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SURGICAL TREATMENT OF SEVERE OBESITY IN TEENS: LATE RESULTS.
Ferraz, Álvaro Antônio Bandeira; de Siqueira, Luciana Teixeira; Noronha, Clarissa Guedes; de Holanda, Danilo Belem Rodrigues; de Araújo-Júnior, José Guido Corrêa; Muniz, Mariana Gomes.
Afiliação
  • Ferraz ÁA; Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
  • de Siqueira LT; Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
  • Noronha CG; Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
  • de Holanda DB; Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
  • de Araújo-Júnior JG; Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
  • Muniz MG; Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
Arq Bras Cir Dig ; 28 Suppl 1: 7-10, 2015.
Article em En, Pt | MEDLINE | ID: mdl-26537264
BACKGROUND: In children is estimated that the prevalence of overweight and obesity has increased up to five times in developed countries and up to four in developing countries. In Brazil, the proportion of children and adolescents who are overweight also increased from approximately 4.1% to 13.9%. AIM: To evaluate the surgical results of severe obesity in adolescents. METHODS: Retrospective descriptive study of 2737 patients with severe obesity that underwent Roux-en-Y gastric bypass selecting from the total 44 patients with mean age of 18.1 years, 14 males and 30 females, most (37) operated by laparotomy. There was follow-up of 20 patients (45.45%). All were followed preoperatively by a multidisciplinary team and had indication confirmed for surgical unanimous approval of all team members. RESULTS: Among the 20 adolescent, 14 were female. From five teenagers using anti-hypertension or hypoglycemic drugs before surgery, four (80%) had drug discontinuation and one (20%) reduced the dose in 50% postoperatively. The average weight loss was 45.4 kg after a mean follow up of 60 months. There were no deaths or severe postoperative complications. Among those who underwent postoperative follow-up with a multidisciplinary team, 18 were with BMI<30. CONCLUSIONS: Adolescents undergoing Roux-en-Y gastric bypass has good response in relation to weight loss and improvement of comorbidities. There was a low rate of complications and no deaths. All patients were satisfied with their personal results.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Obesidade Mórbida Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Male Idioma: En / Pt Revista: Arq Bras Cir Dig Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Obesidade Mórbida Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Male Idioma: En / Pt Revista: Arq Bras Cir Dig Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil