Evolución ponderal y de comorbilidades a largo plazo en pacientes intervenidos de cirugía bariátrica

Abstract

Objective: The aim of this paper is to analyze the outcome of major comorbidities and body mass index during long-term follow-up in patients undergoing bariatric surgery. Material and methods: A retrospective cross-sectional study was conducted on a sample of 28 patients (32 women and 6 men; mean age: 43.52 years) undergoing bariatric surgery between 2008 and 2011. The surgical procedures performed were adjustable gastric banding (n =8), sleeve gastrectomy (n = 8) and gastric bypass (n = 22). Results: Diabetes mellitus was resolved in 73.43% of cases, hypertension in 47.05%, dyslipidemia in 75% and obstructive sleep apnea syndrome in 70%. Five years after surgery, 28.9% of the patients had obesity class I, 23.7% had overweight, 23.7% had obesity class II and 23.7% had obesity class III. Conclusion: bariatric surgery achieves resolution of comorbidities associated with obesity in a high percentage of cases. This effect is more effective in dyslipidemia. Weight regain in the long-term and follow-up beyond five years after surgery are still pending issues.

Seguimiento en cirugía bariátrica, ¿podemos mejorarlo?

“…In 2017, Kothari et al (7) also evaluated the results of long-term gastric bypass and after 8 years of surgery, rates of resolution of comorbidities similar to the Obeid study were described, achieving resolution of DT2 in 46%, HTA in 38% and DL in 49%. Marqueta et al (8) in the year 2020 also analyzed long-term results, but in this case taking into account several surgical techniques and presented figures similar to previous studies with a resolution percentage of DT2 of 73%, HTA of 47% and LD of 75%. Above the age of 10 years, the results obtained will also depend on the correct choice of surgical technique, other factors such as the patient's ability to control their diet and healthy lifestyle habits, and their follow-up to detect possible late complications of the surgical procedure.…”