Comparação entre as técnicas de gastroplastia, gastrectomia vertical e by-pass gástrico, realizadas em um centro de excelência em cirurgia bariátrica de Santa Catarina

• Autor(a) principal: Calegari, Eduardo Gioppo
• Data de Publicação: 2019
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Universitário da Ânima (RUNA)
• Texto Completo: https://repositorio.animaeducacao.com.br/handle/ANIMA/9519
• topic: Obesidade; Cirurgia bariátrica; By-pass gástrico; Gastrectomia vertical

Introduction: Obesity is a chronic disease associated with high morbidity, early mortality, poor quality of life, and exorbitant public health expenditures. According to the World Health Organization (WHO) and the Ministry of Health, it has an increasing prevalence, with an increase of over 50% between the years 1980 and 2014 and affects approximately 600 million adults worldwide. In 2016, according to data from the Surveillance of Risk Factors and Protection for Chronic Diseases (VIGITEL), 18.9% of Brazilians were obese. Objective: To compare two techniques of gastroplasty performed at a bariatric surgery center of excellence, located in a Hospital in the south of Brazil, between January 2010 and December 2016 during the 12 months postoperatively. Methods: An observational study with a cross-sectional design was carried out. The sample consisted of 604 patients, who underwent gastroplasty for the treatment of obesity, in the Hospital Nossa Senhora da Conceicão, between the period of 2010 to 2016 and followed up for 12 months postoperatively. Results: Of the 604 patients, 285 met the criteria of the study, of which 236 underwent Roux-en-Y gastric bypass (82.80%) and 49 patients underwent vertical gastrectomy (Sleeve) (19.20%). Among the patients who performed Gastric Bypass the mean BMI was 41.76 kg / m² compared to vertical gastrectomy 41.48 kg / m² and the mean BMI after gastroplasty was 28.93 kg / m² for By- gastric pass and 28.72 kg / m² for Vertical Gastrectomy at 12 months postoperatively. Among the early complications, gastric bypass showed 3.81% versus 10.20% compared to vertical gastrectomy and late complications 34.32% versus 34.69%, respectively. The mean duration of surgery, from anesthetic induction to the end of the technique was 144.29 minutes for By-pass versus 101.20 minutes for vertical Gastrectomy. Hospital readmission rates were 19.40% for Gastric Bypass versus 20.41% vertical gastrectomy. Conclusion: Between the two techniques studied, there were no significant differences between weight loss and rehospitalization rates after 12 months, but complications occurred more frequently in the gastric bypass, among which vitamin B12 deficiency and iron deficiency anemia were noted. The mean operative time was shorter for vertical gastrectomy than for the Gastric Bypass.