Abstract | INTRODUCTION:
Obesity is a disease of high prevalence in Brazil and in the world, and bariatric surgery, with its different techniques, is an alternative treatment. OBJECTIVE: METHODS: RESULTS: Excess weight loss (EWL) after five years in AGB was 48.35%; 52.7% in SG; 71.04% in RYGB and 77.90% in BPD. The postoperative mortality was 0.05% in the AGB; 0.16% on SG; 0.60% in RYGB and 2.52% in BPD. The occurrence of leak was 0.68% for GBA; 1.93% for SG; 2.18% for RYGB and 5.23% for BPD. The incidence of bleeding was 0.44% in AGB; 1.29% in SG; 0.81% in RYGB and 2.09% in BPD. The rate of DM2 resolved was 46.80% in AGB, 79.38% in SG, 79.86% in RYGB and 90.78% in BPD. The rate of dyslipidemia, apnea and hypertension resolved showed no statistical differences between the techniques. CONCLUSION: The AGB has the lowest morbidity and mortality and it is the worst in EWL and resolution of type 2 diabetes. The SG has low morbidity and mortality, good resolution of comorbidities and EWL lower than in RYGB and BPD. The RYGB has higher morbidity and mortality than AGB, good resolution of comorbidities and EWL similar to BPD. The BPD is the worst in mortality and bleeding and better in EWL and resolution of comorbidities.
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Authors | Bruno Zilberstein, Marco Aurélio Santo, Marnay Helbo Carvalho |
Journal | Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery
(Arq Bras Cir Dig)
Vol. 32
Issue 3
Pg. e1450
( 2019)
ISSN: 2317-6326 [Electronic] Brazil |
PMID | 31644670
(Publication Type: Journal Article, Review)
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Topics |
- Bariatric Surgery
(methods, statistics & numerical data)
- Biliopancreatic Diversion
(methods)
- Brazil
- Gastroplasty
(methods)
- Humans
- Obesity, Morbid
(surgery)
- Postoperative Complications
(mortality)
- Treatment Outcome
- Weight Gain
- Weight Loss
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