Marchesini João Batista, Nicareta Jean Ricardo
Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.
Arq Bras Cir Dig. 2014;27 Suppl 1(Suppl 1):17-20. doi: 10.1590/s0102-6720201400s100005.
The obesity is an universal disease of epidemic proportions and in a growing prevalence. It is one of the main public health problems and it will be inexorably the largest problem of the developing world. The morbid obesity is associated to serious diseases, reducing the life perspective, increasing the morbidity and mortality. Several strategies of losing weight were proposed; however, the bariatric surgeries are today the most effective treatment for this disease. The BAROS is the most simple, practical and efficient method to evaluate the results in the bariatric surgeries.
To compare five surgical techniques for the treatment of morbid obesity using BAROS.
The sample is constituted of 102 patients submitted to Fobi-Capella (23 patients), Scopinaro (21 patients), duodenal switch (20 patients), vertical banded gastroplasty of Mason (15 patients) and the adjustable gastric band (23 patients), evaluated 12 months after the surgeries using BAROS.
The analysis of the final result of BAROS for the classification demonstrated that good, very good and excellent results were obtained in 100% of the patients in the group of duodenal switch; 91,3% in Fobi-Capella; 85,7% in Scopinaro; 60% in Mason; and 56,5% in adjustable gastric band. The final result of BAROS for the total score demonstrated that the group of duodenal switch obtained 6,3 points; the Fobi-Capella 5,1 points; the Scopinaro 4,8 points; the Mason 3,0 points; and the adjustable gastric band 2,9 points (p<0,0001).
The duodenal switch is the best technique for the surgical treatment of the morbid obesity, in the following 12 months post-surgical clinical procedures, according to BAROS.
肥胖是一种普遍存在且呈流行趋势、患病率不断上升的疾病。它是主要的公共卫生问题之一，并且必然会成为发展中世界最大的问题。病态肥胖与严重疾病相关，会缩短预期寿命，增加发病率和死亡率。已经提出了多种减肥策略；然而，如今减肥手术是治疗这种疾病最有效的方法。BAROS是评估减肥手术效果最简单、实用且有效的方法。
使用BAROS比较五种治疗病态肥胖的手术技术。
样本由102例接受Fobi - Capella手术（23例患者）、Scopinaro手术（21例患者）、十二指肠转位术（20例患者）、Mason垂直束带胃成形术（15例患者）和可调节胃束带术（23例患者）的患者组成，术后12个月使用BAROS进行评估。
对BAROS分类的最终结果分析表明，十二指肠转位术组100%的患者获得了良好、非常好和优秀的结果；Fobi - Capella组为91.3%；Scopinaro组为85.7%；Mason组为60%；可调节胃束带术组为56.5%。BAROS总分的最终结果表明，十二指肠转位术组得6.3分；Fobi - Capella组得5.1分；Scopinaro组得4.8分；Mason组得3.0分；可调节胃束带术组得2.9分（p<0.0001）。
根据BAROS，在术后12个月的临床过程中，十二指肠转位术是治疗病态肥胖的最佳手术技术。
