Roux-en-Y胃旁路术后第一年肥胖女性的临床和营养状况
CLINICAL AND NUTRITIONAL ASPECTS IN OBESE WOMEN DURING THE FIRST YEAR AFTER ROUX-EN-Y GASTRIC BYPASS.
作者信息
dos Santos Tiago Dália, Burgos Maria Goretti Pessoa de Araújo, de Lemos Maria da Conceição Chaves, Cabral Poliana Coelho
机构信息
Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
出版信息
Arq Bras Cir Dig. 2015;28 Suppl 1(Suppl 1):56-60. doi: 10.1590/S0102-6720201500S100016.
BACKGROUND
Clinic care for morbid obesity is not very effective. Bariatric surgery is being considered the best way of intervention for this kind of obesity.
AIM
Evaluate the clinical and nutritional evolution during the first year of obese women submitted to Roux-en-Y gastric bypass.
METHOD
Retrospective series non-concurrent with 61 women. The variables were weight, BMI, weight loss percentage, loss of excessive weight percentage, waist circumference, hip circumference, lipid profile, daily use of supplements, practice of physical exercise, occurrence of sickness, nausea, constipation, diarrhea, asthenia, alopecia, dry skin, cramps and brittle nails.
RESULTS
They presented significant weight and IMC reduction as well as improvement in their lipid profile, in all consultations. After one year they presented 36,6% loss of the initial weight and 75% loss of excessive weight. The waist circumference also presented a considerable reduction on all the moments, decreasing from 122,1±13,4 cm to 94,1±10,6 cm. Regarding the intercurrences, the most frequent were alopecia, asthenia, dry skin and cramps.
CONCLUSION
The Roux-en-Y gastric bypass was effective in promoting and maintenance weight loss during the period of the first postoperative year.
背景
病态肥胖的临床护理效果不佳。减肥手术被认为是治疗这类肥胖的最佳干预方式。
目的
评估接受Roux-en-Y胃旁路手术的肥胖女性术后第一年的临床和营养状况变化。
方法
对61名女性进行回顾性非同期系列研究。观察变量包括体重、体重指数（BMI）、体重减轻百分比、超重减轻百分比、腰围、臀围、血脂谱、补充剂的每日使用情况、体育锻炼情况、疾病发生情况、恶心、便秘、腹泻、乏力、脱发、皮肤干燥、抽筋和指甲变脆。
结果
在所有会诊中，患者的体重和BMI均显著降低，血脂谱也有所改善。一年后，患者体重较初始体重减轻了36.6%，超重减轻了75%。腰围在各个阶段也有显著减小，从122.1±13.4厘米降至94.1±10.6厘米。关于并发症，最常见的是脱发、乏力、皮肤干燥和抽筋。
结论
Roux-en-Y胃旁路手术在术后第一年有效地促进并维持了体重减轻。
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