Evaluation of the nutritional, clinical and biochemical alterations in patients to the bariatric surgery in pre and post-operative period
Abstract
The objective of the study was toevaluate the nutritional, clinical and biochemical alterations in 15 patients submitted to the bariatric surgery, by the technique of Fobi-Capella, during the pre and post-operative periods (3rd month). It was verified in the two periods the rate of weight loss, prevalence of nutritional lack, comorbidity changes related to the obesity, post-operative complications (vomits, nauseas, alopecia, daily intestinal habit), as well as the nutritional need and tolerance to the daily alimentary ingestion. It was also analyzed the adaptations in the biochemical profiles and of macro and micronutrients. The weight loss average was 22,57+2,12 kg, with loss of 50,47% of the excess weight and reduction of 19,23% of initial BMI. There was a reduction of the sedentarism among the patients and an increase in individuals classified as active people. In the dietary analysis, a meaningful reduction was verified (p <0,01) in most of the nutrients and caloric consumption. Clinical alterations in the post-operative period were beneficial in relation to blood pressure, sleep alteration and daily intestinal habit. The biochemical profiles of almost all the studied components prevailed appropriate, in both periods. Analyzing the data obtained until the third month after surgery, it was noticed that, if the patients continue with established care and also follow the nutritional guidelines, with the consequent gradual reintroduction of micronutrients, you can combine the weight reduction and comorbidities with permanent quality of life.
References
-American Society for Bariatric Surgery, Standard Commitee. Guidelines for reporting results in bariatric surgery. Obes Surg. Vol. 7. 1997. p. 521-522.
-Anção, M.S.; Cuppari, L.; Draibe, A.S.; Sigulem. D. Programa de Apoio à Nutrição –NutWin versão 1.5. Departamento em informática e saúde: Universidade Federal de São Paulo, 2002.
-Aranceta-Bartrina, J.; Perez-Rodrigo, C. Diário o registro dietético. Métodos de doublé pesada. In. Serra-Majem, L.; Aranceta-Bartrina, J.; Mataix-Verdú, J. Nutrición y Salud Pública. Barcelona: Masson. 1995. p. 107-112.
-Banegas, J.R.; Villar, F.; Gil, H.; Carretero, M.L.; Arraz, I.; Aranceta, J.; Serra,L.; Rabat, J.M.; Artalejo, F.R.; Sabaté, J.; Vázquez, C.; Armas, A.; Martin, J.M.; Moreno López, C.; Moreieas, O.; Vioque, J.; Quiles, J.; Sastre, A.; Soria, P. Directrices para La elaboracion de estúdios poblacionales de alimentacion y nutricion. San HigPub. Vol. 68. Num. 2. 1994. p. 247-260.
-Barreto, N.V.; Braghrolli, O.N.; Curvello, K.L.; Paneili, B.E.; Seal, B.; Santos, D.; Cruz, T. Quality of life of obese patients submitted to bariatric surgery. Rev. Nutr. Hosp. Vol. 19. Num. 6. 2004. p. 367-71.
-Bavaresco, M.; Paganini, S.; Lima, T.P.; Salgado, W.J.; Ceneviva, R.; Santos, J.E.; Nonino-Borges, C.B. Nutritional Course of Patients Submitted to Bariatric Surgery. Obese Surg. Vol. 20. Num. 6. 2008. p. 716-21.
-Carvalho, P.S.; Moreira, C.L.C.B.; Barelli, M.C.; Oliveira, F.H.; Guzzo, M.F.; Miguel, G.P.S.; Zandonade, E. Cirurgia bariátrica cura a síndrome metabólica?. Arq Bras Endocrinol Metab. Vol. 51. Num. 1. 2007. p.79-85.
-Christou, N.V.; Sampalis, J.S.; Liberman, M.; Look, D.; Auger, S.; Mclean, A.P.H.; Lloyd, D.; Maclean. Surgery Decreases Long-term Mortality, Morbidity, and Health Care Use in Morbidly Obese Patients. Annals of Surgery. Vol. 240. Num. 3. p. 416-24.
-Coppini, L,Z.; Bertevello, P.L.; Gama-rodrigues, J.; Waitzberg, D.L. Changes in insulin sensitivity in morbidly obese patients with or without metabolic syndrome after gastric bypass. Obes Surg. Vol. 16. Num. 11. 2006. p. 1520-1525.
-Dias, M.C.G.; Ribeiro, A.G.; Scabom, V.; Faintuch, J.; Zilberstein, B.; Gama-Rodrigues, J.J. Dietary intake of female bariatric patients after anti-obesity gastroplasty. Clinics Vol. 61. Num. 2. 2006. p. 93-8.
