Complicações no processo de alimentação de pacientes bariátricos: aspectos orgânicos, psíquicos e nutricionais

• Autor(a) principal: Dellosso, Ana Célia Ayres
• Data de Publicação: 2011
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://tede2.pucsp.br/handle/handle/11913
• topic: Cirurgia bariátrica; Complicações alimentares; Aspectos biopsíquicos; BAriatric surgery; Food complications; Biopsychic aspects; CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA

Introduction: Bariatric surgery (CB) constitutes the most important advancement in the treatment of severe obesity in recent years. However, the effectiveness of the procedure depends on the achievement of goals in the post-operative period with adaptation of organics, psychics and social capabilities that include rehabilitation feed. Yet these patients are subject to various food complications subsequent to surgery, problems classified as organics, psychics or both. Therefore, it becomes very importante an in-depth study of these problems of organic and psychic nature and its impact on nutritional status, intervening with preventive and corrective measures by specialized professionals. Objective: To investigate the possible complications in the process of feeding of patients undergoing bariatric surgery with the technique of RYGBP, in a biopsychic approach. Method: Retrospective study of clinical quantitative nature, performed at the Ambulatory Surgery Bariatric of a public hospital in the countryside of Sao Paulo, according to established ethical standards for research involving human beings. Casuistry: 47 patients selected from a group of 183 medical records of patients operated on CB, who had complications in the process of feeding after CB with organics, psychics and both symptoms. Of the 47 patients, the age group was of 27 to 63 years old, five male and 42 female. Procedure: A survey and categorization of organics and psychics symptoms, from the analysis of medical records in period of February 2004 to December 2010, followed by statistical analysis of the collected material. Results and Discussion: 31 patients (65.95%) had psychics symptoms: emotional dependence, anxiety and anguish, distorted body image, obsessive compulsive disorders and depression according to psychological and psychiatric evaluation, 12 patients (25.53%) had organics symptoms: displacement and removal of containment ring, incision hernia, gastro esophageal reflux, cholecystitis and gastric fistulas according to medical evaluation, and four patients (8.51%) had both symptoms. The results indicated that there was a significant predominance for psychics problems in relation to organics and both (74.5 vs. 34.0 vs. 8.5). Conclusion: The results insinuate the need to invest in biopsychic approach of these patients with adjustments in traditional nutritional case histories (daily and recall) covering psychics investigations related to nutritional imbalances after surgery