RESUMO
weight and complications of obesity, seven to 10 years after gastric bypass surgery. Material and Methods: One hundred eighteen subjects with morbid obesity, aged 15 to 66years (103 women), were followed for a mean of 94 months after surgery. Body weight, fasting blood glucose, total cholesterol, triglycerides and hemoglobin were measured before surgery and during follow up. Results: At 24 months of follow up, all patients lost weight and there was a mild weight increase at 94 months, that paralleled the preo-perative body mass index. Diabetes, hypercholesterolemia and hypertriglyceridemia subsided in 95, 87 and 94% of cases, respectively. Twenty percent of patients had mild anemia and 11% moderate or severe anemia. No patient recovered the preoperative weight. Conclusions: Weight reducing effects of gastric bypass are maintained after 94 months of follow up with the expected health benefits.
Assuntos
Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem , Derivação Gástrica , Transtornos do Metabolismo de Glucose/terapia , Hipercolesterolemia/terapia , Obesidade Mórbida/cirurgia , Redução de Peso/fisiologia , Anemia/etiologia , Índice de Massa Corporal , Comorbidade , Seguimentos , Derivação Gástrica/efeitos adversos , Transtornos do Metabolismo de Glucose/sangue , Hipercolesterolemia/sangue , Obesidade Mórbida/epidemiologia , Fatores de Tempo , Resultado do Tratamento , Aumento de Peso/fisiologiaRESUMO
BACKGROUND: There is a paucity of information about the long term effects of gastric bypass for morbid obesity. AIM: To study the evolution of weight and complications of obesity, seven to 10 years after gastric bypass surgery. MATERIAL AND METHODS: One hundred eighteen subjects with morbid obesity, aged 15 to 66 years (103 women), were followed for a mean of 94 months after surgery. Body weight, fasting blood glucose, total cholesterol, triglycerides and hemoglobin were measured before surgery and during follow up. RESULTS: At 24 months of follow up, all patients lost weight and there was a mild weight increase at 94 months, that paralleled the preoperative body mass index. Diabetes, hypercholesterolemia and hypertriglyceridemia subsided in 95, 87 and 94% of cases, respectively. Twenty percent of patients had mild anemia and 11% moderate or severe anemia. No patient recovered the preoperative weight. CONCLUSIONS: Weight reducing effects of gastric bypass are maintained after 94 months of follow up with the expected health benefits.