-Ferraro, D.R. Management of the bariatric surgery patient: lifelong postoperative care. Clinician Reviews. Vol. 14. Num. 2. 2004. p. 73-9.
-Garrido Junior, A.B. Cirurgia em obesos mórbidos-experiência pessoal. Arq Bras Endrocrinol Metab. Vol. 44. Num. 1. 2000. p. 106-13.
-Garrido Junior, A.B.; e colaboradores. Derivações gastrojejunais. In: Garrido Júnior A.B.; Ferraz, E.M.; Barroso, F.L.; Marchesini, JB.; Szego, T. Cirurgia da Obesidade. São Paulo. Atheneu. 2002. p. 155-61.
-Gomes, G.M.B. Cirurgia bariátrica: mudanças no padrão alimentar e na qualidade de vida. Dissertação. Florianópolis: Universidade Federal de Santa Catarina. Curso de Nutrição, 2007.
-Halverson, J.D. Micronutrient deficiencies after gastric bypass for morbid obesity. J. Am Surg. Vol. 52. Num. 11. 1986. p. 594-8.
-Higa, K.D.; Boone, K.; HO, T. Complications of the laparoscopic Roux-en-Y gastric bypass: 1,040 patients –what have we learned? Obes Surg. Vol. 10. Num. 6. 2000. p. 509-13.
-Institute of Medicine. Dietary Reference Intakes: The Essential Guide to Nutrient Requirements. Washington, D.C. National Academy Press. 2006.
-Jellife, D.B. Evaluacion del estado de nutricion de la comunidad. Séries de Monografias. Geneva: OMS. Vol. 53. 1968. 291p.
-Kushner, R. Managing the obese patient after bariatric surgery: a case report of severe malnutrition and review of the literature. J Parenter Enteral Nutr. Vol. 24. Num. 2. 2000. p. 126-32.
-Moize, V.; Geliebter, A.; Gluck, M.E.; Lourence, M.B.S.; Colarusso, T.R;D.; Drake, V.; Flancbaum, L. Obese patients have inadequate protein intake related to protein intolerance up to 1 year following Roux-en-Y gastric bypass. Obes Surg Vol. 13. Num. 1. 2003. p. 23-8.
-Mottin, C.C. Tolerância alimentar no acompanhamento pós-operatório da cirurgia bariátrica: um estudo de 149 pacientes obesos mórbidos. Bol Cirurgia da Obes. Vol. 3. Num. 3. 2002. p. 45.
-O’Neil, P.M. Assessing dietary intake in management of obesity. Obes Res. Vol. 9. Num. 5. 2001.p. 361-6s.
-Quadros, M.R.; Savaris, A.L.; Ferreira, M.V.; Filho, A.J.B. Intolerância alimentar no pósoperatório de pacientes submetidos á cirurgia bariátrica. Rev Bras Nutr Clin, São Paulo, Vol. 22. Num. 1. 2007. p. 15-19.
-Segal, A. Técnicas de Modificação de comportamento do paciente obeso: Psicoterapia Cognitivo-comportamental. In: Alfredo Halpern; Marcio C. Mancini. (Org.). Manual de Obesidade para o Clínico: Roca, 2002. p. 121-142.
-Serra-Majem, L.; Ribas, L.B. Recordatório de 24 horas. Enc: Serra-Majem, L.; Aranceta Bartrina, J.; Mataix Verdú, J. eds Nutrición y Salud Pública. Métodos, bases científicas y aplicaciones. Barcelona: Masson, 1995. p. 113-119.
-Sociedade Brasileira de Cardiologia / Sociedade Brasileira de Hipertensão / Sociedade Brasileira de Nefrologia. VI Diretrizes Brasileiras de Hipertensão. Arq Bras Cardiol. Vol. 95. 1 supl. 1. 2010. p. 1-51.
-World Health Organization. The World Health Report 1998: Life in the 21st century a vision for all. Geneva: WHO. 1998. p. 61-111.
Authors who publish in this journal agree to the following terms:
- Authors retain the copyright and grant the journal the right of first publication, with work simultaneously licensed under the Creative Commons Attribution License BY-NC which allows the sharing of the work with acknowledgment of the authorship of the work and initial publication in this journal.
- Authors are authorized to enter into additional contracts separately for non-exclusive distribution of the version of the work published in this journal (eg, publishing in institutional repository or book chapter), with acknowledgment of authorship and initial publication in this journal.
- Authors are allowed and encouraged to post and distribute their work online (eg, in institutional repositories or on their personal page) at any point before or during the editorial process, as this can bring about productive change as well as increase impact and impact. citation of published work (See The Effect of Free Access).
