Trindade Elisangela Mara, Gebara Telma Souza E Silva, Cambi Maria Paula Carlini, Baretta Giorgio Alfredo Pedroso
Clínica Baretta, Curitiba, PR, Brazil.
Arq Bras Cir Dig. 2017 Jan-Mar;30(1):11-13. doi: 10.1590/0102-6720201700010004.
Bariatric surgery is deemed one of the most effective procedures for the treatment of obesity and it aims at the reduction and maintenance of weight loss in long term, as the control of the related comorbidities.
Quantify the occurrence of alterations of the gastrointestinal tract, suggestive signs of nutritional deficiencies and the use of supplements in a group of women undergoing bariatric surgery.
The sample consisted of women aged 20-65 years submitted to Roux-en-Y gastric bypass with monitoring equal to or higher than 24 months. For the qualitative analysis, the Feeding Frequency Questionnaire was used.
In the postoperative period, alopecia was the most reported (79.3%), followed by changes in the texture of the nails, both considered predictive of nutritional deficiencies. Changes in the gastrointestinal tract were described in 86.2%, and episodes of dumping were reported in 65.5%. Qualitative analysis has shown reduced daily consumption of sources of animal and plant proteins.
After bariatric surgery can occur flatulence, vomiting and dumping syndrome as the most frequent representative symptoms of digestive functional disorders. Alopecia and nail changes are the most important signs of nutritional deficiency. The use of dietary supplements in the postoperative period is scarce and sporadic.
减重手术被认为是治疗肥胖最有效的方法之一，其目标是长期减轻并维持体重减轻，同时控制相关合并症。
量化接受减重手术的一组女性胃肠道改变的发生率、营养缺乏的提示性体征以及补充剂的使用情况。
样本包括年龄在20 - 65岁之间接受Roux - en - Y胃旁路手术且监测时间等于或超过24个月的女性。定性分析采用饮食频率问卷。
术后，脱发是最常报告的情况（79.3%），其次是指甲质地改变，这两者都被认为是营养缺乏的预测指标。86.2%的患者描述了胃肠道改变，65.5%的患者报告了倾倒综合征发作。定性分析表明，动物和植物蛋白来源的每日摄入量减少。
减重手术后，腹胀、呕吐和倾倒综合征是消化功能障碍最常见的典型症状。脱发和指甲改变是营养缺乏的最重要体征。术后膳食补充剂的使用很少且不规律。
