SURGICAL TREATMENT OF SEVERE OBESITY IN TEENS: LATE RESULTS
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202015000600007 |
Resumo: | Background : In children is estimated that the prevalence of overweight and obesity has increased up to five times in developed countries and up to four in developing countries. In Brazil, the proportion of children and adolescents who are overweight also increased from approximately 4.1% to 13.9%. Aim : To evaluate the surgical results of severe obesity in adolescents. Methods : Retrospective descriptive study of 2737 patients with severe obesity that underwent Roux-en-Y gastric bypass selecting from the total 44 patients with mean age of 18.1 years, 14 males and 30 females, most (37) operated by laparotomy. There was follow-up of 20 patients (45.45%). All were followed preoperatively by a multidisciplinary team and had indication confirmed for surgical unanimous approval of all team members. Results : Among the 20 adolescent, 14 were female. From five teenagers using anti-hypertension or hypoglycemic drugs before surgery, four (80%) had drug discontinuation and one (20%) reduced the dose in 50% postoperatively. The average weight loss was 45.4 kg after a mean follow up of 60 months. There were no deaths or severe postoperative complications. Among those who underwent postoperative follow-up with a multidisciplinary team, 18 were with BMI<30. Conclusions : Adolescents undergoing Roux-en-Y gastric bypass has good response in relation to weight loss and improvement of comorbidities. There was a low rate of complications and no deaths. All patients were satisfied with their personal results. |
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SURGICAL TREATMENT OF SEVERE OBESITY IN TEENS: LATE RESULTSObesityAdolescentsGastric bypassBariatric surgeryComplications Background : In children is estimated that the prevalence of overweight and obesity has increased up to five times in developed countries and up to four in developing countries. In Brazil, the proportion of children and adolescents who are overweight also increased from approximately 4.1% to 13.9%. Aim : To evaluate the surgical results of severe obesity in adolescents. Methods : Retrospective descriptive study of 2737 patients with severe obesity that underwent Roux-en-Y gastric bypass selecting from the total 44 patients with mean age of 18.1 years, 14 males and 30 females, most (37) operated by laparotomy. There was follow-up of 20 patients (45.45%). All were followed preoperatively by a multidisciplinary team and had indication confirmed for surgical unanimous approval of all team members. Results : Among the 20 adolescent, 14 were female. From five teenagers using anti-hypertension or hypoglycemic drugs before surgery, four (80%) had drug discontinuation and one (20%) reduced the dose in 50% postoperatively. The average weight loss was 45.4 kg after a mean follow up of 60 months. There were no deaths or severe postoperative complications. Among those who underwent postoperative follow-up with a multidisciplinary team, 18 were with BMI<30. Conclusions : Adolescents undergoing Roux-en-Y gastric bypass has good response in relation to weight loss and improvement of comorbidities. There was a low rate of complications and no deaths. All patients were satisfied with their personal results.Colégio Brasileiro de Cirurgia Digestiva2015-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202015000600007ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.28 suppl.1 2015reponame:ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)instname:Colégio Brasileiro de Cirurgia Digestiva (CBCD)instacron:CBCD10.1590/S0102-6720201500S10004info:eu-repo/semantics/openAccessFERRAZ,Álvaro Antônio BandeiraSIQUEIRA,Luciana Teixeira deNORONHA,Clarissa GuedesHOLANDA,Danilo Belem Rodrigues deARAÚJO-JÚNIOR,José Guido Corrêa deMUNIZ,Mariana Gomeseng2016-03-14T00:00:00Zoai:scielo:S0102-67202015000600007Revistahttp://abarriguda.org.br/revista/index.php/revistaabarrigudaarepb/indexONGhttps://old.scielo.br/oai/scielo-oai.php||revistaabcd@gmail.com2317-63262317-6326opendoar:2016-03-14T00:00ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) - Colégio Brasileiro de Cirurgia Digestiva (CBCD)false |
