RUTH ROCHA FRANCO
Projetos de Pesquisa
Unidades Organizacionais
Instituto da Criança, Hospital das Clínicas, Faculdade de Medicina - Médico
11 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 11
conferenceObject Bariatric Surgery as Treatment of Primary Pseudotumor Cerebri in a Male Adolescent: Case Report(2018) YBARRA, Marina; SANTOS, Tiago Jeronimo dos; QUEIROZ, Edjane Santos; RACHID, Ludmilla; FRANCO, Ruth Rocha; COMINATO, Louise; MOURA, Frederico Castelo; VELHOTE, Manoel Carlos; DAMIANI, DurvalconferenceObject Obstructive Sleep Apnea Syndrome in Early Childhood: Case Report(2016) RACHID, Ludmilla; QUEIROZ, Edjane; COMINATO, Louise; ROCHA, Ruth; YBARRA, Marina; STEINMETZ, Leandra; SEMER, Beatriz; MENEZES FILHO, Hamilton; DAMIANI, DurvalconferenceObject Prevalence and Characteristics of Polycystic Ovary Syndrome in Obese Adolescents(2016) YBARRA, Marina; FRANCO, Ruth; COMINATO, Louise; SAMPAIO, Raissa; SUCENA, Silvia; DAMIANI, DurvalconferenceObject Laparoscopic Sleeve Gastrectomy in Adolescents: A Safe and Effective Treatment(2015) FRANCO, R.; YBARRA, M.; COMINATO, L.; VELHOTE, M.; DAMIANI, D.conferenceObject Improved Clinical and Laboratory Changes after 12 Months of Use of Metformin in Obese Insulin Resistant Children and Adolescents(2016) COMINATO, Louise; ROCHA, Ruth; RACHID, Ludmilla Renie Oliveira; DUARTE, Nathalia Filgueiras Vilaca; FRANCO, Natalia Cinquini Freitas; YBARRA, Marina; STEINMETZ, Leandra; DAMIANI, DurvalconferenceObject Laparoscopic Sleeve Gastrectomy in Obese Adolescents: Effects on Bone Metabolism(2015) BRIGATTI, N.; RACHID, L.; YBARRA, M.; FRANCO, R.; COMINATO, L.; MENEZES FILHO, H.; DAMIANI, D.conferenceObject POLICYSTIC OVARY SYNDROME IN OBESE ADOLESCENTS: ANOTHER RISK FACTOR FOR METABOLIC SYNDROME?(2017) YBARRA, Marina; FRANCO, Ruth R.; COMINATO, Louise; SAMPAIO, Raissa B.; SUCENA, Silvia; DAMIANI, Durval- Laparoscopic sleeve gastrectomy in severely obese adolescents: effects on metabolic profile(2017) FRANCO, Ruth Rocha; YBARRA, Marina; COMINATO, Louise; MATTAR, Larissa; STEINMETZ, Leandra; DAMIANI, Durval; VELHOTE, Manoel Carlos PrietoObjective: The objective was to conduct clinical and metabolic evaluations of obese adolescents before and after laparoscopic sleeve gastrectomy (LSG) (up to 24 months). Subjects and methods: This was designed as a retrospective, descriptive series of cases study, conducted in Instituto da Crianca, Sao Paulo, Brazil. Analysis of clinical and laboratory data from 22 obese adolescents between 14 and 19 years old submitted to LSG between 2007 and 2014. Patients had BMI > 40 kg/m(2) or BMI > 35 kg/m(2) with comorbidities. Anthropometric, clinical and laboratory assessments were performed: before surgery, 6, 12, 18, and 24 months after surgery. We assessed weight loss and metabolic changes up to 24 months after LSG. Results: The mean preoperative weight and BMI were 128.5 kg (SD = 23.1) and 46.5 kg/m(2) (SD = 7.4), respectively. There was an average weight loss of 34.5 kg in the first 12 months' post LSG, corresponding to a 60% excess weight loss (EWL), as well as an average reduction in BMI of 12.3 kg/m(2). However, after 24 months, the average EWL was 45%, corresponding to an average weight regain (WR) of 13.3 kg (15%) within two years. LSG improved dyslipidemia in 67.8% of patients, a significant remission of hepatic steatosis 47% and 37.7% systemic arterial hypertension; type 2 diabetes remission was complete. Conclusions: LSG proved to be a safe and effective procedure and seems to be the new hope for the obesity epidemic.
- Polycystic Ovary Syndrome among Obese Adolescents(2018) YBARRA, Marina; FRANCO, Ruth Rocha; COMINATO, Louise; SAMPAIO, Raissa Beltrao; ROCHA, Silvia Maria Sucena da; DAMIANI, DurvalBackground and aims: In adolescence and obesity, the pathophysiology of polycystic ovary syndrome (PCOS) is very difficult to distinguish. We aimed to assess the diagnosis of PCOS in the population of obese adolescent. Methods: Cross-sectional study. Setting: Pediatric Endocrinology Weight and Management Clinic from Children's Institute, Sao Paulo, Brazil. Participants: Forty-nine post-menarcheal obese adolescents with mean age of 14.7 years. Interventions: Anthropometric assessment and review of medical records were done. Clinical and laboratory hyperandrogenism were quantified using Ferriman-Gallwey index and androgenic dosages, respectively. Ovarian morphology was evaluated through suprapubic ultrasonography. Results: By the 2015 Witchel et al. guideline for PCOS in adolescence, 18.4% were diagnosed as having PCOS. When assessed by Rotterdam, Androgen Excess and PCOS Society, and American National Institute of Health criteria's, 26.4%, 22.4%, and 20.4% had PCOS, respectively. Irregular menstrual cycles were found in 65.3% of patients. Clinical hyperandrogenism was observed in 16.3% of girls and 18.4% had elevated serum androgen values. Suprapubic ultrasonography revealed enlarged ovaries in 18.4% of the adolescents. Conclusions: PCOS in all-comers obese adolescents from a Weight and Management Clinic in a quaternary hospital is more frequent when compared to adult women showed in the literature.
conferenceObject LAPAROSCOPIC SLEEVE GASTRECTOMY IN OBESE ADOLESCENTS: EFFECTS ON BONE METABOLISM(2016) RACHID, L. R. O.; DAMIANI, D.; FRANCO, R. R.; YBARRA, M.; COMINATO, L.; MENEZES FILHO, H. C.; BRIGATTI, N. L.; QUEIROZ, E. S.; VELHOTE, M. C. P.