVARO ANTÔNIO BANDEIRA FERRAZ |
| author_sort | MATHEUS DUARTE MEIRA |
| collection | DOAJ |
| description | ABSTRACT Purpose: to determine the risks and benefits of bariatric surgery in patients with super obesity (SO) in comparison with obesity grades II and III. Methods: retrospective cohort that included a study group of 178 patients with SO and a control group of 181 patients with BMI 35-49.9Kg/m2. The groups were formed in a 1:1 nearest neighbor matching. The main variables were pre- and postoperative BMI and comorbidities, occurrence of severe postoperative complications, bowel obstruction, marginal ulcer, fistulae and 30-day death, besides the necessity of emergency room (ER) admission and abdominal computed tomography (CT) scans in the postoperative period due to acute abdomen. Results: the study group comprised 74.0% of women while the control group had 56.7%. The mean follow-up time was similar between both groups (5.48 x 6.09 years, p=0.216). There was no statistically significant difference on the prevalence of hypertension and T2D between the groups according to the surgical technique. All deaths occurred in the Study group (BMI = 50kg/m2) who underwent RYGB. There was no difference between the groups regarding the occurrence of severe complications. Data on ER admissions and the need for abdominal CT to investigate postoperative abdominal pain did not show statistically significant difference between the groups. Conclusion: despite the high risk related to bariatric surgery in patients with SO, the benefits related to the remission of comorbidities are significant; although being lower than those found in patients with milder grades of obesity. |
| first_indexed | 2024-04-09T13:42:28Z |
| format | Article |
| id | doaj.art-4188b5ca4d0146ec822bcb9849b4b018 |
| institution | Directory Open Access Journal |
| issn | 1809-4546 |
| language | English |
| last_indexed | 2024-04-09T13:42:28Z |
| publishDate | 2023-04-01 |
| publisher | Colégio Brasileiro de Cirurgiões |
| record_format | Article |
| series | Revista do Colégio Brasileiro de Cirurgiões |
| spelling | doaj.art-4188b5ca4d0146ec822bcb9849b4b0182023-05-09T07:31:33ZengColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões1809-45462023-04-015010.1590/0100-6991e-20233397-enLong-term evaluation of patients with BMI = 50kg/m2 who underwent Bariatric SurgeryMATHEUS DUARTE MEIRAhttps://orcid.org/0000-0002-4482-6934FERNANDO DE SANTA CRUZ OLIVEIRAhttps://orcid.org/0000-0002-3178-1036LUCAS RIBEIRO COUTINHOhttps://orcid.org/0000-0001-6273-5676LUÍS HENRIQUE DE ALBUQUERQUE LEÃOhttps://orcid.org/0000-0002-8044-9646GÉSSICA DE PAULA VASCONCELOShttps://orcid.org/0000-0003-1841-5397LUCIANA TEIXEIRA DE SIQUEIRAhttps://orcid.org/0000-0001-7970-3689ÁLVARO ANTÔNIO BANDEIRA FERRAZhttps://orcid.org/0000-0002-3832-3927ABSTRACT Purpose: to determine the risks and benefits of bariatric surgery in patients with super obesity (SO) in comparison with obesity grades II and III. Methods: retrospective cohort that included a study group of 178 patients with SO and a control group of 181 patients with BMI 35-49.9Kg/m2. The groups were formed in a 1:1 nearest neighbor matching. The main variables were pre- and postoperative BMI and comorbidities, occurrence of severe postoperative complications, bowel obstruction, marginal ulcer, fistulae and 30-day death, besides the necessity of emergency room (ER) admission and abdominal computed tomography (CT) scans in the postoperative period due to acute abdomen. Results: the study group comprised 74.0% of women while the control group had 56.7%. The mean follow-up time was similar between both groups (5.48 x 6.09 years, p=0.216). There was no statistically significant difference on the prevalence of hypertension and T2D between the groups according to the surgical technique. All deaths occurred in the Study group (BMI = 50kg/m2) who underwent RYGB. There was no difference between the groups regarding the occurrence of severe complications. Data on ER admissions and the need for abdominal CT to investigate postoperative abdominal pain did not show statistically significant difference between the groups. Conclusion: despite the high risk related to bariatric surgery in patients with SO, the benefits related to the remission of comorbidities are significant; although being lower than those found in patients with milder grades of obesity.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912023000100215&tlng=ptBariatric SurgeryObesity, MorbidPostoperative Complications |
| spellingShingle | MATHEUS DUARTE MEIRA FERNANDO DE SANTA CRUZ OLIVEIRA LUCAS RIBEIRO COUTINHO LUÍS HENRIQUE DE ALBUQUERQUE LEÃO GÉSSICA DE PAULA VASCONCELOS LUCIANA TEIXEIRA DE SIQUEIRA ÁLVARO ANTÔNIO BANDEIRA FERRAZ Long-term evaluation of patients with BMI = 50kg/m2 who underwent Bariatric Surgery Revista do Colégio Brasileiro de Cirurgiões Bariatric Surgery Obesity, Morbid Postoperative Complications |
| title | Long-term evaluation of patients with BMI = 50kg/m2 who underwent Bariatric Surgery |
| title_full | Long-term evaluation of patients with BMI = 50kg/m2 who underwent Bariatric Surgery |
| title_fullStr | Long-term evaluation of patients with BMI = 50kg/m2 who underwent Bariatric Surgery |
| title_full_unstemmed | Long-term evaluation of patients with BMI = 50kg/m2 who underwent Bariatric Surgery |
| title_short | Long-term evaluation of patients with BMI = 50kg/m2 who underwent Bariatric Surgery |
| title_sort | long term evaluation of patients with bmi 50kg m2 who underwent bariatric surgery |
| topic | Bariatric Surgery Obesity, Morbid Postoperative Complications |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912023000100215&tlng=pt |
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