PAULO ENGLER PINTO JUNIOR
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Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
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conferenceObject Influence of the Axcess Weight Loss on Control of Type II Diabetes After Gastric Bypass(2012) SANTO, M. A.; KAWAMOTO, F.; RICCIOPPO, D.; PAJECKI, D.; GARMS, A.; MATSUDA, M.; PINTO JR., P. E.; CLEVA, R.; CECCONELLO, IIntroduction The gastric bypass has influence on the improvement of type II diabetes. The weight loss is related to amelioration of diabetes, but it is not clear the relationship between the amount of weight loss and diabetes control. Objective Analyze the influence of EWL on improving diabetes after one year of gastric bypass. Materials and methods 29 patients type II diabetes, 24 women and 5 men, meanage of 56.9 years, mean BMI: 48.2kg/m2, mean HbA1c: 8.1, underwent standard gastric bypass retrospectively analysed one year after operation with EWL>40 % (mean 57 %). Concerning diabetes control, the patients were divided into two groups: Group A, patients who achieve HbA1c <6.5 (n=21) and in group B those maintained HbA1c>6.5 (n=08). Results In all patients the decrease of mean A1c was significant (8.1 to 6.1, p<0.05). In both groups the decrease was also significant and similar (8 to 5.9 in group A, and 9.2 to 7.6 in group B). The %EWL in group A was 59 % and in group B 57 % (p>0.05) with no difference in the Mann Whitney test. Discussion With at least 40 % of EWL there was improvement on diabetes. In the patients who did not achieve the control target (A1c<6.5) the weight loss was similar that the patients who achieve it. Conclusion Weight loss after gastric bypass is an important factor for the improvement of type 2 diabetes. Despite of amelioration of diabetes in all patients studied, similar EWL in some patients did not result in control of the disease (A1c<6.5).- OUTCOMES ON QUALITY OF LIFE, WEIGHT LOSS, AND COMORBIDITIES AFTER ROUX-EN-Y GASTRIC BYPASS(2014) COSTA, Roberto Coelho Netto da Cunha; YAMAGUCHI, Nagamassa; SANTO, Marco Aurelio; RICCIOPPO, Daniel; PINTO-JUNIOR, Paulo EnglerContext: Bariatric surgery has become the most effective method for producing weight loss in obese patients. The evaluation of improvement of comorbidities and changes in the quality of life are important outcome factors; however, it is necessary to investigate whether they persist over the long term. Methods: A cross-sectional study was conducted on 143 obese patients from our institution from February 2007 to February 2008. These patients were divided into five independent groups, one being a control group, plus four other groups with 1, 2, 3, 4 or more years following surgical Roux-en-Y gastric bypass with a silicon ring banded. quality of life forms and anthropometric measurements were performed and its scores correlated with social factors, weight loss success, and status of obesity-related conditions. Results For the group that was 1 year postoperative, a significant percentage of excess body weight loss (EBWL%) of 81.7% was observed. The groups with 2, 3, 4 or more years of post-surgical follow-up showed a EBWL decline, but without significant difference. The main comorbidity percentages in all patients who had the surgery was as follows: 69.7% for hypertension; 88.2% for diabetes mellitus; and 27.5% for arthropathy. There was a significant decrease in the rate for diabetes resolution (P = 0.035) observed by evolutionary assessment of the comorbidity resolution. The results obtained by BAROS were good, very good, or excellent in more than 96% of patients in all evaluations that were performed. The use of the Moorehead-Ardelt Questionnaire (M/A) demonstrated improvement in the quality of life. Moreover, the quality of life, when evaluated through SF-36, also showed improvement in all related areas after 1 year; however, after 4 years, improvement remained elevated only in the areas of general state of health and functional capacity. Conclusions: The Roux-en-Y gastric bypass procedure was able to achieve EBWL of 81.7% after 1 year following surgery, remaining steady with little decline after this period. Important resolution of comorbidities, such as hypertension and diabetes, was also seen. Immediate surgical outcomes assessed by SF-36 and M/A in the area of quality of life were satisfactory, but the general state of health and functional capacity areas were sustained satisfactory at a later time only.
bookPart Tumores do intestino delgado(2017) SAFATLE-RIBEIRO, Adriana Vaz; PINTO JUNIOR, Paulo Engler; RIBEIRO JUNIOR, UlyssesconferenceObject LIVER FUNCTION EVALUATION IN OBESE PATIENTS: THE INDOCYANINE GREEN (ICG) TEST VERSUS THE AST TO PLATELET RATIO INDEX (APRI) NASH and bariatric surgery(2019) SILVA, M. B. D. B. E.; MESQUITA, G. H. A. D.; DANTAS, A. C. B.; MOTA, F. C.; KAWAMOTO, F. M.; JOAQUIM, H. D. G.; PINTO JR., P. E.; PAJECKI, D.; ANDRAUS, W.; SANTO, M. A.bookPart Tumores Neuroendócrinos do Aparelho Digestivo(2013) JÚNIOR, Paulo Engler Pinto; JÚNIOR, Ulysses Ribeiro; SAFATLE-RIBEIRO, Adriana Vaz