Post-surgery characterisation and evolution in bariatric surgery in a private clinic

Abstract

The treatment of obese patients is based on medical intervention and life-style changes to reduce comorbidities and the development or deterioration of chronic diseases. In recent years, bariatric surgery has assumed a significant role in the treatment of patients with severe obesity. Objective. Determine the post-surgery characterisation and evolution of patients undergoing bariatric surgery such as a gastric sleeve or a Roux-en-Y gastric bypass. Method. A retrospective, observational, cross sectional, descriptive study was carried out in a private clinic between 1 June 2010 and 30 June 2014. Results. 74 surgeries were carried out during the given period. 8.1% of patients were 34 years old, 66.2% were feminine, 71.6% were from Neiva, the most common weight was 110kg, the average body mass index (BMI) was 41.236 and the most common occupation was in the home (39.2%). The main diagnosis found was high blood pressure in 21.6% of cases, class III obesity in 63.5%. The most frequently performed surgery was the gastric sleeve (83.8%), the average operating time was 125.35 minutes, an oral tolerance of 60.03 hours, mobilisation after 34.22 hours and an average hospital stay of 3.41 days. Main complications during the postoperative period were; bleeding (6.8%), spleen injury + bleeding (5.4%), leaking (1.4%). 10.8% of complications were corrected during the postoperative period whilst 2.7% required reoperation. The correlation between operative time and BMI was p=0.0001, oral tolerance and days spent in hospital had a 0.00 significance level and there was a significant association between women and class III obesity (p=0.019).