Pesquisa apresentada no IFSO 2016
THE ROLE OF THE NUTRITIONAL FOLLOW UP BEFORE THE WEIGHT REGAIN IN PATIENTS SUBMITTED TO BARIATRIC SURGERY
TRINDADE EM, CAMBI MPC, BARETTA GAP e GEBARA TSS
Local de realização do trabalho: Clínica Baretta
Curitiba – Paraná – Brasil
Endereço para correspondência: mpcarlini@hotmail.com
Introduction: Recurrence of weight and nutritional deficiencies may occur after bariatric surgery. The causes are numerous, among them the lack of a multidisciplinary approach. Objective: To identify the importance of nutritional monitoring against the reduction of possible complications and nutritional weight relapse in the postoperative period of bariatric surgery.
Methodology: The study was a prospective cross-sectional nature. Data collection was conducted in September and October 2015. We considered the exclusion criteria: individuals who had surgical complications in the immediate postoperative period, pregnancy, cancer, and those who agreed to participate pesquisaou had difficulty responding to the questionnaire, in addition to withdrawal at any time during search .Participants read, agreed and signed the Informed Consent and Informed (WIC). Data collection was performed from a self-administered questionnaire. This questionnaire was made print and electronic, and the electronic template was sent by email to the registered individuals in the service, and the physical, personally answered by those who attended the clinic during the data collection period . We collected data on height, weight in the preoperative period and at the time of data collection, minimum weight obtained after surgery and time to achieve it, in addition do percentual excess of loss weight (% EWL) and the occurrence of weight relapse after reaching the minimum weight. From the information, it calculated the body mass index (BMI) preoperatively and current, and when BMI reached the minimum weight.
Results: A study with sample of 29 women aged 20-65 years, mean 41.4 ± 9,1anos. There was incidence of 79.3% in weight of relapse between the participants and the average weight of relapse was 19.9 ± 9.3 kg. The nutritional treatment was reported by 41.4% of participants, of which 50% remained during the period of 6 to 12 months. In the relationship between postoperative recurrence and weight it was found that 44.8% (n = 13) participants reached eutrophic BMI of these, 23% (n = 3) recovered between 15 and 20 kg up to 36 months.
Conclusion: The nutritional counseling after bariatric surgery is considered one of the factors responsible for the success of the surgery, which has the purpose of the nutritional status, reduction and long-term weight maintenance.
Referências Bibliográficas:
* Baretta GAP, Alhinho HC, Matias JE, de Lima JH, Empinotti C, Campos JM et al. Argon Plasma Coagulation of Gastrojejunal Anastomosis for weight regain after gastric by-pass. Obes. Surg. 2015 Jan; 25 (1):72-9.
* Barhouch AS et al. Excess weight loss variation in late postoperative period of gastric bypass. Obes. Surg. 2010 Nov; 20(11):1479-83.
* CAMBI MPC, BARETTA GAP. Reganho de peso após a cirurgia bariátrica: avaliação do perfil nutricional dos pacientes candidatos ao plasma endoscópico de argônio ABCD. 2015; 28 (1): 40 – 43.
