Utilidad de la cirugía bariátrica en el tratamiento de la obesidad y comorbilidades en el Hospital José Carrasco Arteaga. 2009-2013. Cuenca

Abstract

Introduction: Bariatric surgery is an effective treatment option in patients with obesity and comorbidities. General Objective: To determine the usefulness of bariatric surgery in the treatment of obesity and comorbidities. Material and Methods: Retrospective descriptive study in a cohort of 71 patients diagnosed with obesity, who underwent bariatric surgery and were admitted to the department of surgery at the hospital "José Carrasco Arteaga" in the period between 2009 and 2013. The patients underwent anthropometric assessment, blood glucose levels, lipid profile (cholesterol, triglycerides, HDL, LDL) and blood levels, preoperative voltage, at the third month, sixth month, and also after the postoperative year. Results: We have analyzed 71 patients with morbid obesity (57 women and 14 men) with a mean age of 45.04 ± 10 years. The average preoperative weight was 110.16 ± 18.6 kg and BMI of 42.6 ± 4.6 kg / m2. In the third month, sixth month, and a year after the surgical procedure BMI was 34,54Kg / m2, 31.64 kg/m2, 30,36Kg/m2 respectively, the weight reduction for the third month, the sixth month, and after the subsequent year surgery was 86,64Kg, 82,05Kg, 78,77Kg respectively, the percent of loss of the excess of the weight was 45.9%. We also found out that 90.8% of dyslipidemic patients, 100% of diabetics and 98.5% of hypertensive patients normalized their corresponding profiles after surgery. A 7.04% of patients had postoperative complications, among which wound dehiscence was found to be the most frequent; derived from these complications the rate of mortality reached a 5.6%. Conclusion: Bariatric surgery is an effective method for the control of obesity in different degrees and comorbidities associated with this disorder such as hypertension, diabetes and dyslipidemia