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Colelitíase em pacientes bariátricos: correlação da perda de peso com a incidência de colelitíase em pacientes após a realização do bypass gastrintestinal

机译:肥胖患者的胆石症:胃肠道旁路术后患者体重减轻与胆石症发生率的关系

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摘要

Objective: Obesity treatment with Roux-en-Y gastroplasty has been widely used for the last few decades. Patients who undergo this surgery can develop gallstones in the months following the procedure, just as occur in people who lose weight with conventional treatments. The purpose of this study is to determine the incidence of cholelithiasis in patients that have had this surgery and to analyze its possible correlation with the rapidity of weight loss. Methods: A retrospective cohort of morbidly obese patients submitted to Roux-en-Y gastroplasty was studied. The patients were evaluated at specific times: Time 1 was before obesity treatment surgery, and Time 2 was postoperatively, before 12 months time had passed. During Time 2, the speed of weight loss and the occurrence or not of cholelithiasis within this period was noted. Results: Records of 1,161 patients were analyzed, 312 (26. 9%) of which had cholelithiasis or had already had cholecystectomy preoperatively. Among the 849 remaining patients, 447 (52. 6%) maintained follow-up for 6 months postoperatively, and 128 (28. 6%) developed cholelithiasis during this period and presented with an average weight loss of 66. 3 ± 16. 8%. Between 7 and 12 months, 238 individuals completed the planned follow-up, and of these, 27 (11. 3%) developed cholelithiasis and had an average weight loss 22. 9 ± 9. 8%.Conclusion: The time needed to lose weight appears to maintain a direct correlation to the development of cholelithiasis in patients who have undergone surgical obesity treatment, mainly in the first six months of postoperative.
机译:目的:使用Roux-en-Y胃成形术治疗肥胖症在最近几十年已得到广泛应用。接受该手术的患者可在手术后的几个月内发展为胆结石,就像通过传统疗法减肥的人一样。这项研究的目的是确定接受该手术的患者的胆石症的发生率,并分析其与减肥速度的相关性。方法:回顾性分析了接受Roux-en-Y胃成形术的病态肥胖患者的回顾性队列。在特定的时间对患者进行评估:时间1是在肥胖治疗手术之前,时间2是在术后,即经过12个月的时间。在时间2中,记录了此期间的体重减轻速度和是否发生了胆石症。结果:分析了1,161例患者的记录,其中312例(26. 9%)患有胆石症或术前已经进行了胆囊切除术。在剩余的849例患者中,有447例(52. 6%)接受了术后6个月的随访,在此期间有128例(28. 6%)发生了胆石症,平均体重减轻了66. 3±16. 8 %。在7到12个月之间,有238位患者完成了计划的随访,其中27位(11. 3%)发生了胆石症,平均体重减轻了22. 9±9. 8%。在接受外科手术肥胖治疗的患者中,体重似乎与胆石症的发展有直接相关性,主要在术后的前六个月。

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    Ferrari Mário Antônio;

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  • 年度 2014
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