Bariatric Surgery: Early Results with a Multidisciplinary Team

Cosmo, L. Di; Vuolo, Giuseppe; Piccolomini, Alessandro; Maglio, Cristina; Carli, Alfonso; Ruggieri, Giancarlo; Mattei, R

doi:10.1381/096089200321643601

Cited by 8 publications

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“…Patients should be assessed by members of a multidisciplinary obesity team 12. A dietician, psychologist, endocrinologist, nurse specialist and surgeon will usually have input into patient selection.…”

Section: Post-referral Assessmentsmentioning

confidence: 99%

An overview of the management of morbid obesity

Monkhouse

Morgan²,

Bates³

et al. 2009

Postgraduate Medical Journal

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Obesity is a modern-day epidemic with serious physical, psychological and economic implications for the patients. Tackling obesity is now a priority for most healthcare providers. Managing such patients can be complex, emotional, time consuming and often frustrating. Obesity surgery, in its various forms, has revolutionised this struggle. With appropriate selection of patients, adequate resources and a multidisciplinary team involvement, obesity can now effectively be "cured". It is vital that those who deal with obese patients know how to access these services and understand the processes involved in the journey from initial assessment to postoperative follow-up. Obesity surgery has a major impact in reducing obesity-related comorbidities such as diabetes and hypertension and contributes to society by returning patients to work. Prevention must be at the heart of any strategy to manage obesity, but, for established cases, surgery is taking centre stage and will continue to flourish as new techniques and procedures are developed.

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Section: Post-referral Assessmentsmentioning

confidence: 99%

An overview of the management of morbid obesity

Monkhouse

Morgan²,

Bates³

et al. 2009

Postgraduate Medical Journal

View full text Add to dashboard Cite

show abstract

“…Estas atuações, de acordo com os dados clínicos obtidos pela equipe, podem inclusive mudar a indicação das técnicas cirúrgicas empregadas. Estas intervenções têm como objetivo final atingir os melhores resultados no controle do peso e das comorbidades, tanto no período imediato, quanto a longo prazo após a cirurgia (DI COSMO et al, 2000;INGE et al, 2004;SANTRY et al, 2006;ARAÚJO, MOTTA SILVA e FORTES, 2010;CANOVAS GAILLEMIN et al, 2011;MARCHINI et al, 2012;ORLANDO et al, 2014).…”

Section: Introdução 1 Introduçãounclassified

Epidemiologia e parâmetros laboratoriais relacionados à perda dentária em pacientes obesos candidatos à cirurgia bariátrica

Passeri¹

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Epidemiology and laboratory parameters related to tooth loss in obese candidates to bariatric surgery Obesity can be labeled as a worldwide outbreak thus, it has led to a serious public health problem. Oral health can be worsened if it is combined with obesity and metabolic X syndrome. The tooth loss usually harms masticatory function, essential status to whom will be submitted to bariatric surgery. This study aimed to assess epidemiologic parameters and blood tests concerning the number of dental functional units, in patients applying to bariatric surgery, who belong to distinct socioeconomic class range, in order to recognize hazard factors and the bias of this condition over them. Observational cross-section study, with samples comprised by two groups of patients, with distinct socioeconomic class range, one of them belonging to public health system (SUSG) and the other to private clinic (CPG), applicants to bariatric surgery. It was assessed the general healthy conditions, including anthropometric data, comorbidities (hypertension, diabetes mellitus, sleep apnea, dyslipidemias and arthropathy) and medicines usage (antihypertensive, oral hypoglycemic agents, insulin, simvastatin, diuretics, vasodilators and platelet antiaggregant). Blood tests data (hemoglobin, ferritin, protein, albumin, total cholesterol, glycaemia, triglycerides), habits (smoking and alcoholism) and the number of dental functional units presents (masticatory function). The tests applied were Chi-Square, ANOVA, Goodman, Multivariable Logistic Regression e Bonferroni. The groups SUSG and CPG were homogeneous taking into account gender and age range. Regarded as the number of dental functional units, was higher in the private group (p<0.001). The impaired masticatory function was rather present among female public group (p<0.001). Regarded as blood tests, fasting glycaemia were mainly above in female SUSG patients (p<0,001). The following hazard factors have corroborated to have patients rated as impaired masticatory function: Belong to public service (OR: 8.420, p=0.003), higher aging (OR: 1.186, p<0.001), female gender (OR: 0.153, p=0.029), with diabetes mellitus (OR: 2.545, p=0.045) and smoking (OR: 2.951, p=0.043). The general and oral health of obese SUSG patients were worse and the tooth loss was higher in female patients in this same group, highlighting as hazard factor the socioeconomic condition.

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