Estado metabólico y nutricional en pacientes post cirugía bariátrica en la Clínica de Especialidades Médicas Latinoamericana de la ciudad de Cuenca en el periodo 2015- 2020

Abstract

Background: the World Health Organization cites obesity as an epidemic of the century, a serious public health problem, bariatric surgery is an effective alternative in patients in whom clinical, and nutritional alternatives have failed, the I.M.C. (body mass index), is > 35 associated with comorbidities or BMI. > 40 without comorbidities, this corrects the weight; in addition, it influences the metabolism, lifestyle and diet of the patient. Objective: to analyze metabolic and nutritional changes in patients after bariatric surgery at the Clínica Latinoamericana in the City of Cuenca, period 2015-2020. Methods: cohort study, which analyzed nutritional and metabolic changes in patients after bariatric surgery, extracted from clinical records of the SOFTCASE system (Software dedicated to the medical area, hospital, administrative and financial management). The biochemical values were obtained from the SoftCase information bank, the I.M.C. Through patient assessment, the nutritional status was carried out through a diet quality assessment survey, validated by SEDCA (Spanish Society of Food Sciences). Results: Universe 63 patients, 79.4% male, average age 36 years, 44.4% married, there are important differences in previous anthropometric values and those valued 12 months or more after surgery. Glucose, cholesterol and triglycerides present precise confidence intervals. 79.37% presented a regular feeding quality. Conclusions: Bariatric surgery provides good results in the medium and long term, greater weight loss and BMI in the first year after surgery. As well as decreased glycemia, cholesterol and triglycerides.