Study of the metabolic and bariatric surgery group in the university hospital of Neiva over a year

Experiencia del grupo de cirugía bariátrica y metabólica del Hospital Universitario de Neiva durante un año

##plugins.themes.bootstrap3.article.main##

Angie J. Barrero Sánchez
Mayra A. Carballo Bernal
Diego Fernando Chimbaco Bonilla
Adriana L. León Ortíz
Javier Leonardo Mancini Castrillón
Guillermo Pinzón Santos
Lithey Cristina Poveda Conde
Arnold Salcedo Córdoba
Héctor Adolfo Polanía
Abstract

Objective. Describe the surgical and metabolic results and changes to body image in patients undergoing bariatric surgery, in order to establish the effectiveness of the procedure in obese patients. Method and materials. Case study. The study examined the medical history of 35 patients who underwent bariatric surgery between September 2011 and September 2012. Results. 91% of patients had one or more associated comorbidities, of which gastrointestinal disorders were the most common. The most common technique was the gastric bypass. 12% developed postoperative complications. All patients reduced their bodyweight with an average body mass index (BMI) loss of 5.4 and 11.6 kg/m2 in the first and the sixth month respectively. Patients with a small intestine of 150cm lost more weight by the sixth month (2kg/m2 more) than those with a small intestine of 100cm. 98% reported a decrease in gastrointestinal symptoms and glycaemic levels reduced in 30%. 20% of diabetic patients and 12.5% of hypertensive patients continued taking medication for their conditions. Conclusions. Bariatric surgery is an effective technique to reduce BMI and improve comorbidities associated with obesity, thereby reducing the necessity of the use of medication. Self-perception of post-surgical body image improves considerably.

Keywords

Downloads

Download data is not yet available.

##plugins.themes.bootstrap3.article.details##

Author Biographies / See

Angie J. Barrero Sánchez, Universidad Surcolombiana

Estudiante Programa de Medicina, Universidad Surcolombiana, Neiva. Colombia.

Mayra A. Carballo Bernal, Universidad Surcolombiana

Estudiante Programa de Medicina, Universidad Surcolombiana, Neiva. Colombia.

Diego Fernando Chimbaco Bonilla, Universidad Surcolombiana

Estudiante Programa de Medicina, Universidad Surcolombiana, Neiva. Colombia.

Adriana L. León Ortíz, Universidad Surcolombiana

Estudiante Programa de Medicina, Universidad Surcolombiana, Neiva. Colombia.

Javier Leonardo Mancini Castrillón, Universidad Surcolombiana

Estudiante Programa de Medicina, Universidad Surcolombiana, Neiva. Colombia

Guillermo Pinzón Santos, Universidad Surcolombiana

Estudiante Programa de Medicina, Universidad Surcolombiana, Neiva. Colombia

Lithey Cristina Poveda Conde, Universidad Surcolombiana

Estudiante Programa de Medicina, Universidad Surcolombiana, Neiva. Colombia.

Arnold Salcedo Córdoba, Universidad Surcolombiana

Estudiante Programa de Medicina, Universidad Surcolombiana, Neiva. Colombia.

Héctor Adolfo Polanía, Universidad Surcolombiana

Docente Programa de Medicina, Facultad de Salud, Universidad Surcolombiana, Colombia. Hospital Universitario de Neiva.
References

Organización Mundial de la Salud (OMS). Obesidad y sobrepeso. Nota descriptiva No. 311, enero del 2015 [Internet]. Disponible en: http://www.who.int/media centre/factsheets/fs311/es/.

Escobar ID, Rossi A. Sobrepeso y obesidad incrementan la epidemia de diabetes tipo 2. Diabetes al día. 2004. [Internet] Disponible en: http://encolombia.com/medicina/revistas-medicas/d-diabetes/d22/sobrepeso-y-obesidad/

Resumen Ejecutivo ENSIN. 2012. Encuesta Nacional de la situación nutricional en Colombia. [Internet] Disponible en: http://www.icbf.gov.co/portal/page/portal/Descargas1/Resumenfi.pdf

Schauer PR, Kashyap SR, Wolski K et al. Bariatric Surgery versus Intensive Medical Therapy in Obese Patients with Diabetes. New England Journal of Medicine 2012;366:1567-1576 26.

