Prevedello Carlise Felkl, Colpo Elisângela, Mayer Elveni Teresinha, Copetti Hairton
Centro Universitário Franciscano, Santa Maria, RS.
Arq Gastroenterol. 2009 Jul-Sep;46(3):199-203. doi: 10.1590/s0004-28032009000300011.
Due to metabolic alterations caused by overweight, the bariatric surgery has been a largely used procedure in order to propitiate long term weight loss and maintenance in a population with morbid obesity.
To analyze the impact of bariatric surgery in a population from the center area of Rio Grande do Sul State, Brazil, using the BAROS method.
It was carried out a retrospective study with 32 patients from both sexes, aging between 19 and 44 years old who were patients from a private clinic at the city of Santa Maria, RS. The patients' weight variation and the body mass index were analyzed, as well as their intestinal habit, use of tobacco and practice of physical activity to compare the results in pre and postoperative periods. The patients were divided into groups: group A (preoperative), group B (up to 6 months of postoperative period), group C (7 to 8 months of postoperative period), and group D (19 to 30 months of postoperative period). To evaluate the efficacy of the bariatric surgery BAROS method was applied. Statistical analysis was performed using analysis of variance (ANOVA), followed by post-hoc by Duncan's. It were considered as statistically significant the data with P<0.05. The results were expressed as mean +/- SEM RESULTS: The patients presented a significant weight-loss, in preoperative the average was 118.8 kg (+/- 2.89) and, in postoperative period, group B showed 89 kg (+/- 5.69), group C 76.8 kg (+/- 4.85) and, group D 76 kg (+/- 4.46), demonstrating a gradual weight loss. Likewise, the body mass index presented a significant reduction in groups B, C e D in relation to group A. The patients showed an intestinal habit improvement of 15.6% in postoperative period in relation to the preoperative period. As for the use of tobacco it was observed a decrease of 33.3% in postoperative period. The practice of a physical activity increased in 34.4% among the patients after surgery. According to the BAROS method appliance the patients showed excellent, very good and good classifications and, none of them was classified as insufficient.
The results obtained according to the BAROS method and the patients' evaluated characteristics made it possible to observe that the bariatric surgery presented satisfactory results in this population.
由于超重引起的代谢改变，减肥手术已成为一种广泛应用的手术方式，旨在促进病态肥胖人群的长期体重减轻和维持。
使用BAROS方法分析减肥手术对巴西南部里奥格兰德州中心地区人群的影响。
对来自南里奥格兰德州圣玛丽亚市一家私人诊所的32名患者进行了回顾性研究，患者年龄在19至44岁之间，男女均有。分析了患者的体重变化、体重指数，以及他们的肠道习惯、吸烟情况和体育锻炼情况，以比较术前和术后的结果。患者分为A组（术前）、B组（术后6个月内）、C组（术后7至8个月）和D组（术后19至30个月）。为评估减肥手术的疗效，应用了BAROS方法。采用方差分析（ANOVA）进行统计分析，随后进行邓肯事后检验。P<0.05的数据被认为具有统计学意义。结果以平均值±标准误表示。
患者体重显著减轻，术前平均体重为118.8千克（±2.89），术后B组为89千克（±5.69），C组为76.8千克（±4.85），D组为76千克（±4.46），显示出体重逐渐减轻。同样，B、C、D组的体重指数相对于A组有显著降低。患者术后肠道习惯较术前改善了15.6%。至于吸烟情况，术后观察到减少了33.3%。患者术后体育锻炼的参与度增加了34.4%。根据BAROS方法的应用，患者表现为优秀、非常好和好的分类，且无一例被分类为不足。
根据BAROS方法获得的结果以及患者的评估特征表明，减肥手术在该人群中取得了令人满意的效果。