dc.title.none.fl_str_mv |
SURGICAL TREATMENT OF SEVERE OBESITY IN TEENS: LATE RESULTS |
title |
SURGICAL TREATMENT OF SEVERE OBESITY IN TEENS: LATE RESULTS |
spellingShingle |
SURGICAL TREATMENT OF SEVERE OBESITY IN TEENS: LATE RESULTS FERRAZ,Álvaro Antônio Bandeira Obesity Adolescents Gastric bypass Bariatric surgery Complications |
title_short |
SURGICAL TREATMENT OF SEVERE OBESITY IN TEENS: LATE RESULTS |
title_full |
SURGICAL TREATMENT OF SEVERE OBESITY IN TEENS: LATE RESULTS |
title_fullStr |
SURGICAL TREATMENT OF SEVERE OBESITY IN TEENS: LATE RESULTS |
title_full_unstemmed |
SURGICAL TREATMENT OF SEVERE OBESITY IN TEENS: LATE RESULTS |
title_sort |
SURGICAL TREATMENT OF SEVERE OBESITY IN TEENS: LATE RESULTS |
author |
FERRAZ,Álvaro Antônio Bandeira |
author_facet |
FERRAZ,Álvaro Antônio Bandeira SIQUEIRA,Luciana Teixeira de NORONHA,Clarissa Guedes HOLANDA,Danilo Belem Rodrigues de ARAÚJO-JÚNIOR,José Guido Corrêa de MUNIZ,Mariana Gomes |
author_role |
author |
author2 |
SIQUEIRA,Luciana Teixeira de NORONHA,Clarissa Guedes HOLANDA,Danilo Belem Rodrigues de ARAÚJO-JÚNIOR,José Guido Corrêa de MUNIZ,Mariana Gomes |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
FERRAZ,Álvaro Antônio Bandeira SIQUEIRA,Luciana Teixeira de NORONHA,Clarissa Guedes HOLANDA,Danilo Belem Rodrigues de ARAÚJO-JÚNIOR,José Guido Corrêa de MUNIZ,Mariana Gomes |
dc.subject.por.fl_str_mv |
Obesity Adolescents Gastric bypass Bariatric surgery Complications |
topic |
Obesity Adolescents Gastric bypass Bariatric surgery Complications |
description |
Background : In children is estimated that the prevalence of overweight and obesity has increased up to five times in developed countries and up to four in developing countries. In Brazil, the proportion of children and adolescents who are overweight also increased from approximately 4.1% to 13.9%. Aim : To evaluate the surgical results of severe obesity in adolescents. Methods : Retrospective descriptive study of 2737 patients with severe obesity that underwent Roux-en-Y gastric bypass selecting from the total 44 patients with mean age of 18.1 years, 14 males and 30 females, most (37) operated by laparotomy. There was follow-up of 20 patients (45.45%). All were followed preoperatively by a multidisciplinary team and had indication confirmed for surgical unanimous approval of all team members. Results : Among the 20 adolescent, 14 were female. From five teenagers using anti-hypertension or hypoglycemic drugs before surgery, four (80%) had drug discontinuation and one (20%) reduced the dose in 50% postoperatively. The average weight loss was 45.4 kg after a mean follow up of 60 months. There were no deaths or severe postoperative complications. Among those who underwent postoperative follow-up with a multidisciplinary team, 18 were with BMI<30. Conclusions : Adolescents undergoing Roux-en-Y gastric bypass has good response in relation to weight loss and improvement of comorbidities. There was a low rate of complications and no deaths. All patients were satisfied with their personal results. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202015000600007 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202015000600007 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0102-6720201500S10004 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgia Digestiva |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgia Digestiva |
dc.source.none.fl_str_mv |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.28 suppl.1 2015 reponame:ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) instname:Colégio Brasileiro de Cirurgia Digestiva (CBCD) instacron:CBCD |
instname_str |
Colégio Brasileiro de Cirurgia Digestiva (CBCD) |
instacron_str |
CBCD |
institution |
CBCD |
reponame_str |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) |
collection |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) |
repository.name.fl_str_mv |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) - Colégio Brasileiro de Cirurgia Digestiva (CBCD) |
repository.mail.fl_str_mv |
||revistaabcd@gmail.com |
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1754208957373612032 |