CRITICAL ANALYSIS OF SURGICAL TREATMENT TECHNIQUES OF MORBID OBESITY

Imagem de Miniatura
Arquivos
art_ZILBERSTEIN_CRITICAL_ANALYSIS_OF_SURGICAL_TREATMENT_TECHNIQUES_OF_MORBID_2019_eng.PDF (260.92 KB)
art_ZILBERSTEIN_CRITICAL_ANALYSIS_OF_SURGICAL_TREATMENT_TECHNIQUES_OF_MORBID_2019_por.PDF (246.55 KB)
Citações na Scopus
24
Tipo de produção
article
Data de publicação
2019
DOI
SciELO
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
COLEGIO BRASILEIRO CIRURGIA DIGESTIVA-CBCD
Autores
CARVALHO, Marnay Helbo
Citação
ABCD-ARQUIVOS BRASILEIROS DE CIRURGIA DIGESTIVA-BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY, v.32, n.3, article ID e1450, 4p, 2019
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Introduction: Obesity is a disease of high prevalence in Brazil and in the world, and bariatric surgery, with its different techniques, is an alternative treatment. Objective: To compare techniques: adjustable gastric band (AGB), sleeve gastrectomy), Roux-en-Y gastric bypass (RYGB) and biliopancreatic diversion (BPD) analyzing leaks, bleeding, death, weight loss, resolution of type 2 diabetes, systemic arterial hypertension, dyslipidemia and obstructive sleep apnea. Methods: Were selected studies in the PubMed database from 2003 to 2014 using the descriptors: obesity surgery; bariatric surgery; biliopancreatic diversion; sleeve gastrectomy; Roux-en-Y gastric bypass and adjustable gastric banding. Two hundred and forty-four articles were found with the search strategy of which there were selected 116 studies through the inclusion criteria. Results: Excess weight loss (EWL) after five years in AGB was 48.35%; 52.7% in SG; 71.04% in RYGB and 77.90% in BPD. The postoperative mortality was 0.05% in the AGB; 0.16% on SG; 0.60% in RYGB and 2.52% in BPD. The occurrence of leak was 0.68% for GBA; 1.93% for SG; 2.18% for RYGB and 5.23% for BPD. The incidence of bleeding was 0.44% in AGB; 1.29% in SG; 0.81% in RYGB and 2.09% in BPD. The rate of DM2 resolved was 46.80% in AGB, 79.38% in SG, 79.86% in RYGB and 90.78% in BPD. The rate of dyslipidemia, apnea and hypertension resolved showed no statistical differences between the techniques. Conclusion: The AGB has the lowest morbidity and mortality and it is the worst in EWL and resolution of type 2 diabetes. The SG has low morbidity and mortality, good resolution of comorbidities and EWL lower than in RYGB and BPD. The RYGB has higher morbidity and mortality than AGB, good resolution of comorbidities and EWL similar to BPD. The BPD is the worst in mortality and bleeding and better in EWL and resolution of comorbidities.
Palavras-chave
Gastroplasty, Gastric bypass, Body mass index, Obesity, Bariatric surgery
URI
https://observatorio.fm.usp.br/handle/OPI/34406
Referências
  1. Buchwald H, 2004, JAMA-J AM MED ASSOC, V292, P1724, DOI 10.1001/jama.292.14.1724
  2. Buchwald H, 2002, OBES SURG, V12, P705, DOI 10.1381/096089202321019747
  3. Chaim EA, 2017, ABCD-ARQ BRAS CIR DI, V30, P264, DOI 10.1590/0102-6720201700040009
  4. Fobi MAL, 2004, J NATL MED ASSOC, V96, P61
  5. Hess DS, 2005, OBES SURG, V15, P408, DOI 10.1381/0960892053576695
  6. Hess DS, 1998, OBES SURG, V8, P267, DOI 10.1381/096089298765554476
  7. HETTMANSPERGER TP, 1986, STAT PROBABIL LETT, V4, P75, DOI 10.1016/0167-7152(86)90021-0
  8. Homan J, 2015, OBES SURG, V25, P1626, DOI 10.1007/s11695-015-1570-5
  9. Jacobs M, 2010, SURG ENDOSC, V24, P781, DOI 10.1007/s00464-009-0619-8
  10. Jan JC, 2007, SURG OBES RELAT DIS, V3, P42, DOI 10.1016/j.soard.2006.11.005
  11. Jan JC, 2005, J GASTROINTEST SURG, V9, P30, DOI 10.1016/j.gassur.2004.09.043
  12. Kim TH, 2006, SURG ENDOSC, V20, P202, DOI 10.1007/s00464-005-0243-1
  13. Kronka SN, 1995, EXPT AGRICOLA
  14. Langer FB, 2005, OBES SURG, V15, P1024, DOI 10.1381/0960892054621125
  15. Maher JW, 2008, J AM COLL SURGEONS, V206, P940, DOI 10.1016/j.jamcollsurg.2007.12.043
  16. Nelson D, 2011, AM J SURG, V201, P672, DOI 10.1016/j.amjsurg.2011.01.021
  17. NIH conference. Gastrointestinalsurgery forsevereobesity. Development Conference Panel, 1991, ANN INTERN MED, V115, P9656
  18. Pi-Sunyer FX, 1998, OBES RES, V6, p51S
  19. Sampaio-Neto J, 2016, ABCD-ARQ BRAS CIR DI, V29, P98, DOI 10.1590/0102-6720201600S10024
  20. Schauer PR, 2003, ANN SURG, V238, P467, DOI 10.1097/01.sla.0000089851.41115.1b
  21. Sucandy I, 2014, N AM J MED SCI, V6, P35, DOI 10.4103/1947-2714.125865
  22. Sugerman HJ, 2003, ANN SURG, V237, P751, DOI 10.1097/00000658-200306000-00002
  23. Zaparolli Marilia R, 2018, ABCD ARQ BRAS CIR DI, V31
  24. Zinzindohoue F, 2003, ANN SURG, V237, P1, DOI 10.1097/00000658-200301000-00001
  25. Zorron R, 2016, ABCD-ARQ BRAS CIR DI, V29, P128, DOI 10.1590/0102-6720201600S10031

Coleções
Artigos e Materiais de Revistas Científicas - FM/MGT
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/35
Artigos e Materiais de Revistas Científicas - ODS/03