Dixon JB, Zimmet P, Alberti KG, Rubino F. Bariatric surgery: an IDF statement for obese Type 2 diabetes. Diabetic Medicine 2011;28:628-642.

Vélez JP, Arias R, Gómez S. Reintervenciones en cirugía bariátrica, conversión a otro procedimiento. Revista Colombiana de Cirugía. 2011;26:42-47.

Ikramuddin S, Kellogg TA, Leslie DB. Laparoscopic conversión of vertical banded gastroplasty to a Roux-en-Y gastric bypass. Surgical Endoscopy. 2007;21:1927-30.

Parikh M, Pomp A, Gagner M. Laparoscopic conversion of failed gastric bypass to duodenal switch: Technical considerations and preliminary outcomes. Surgery for Obesity and Related Diseases. 2007;3:611-8.

McCormick JT, Papasavas PK, Caushaj PF et al. Laparoscopic revision of failed open bariatric procedures. Surgical Endoscopy. 2003;17:413-5.

Khaitan L, Van Sickle K, González R, et al. Laparoscopic revision of bariatric procedures: Is it feasible? The American Surgeon. 2005;71:6-10.

Marrodán MD, Montero V, Mesa M, et al. Percepción y atractivo de la imagen corporal: condicionantes biológicos y socioculturales. Zainak. 30, 2008, 15-28.

Riobó P, Kozarcewski M, Fernández JM. Obesidad en la mujer. Nutrición Hospitalaria. 2003;18:233-237.

Martin M, Beekley A, Kjorstad R, Sebesta J. Socioeconomic disparities in eligibility and access to bariatric surgery: a national population-based analysis. Surgery for Obesity and Related Diseases 6 (2010) 8-15.

Daes J, Restrepo H, Vélez JP, et al. Guías de manejo en cirugía. Cirugía Bariátrica. [Internet] Disponible en: http://www.ascolcirugia.org/guiasCirugia/cirugiaBariatrica.pdf

Poirier P, Cornier M, et al. Bariatric Surgery and Cardiovascular Risk Factors A Scientific Statement From the American Heart Association. Circulation. 2011;123:1683-1701.

Leivonen MK, Juuti A, Jaser N, Mustonen H. Laparoscoxpic sleeve gastrectomy in patients over 59 years: early recovery and 12-month follow-up. Obesity Surgery. 2011 Aug;21(8):1180-7.

Khalaileh A, Matot I, Schweiger C, et al. Laparoscopic Roux-en-Y gastric bypass for the treatment of morbid obesity: experience with 50 patients. Israel Medical Association Journal 2008 May;10(5):350-3.

Shabbir A, Loi TH, Lomanto D, et al. Surgical management of obesity - National University Hospital experience. Annals of the Academy of Medicine, Singapore. 2009 Oct;38(10):882-90.

Mingrone G, Panunzi S, De Gaetano A, et al. Bariatric Surgery versus Conventional Medical Therapy for Type 2 Diabetes. New England Journal of Medicine 2012;366:1577-1585.

Guh DP, Zhang W, Bansback N, et al. The incidence of comorbidities related to obesity and overweight: A systematic review and meta-analysis. BMC Public Health 2009, 9:88.

Rubio MA, Martínez C, Vidal O, et al. Documento de consenso sobre cirugía bariátrica. Revista Española de Obesidad 2004;4:223-249.

Cabrerizo L, Rubio MA, Ballesteros MD, Moreno C. Complicaciones asociadas a la obesidad. Revista Española de Nutrición Comunitaria 2008;14(3):156-162.

Encinas A, Cañones PJ, Ortega RM, Requejo AM. Nutrición y enfermedades del aparato digestivo. Medicina General 2000;29:978-983.

