Navegando por Assunto "Cirurgia bariátrica"

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Análise da vitamina B12 e do zinco em pacientes submetidos à cirurgia bariátrica em um hospital privado em Belém do Pará
(Centro Universitário do Estado do Pará, 2022-11-14) Linhares, Juliana Albim; Oliveira, Tarquinio Leão de; Valente, Tárik Olívar de Nunes; http://lattes.cnpq.br/9516550105434600; Yasojima, Edson Yuzur; http://lattes.cnpq.br/6901845081643218; Oti, André Takashi; http://lattes.cnpq.br/6716375406007011
Worldwide, obesity is considered one of the most serious public health problems, reaching 800 million people who live in this condition. There are a few ways to treat this condition, from the most cautions, such as lifestyle changes, to the most invasive, such as surgery – only when there is no success in clinical treatment. Among the surgical treatments, bariatric surgery stands out, popularly known as the obesity surgery that "reduces the stomach", which aims to treat obesity at different levels and the diseases that are associated or aggravated by this condition. However, as a consequence of the surgeries, obese individuals who normally already have changes in zinc concentrations - which are lower due to the inflammatory process produced by obesity, in addition to other vitamin deficiencies, tend to worsen these rates. Therefore, there are nutritional deficits after bariatric surgery that tend to be aggravated if replacement is not performed properly, especially in nutrients such as iron and vitamin B12, in addition to zinc. To analyze and compare, through the laboratory profile of patients undergoing bariatric surgery, the preoperative and postoperative levels of vitamin B12 and zinc at 3, 6 and 12 months. The study is descriptive and retrospective, with quantitative data analysis. The sample consisted of 102 records of patients undergoing bariatric surgery using the DGYR technique, with data collected at 4 different times (preoperative, 3rd, 6th and 12th month after surgery) to assess serum levels. of zinc and vitamin B12. 102 patients were included in the study, more than half of which, 56.9%, were female and 43.1% were male. Added to this, the highest prevalence of individuals who underwent bariatric surgery were between 18-25 years old, equivalent to 25.5% of the patients submitted to the research. Regarding the comparison of B12 in the four moments, comparing in two by two, it showed that only the preoperative and the 3rd month and the 6th month did not differ significantly compared to the 12th month. As for the average of zinc, there were no significant differences between the four moments (p=0.165). There was also no significance when comparing the variables with gender and age. When the levels of vitamin B12 and zinc were analyzed, an increase in the incidence of male patients was noted. However, the highest prevalence continues to be female. Regarding postoperative B12 serum levels, there was an increase due to adequate supplementation and liver reserve, with a more notable result in the 12th month. However, the Zinc values, when compared to each other, did not show statistically significant variations, which is justified by the follow-up restriction up to 12 months postoperatively when compared to other studies. Finally, regarding the relationship between B12 and zinc levels, when comparing sex and age, all results had a non-significant p-value, making it not possible to relate differences between groups and their variations in serum levels of their micronutrients.
Reavaliação clínica e laboratorial da reversão da síndrome metabólica em pacientes submetidos à cirurgia bariátrica após um ano do procedimento
(Centro Universitário do Estado do Pará, 2020) Costa, Ana Carolina Cunha; Mattos, Letícia Coelho de; Valente, Tárik Olívar de Nunes; http://lattes.cnpq.br/9516550105434600
Introduction: Obesity is characterized by the excessive accumulation of body fat, which causes damage to the health of individuals and the emergence of potentially lethal diseases. The diagnosis of metabolic syndrome (MS) is carried out using the criteria of the National Cholesterol Education Program (NCEP) which evaluates the following criteria: abdominal measurement, triglycerides, HDL-cholesterol, blood pressure, fasting glucose. The treatment of the metabolic syndrome promotes glycemic control, increased pancreatic insulin secretion, improved insulin sensitivity in peripheral tissue and restores the lipid profile and blood pressure levels to normal. Objectives: To identify the diagnostic criteria for Metabolic Syndrome reversed after one year of surgery, to analyze the prevalence of clinical and laboratory profiles related to age, sex, abdominal circumference, blood pressure, HDL-cholesterol, fasting glucose and triglycerides. Methodology: Descriptive and retrospective study, with analysis of qualitative data. Data from patients registered in the Bariatric System ® database operating system of the Institute of Nutrition, Endoscopy and Digestive System Surgery - INECAD will be used, used by the bariatric surgery team at Hospital Amazônia for the purpose of monitoring patients undergoing this surgery. The data of each patient will be collected 1 year (12th month) after the surgery, with the data recorded in a standardized form. Results: There was a higher incidence in females. Regarding the age group, involving both genders, the highest frequency was observed between 46 and 55 years and the lowest frequency between 56 and 66 years. As for laboratory tests, all were found to be statistically significant differences in the pre-surgical and 12-month post-surgery comparison, both in females and males. The female sex had a greater increase in HDL and the male sex had a greater reduction in triglycerides and fasting glucose. Conclusion: Of the diagnostic criteria for Metabolic Syndrome, triglyceride was the test that showed the greatest reduction after 12 months of surgery. In addition to this, there was an increase in HDL values; there was a greater reduction in systolic blood pressure when compared to diastolic; there was a more marked reduction in the female gender in the abdominal circumference. Finally, fasting blood glucose reduced more in men than in women in the 12-month postoperative period.