EFFECTS OF LONG-TERM ROUX-EN-Y GASTRIC BYPASS ON BODY WEIGHT AND CLINICAL METABOLIC COMORBIDITIES IN BARIATRIC SURGERY SERVICE OF A UNIVERSITY HOSPITAL

摘要

Background: Due to the high failure rate observed in the clinical treatment of morbid obesity an increase in bariatric surgery indications, as an alternative for the control of obesity and comorbidities, is noticeable. Aim: To evaluate the performance of type 2 diabetes mellitus, high blood pressure and dyslipidemia in patients submitted to Roux-en-Y gastric bypass in late follow-up. Methods: Retrospective analysis of 59 patients included in the bariatric surgery program. Anthropometric (height and body weight) and laboratory (LDLc, HDLc, VLDLc, triglyceride -TG - and glucose) data were collected on pre- and postoperative stages, through medical records. Results: Among the patients, 86% were female aged 43?±11, of whom 52% had attended high school. The average postoperative time was 7?±3 years. During the postoperative period, there were decreases of weight and body mass index, respectively (133?±06 kg vs 91?±04 kg p<0.05 e 49?±74 kg/m 2 vs 33?±79 kg/m 2 , p<0.05). In comparison to the preoperative stage, lower concentrations of glucose (101.00?±26.99 vs 89,11?±15.19, p=0.014), total cholesterol rates (179.00?±37,95 vs 167.48?±28,50, p=0.016), LDLc (104.30?±33.12 vs 91.46?±24.58, p=0.016), VLDLc (25.40?±11,12 vs 15.68?±7.40, p<0.01), and TG (143.35?±86.35 vs 82.45?±37.39, p<0.01) and higher concentrations of HDLc (43.53?±8.23 vs 57.90?±15.60, p<0.01) were identified in the postoperative stage. 40% of hypertensive patients were still undergoing high blood pressure treatment during the postoperative stage. There was remission of type 2 diabetes mellitus and dyslipidemia on 81% and 94% of the cases, respectively. Conclusion: Roux-en-Y gastric bypass has proven itself to be an effective long term procedure, promoting weight loss, remission of DM2 and dyslipidemia.