López MJ, Soto A. Actualización en Obesidad. Cad Aten Primaria, Año 2010. Vol 17. Pág. 101-107.

Rodríguez LD, Vega M. Cirugía Bariátrica: Tratamiento de elección para la obesidad mórbida. Acta Médica Costarricense, vol 48 (4), Oct-Dic 2006.

Neligan P, Williams N. Non-surgical and surgical treatment of obesity. Anesthesiology Clinics of North America. 2005;23:501-523.

Kelum JM, DeMaria EJ, Sugerman HJ. The surgical treatment of obesity. American Journal of surgery. 1969;118:141-146.

Stocker D. Management of the bariatric surgery patient. Endocrinology and metabolism clinics of North America. 2003;32:437-457.

Livingston E. complication of bariatric surgery for obesity. The Surgical Clinics of North America 2005;85: 853-868.

Brolin RE, La Marca LB, Kenler HA, Cody RP. Malabsorptive Gastric Bypass in Patients With Superobesity. Journal of Gastrointestinal Surgery. 2002;6:195-205.

Brolin RE. Weight gain after short- and long-limb gastric bypass in patients followed for longer than 10 years. Annals of Surgery. 2007;246:163-4.

Stefanidis D, Kuwada TS, Gersin KS. The importance of the length of the limbs for gastric bypass patients an evidence-based review. Obesity Surgery. 2011;211: 119-24.

Gurewithsch ED, Smith-Levitin M, Mack J. Pregnancy following gastric bypass surgery for morbid obesity. Obstet Gynecol 1998 Aug; 8 (4): 461-4.

Gagner M, Gumbs A. Gastric banding: Conversion to sleeve, bypass, or DS. Surgical Endoscopy. 2007;21:1931-5.

Gumbs AA, Pomp A, Gagner M. Revisional bariatric surgery for inadequate weight loss. Obesity Surgery. 2007;17:1137-45.

Spann SJ, Nutting PA, Galliher JM, et al. Management of type 2 diabetes in the primary care setting: a practicebased research network study. Annals of Family Medicine 2006;4:23-31.

Buchwald H, Estok R, Fahrbach K, et al. Weight and type 2 diabetes after bariatric surgery: systematic review and meta-analysis. American Journal of Medicine 2009;122:248-256.

Kashyap SR, Gatmaitan P, Brethauer S, Schauer P. Bariatric surgery for type 2 diabetes: Weighing the impact for obese patients. Cleveland Clinic Journal of Medicine. Vol. 77- 7. Julio 2010.

Balsiger B, Murr M, Poggio J, Sarr M. Bariatric surgery. The Medical Clinics of North America. 2000;84:477-489.

Cohen R. Cirugía gastrointestinal para los pacientes diabéticos tipo 2 no obesos. Revista Médica Clínica las Condes- 2009;20(5)703-707.

Papapietro K, Díaz E, Csendes A, et al. Evolución de comorbilidades metabólicas asociadas a obesidad después de cirugía bariátrica. Revista Médica de Chile 2005;133:511-516.

Sjöström L, Lindroos A, Peltonen M, et al. Diabetes, and Cardiovascular Risk Factors 10 Years after Bariatric Surgery. New England Journal of Medicine 2004;351:2683-93.

Brethauer SA, Chand B, Schauer PR. Risks and benefits of bariatric surgery: Current evidence. Cleveland clinic journal of medicine Vol 73. 2006.

Ocón J, Pérez S, Gimeno S, Ruesca B, García R. Eficacia y complicaciones de la cirugía bariátrica en el tratamiento de la obesidad mórbida. Nutrición Hospitalaria. Vol. 20 No. 6 Madrid nov.-dic.

Keto JL, Kemmeter PR. Effect of Center of Excellence requirement by Centers for Medicare and Medicaid Services on practice trends. Surgery for Obesity and Related Diseases 4 (2008) 437-440.

Most read articles by the same author(s)

OJS System - Metabiblioteca |