Modificaciones clínicas y metabólicas de los pacientes intervenidos de cirugía bariátrica en los hospitales José Carrasco Arteaga y Vicente Corral Moscoso del 2005 al 2010

Abstract

Obesity is considered an epidemic of the XXI century, seeing increased worldwide. A large majority of the population is overweight reaching some sort of morbid obesity, which is often accompanied by serious associated diseases reduce both the quality and expectancy of life. An alteration in clinical settings such as anthropometric type, hypertension, central obesity, and metabolic disorders such as glycosylated hemoglobin, triglycerides, HDL cholesterol, presents some of the morbidly obese patients. Bariatric surgery today is proving to be one of the best treatments to improve clinically and metabolically patients with these disorders can’t be ruled effectively influencing the postoperative diet and exercise.

Objective: to determine the clinical and metabolic changes before and after surgery in patients undergoing bariatric surgery at the hospital José Carrasco Arteaga and Vicente Corral Moscoso from 2005 to 2010.

Methods: we performed a study of quasi-experimental (mode before and after), were included in the study 43 patients undergoing bariatric surgery at hospitals José Carrasco Arteaga and Vicente Corral Moscoso during the period 2005-2010.

Results: we performed 43 bariatric procedures, most were female (86% n = 37) with obesity grade 2 3 and 4. The body mass index (BMI), waist circumference and blood pressure, and blood chemistry tests: cholesterol, triglycerides, glucose and glycated hemoglobin, had a significant reduction (p=0.002; <0,001; 0.001; <0,001; 0,002; 0,001 y <0,001). For HDL no significant differences were found (p=0.501).

Conclusions: bariatric surgery produces a significant reduction in BMI, waist circumference, blood pressure, cholesterol, triglycerides, glucose and glycated hemoglobin.