Fatores associados a complicações respiratórias e não respiratórias em pacientes obesos candidatos à cirurgia bariátrica

Edna  Aparecida Silveira Almeida; Larissa  de Souza Santos Bozi; Raissa  Miranda de Paula Ferreira; Juliana Hott de Fúcio Lizardo; Verônica Lourenço Wittmer

doi:10.47456/rbps.v22i4.24493

Authors

Edna Aparecida Silveira Almeida
Larissa de Souza Santos Bozi
Raissa Miranda de Paula Ferreira
Juliana Hott de Fúcio Lizardo UFES http://orcid.org/0000-0001-7768-3098
Verônica Lourenço Wittmer

DOI:

https://doi.org/10.47456/rbps.v22i4.24493

Keywords:

Bariatric surgery, Postoperative complications, Obesity, Physical therapy

Abstract

Introduction: Bariatric surgery is an effective option widely used to treat severe obesity. It is essential understanding the profile and clinical features of patients subjected to bariatric surgery and identify factors associated with high incidence of postoperative complications. Objectives: Describing the profile of patients subjected to bariatric surgery in a Teaching Hospital of Vitória City-ES/Brazil, featuring the sample, as well as describing the main postoperative complications and their associated factors. Methods: Cross-sectional descriptive study with individuals subjected to bariatric surgery in a state tertiary referral hospital in Brazil. Sociodemographic and clinical data about the pre- and postoperative periods were collected in patients’ medical records. Results and conclusion: in total, 181 medical records of patients subjected to bariatric surgery from January 2014 to January 2016 were analyzed. Brown (53.6%) women (91.2%) at mean age 42.4±10.7 years prevailed in the sample. Arterial hypertension was the most prevalent comorbidity (64.4%) and it was followed by gastritis (66.3%). Open access (non-laparoscopic) surgery and large number of preoperative comorbidities were positively correlated to the incidence of postoperative complications. There were no association between surgical access route and the following variables: hospitalization time and postoperative use of oxygen catheter. Preoperative physical therapy and body mass index did not show association with the following postoperative factors: number of respiratory and non-respiratory complications, hospitalization time and oxygen catheter using. It is of paramount importance identifying factors associated with higher incidence of postoperative complications in order to adopt proper strategies to reduce risks for patients subjected to bariatric surgery.

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Author Biography

Juliana Hott de Fúcio Lizardo, UFES

Professora de Anatomia do Departamento de Morfologia.

References

1. Forti, E.; Ike, D.; Barbalho-Moulim, M.; Rasera, I. Jr.; Costa, D. Effects of chest physiotherapy on the respiratory function of postoperative gastroplasty patients. Clinics. São Paulo. Vol. 64. Num. 7. 2009. p. 683-9.
2. Ministério da Saúde. Vigitel Brasil 2014: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Brasília. 2015.
3. Concors, S.J.; Ecker, B.L.; Maduka, R.; Furukawa, A.; Raper, S.E.; Dempsey, D.D.; Williams, N.N.; Dumon, K.R. Complications and Surveillance After Bariatric Surgery. Current Treatment Options in Neurology. Philadelphia. Vol. 18. Num. 5. 2016.
4. Buchwald, H.; Bariatric Surgery for Morbid Obesity: Health Implications
for Patients, Health Professionals, and Third-Party Payers. Journal of the American College of Surgeons. Washington. Vol. 200. Num. 4. 2005. p. 593-604.
5. Moulim, M.B.; Miguel, G.P.S.; Forti, E.M.P.; Campos, F.A.; Souza, F. S.P.; Costa, D. Pulmonary function after weight loss in obese women undergoing Roux-en-Y gastric bypass: One-Year followup. The Obesity Society. Vol. 13. 2013.
6. Costa, D.; Barbalho, M.C.; Miguel, G.P.S.; Forti, E.M.P.; Azevedo, J.L.M.C.; The impact of obesity on pulmonary function in adult women. Clinics. São Paulo. Vol. 63. Num. 6. 2008. p. 719-24.
7. Mason, E.E.; Tang, S.; Renquist, K.E.; Cullen, J.J.; Doherty, C.; Maher, J.W. A decade of change in obesity surgery. National Bariatric Surgery Registry (NBSR) Contributors. Obesity Surgery. Vol. 7. 1997. p. 189-197.
8. Valezi, A.C.; Brito, E.M.; Marson, A.; Júnior, J.M. Gastroplastia vertical com bandagem em y-de-roux. Revista do Colégio Brasileiro de Cirurgiões. Vol. 31. Num. 1. 2004. p. 49-56.
9. Barros, L.M. Frota, N.M. Moreira, R.A.N. Araújo, T.M. Caetano, J.A. Avaliação dos resultados da cirurgia bariátrica. Revista Gaúcha de Enfermagem. Vol. 36. Num. 1. 2015. p. 21-7.
10. Murara, J.R.; Macedo, L.L.B.; Liberali, R. Análise da eficácia da cirurgia bariátrica na redução de peso corporal e no combate à obesidade mórbida. Revista Brasileira de Obesidade Nutrição e Emagrecimento, São Paulo, Vol. 2. Num. 7. 2008. p. 87-99.
11. Nepogodiev, D.; Chapman, S.J .; Glasbey,J.; Kelly, M.; Khatri, C.; Drake,T.M.; Kong, C.Y.; Mitchell, H.; Harrison, E.M.; Fitzgerald, J.M.; Bhangu, A. Determining Surgical Complications in the Overweight (DISCOVER): a multicentre observational cohort study to evaluate the role of obesity as a risk factor for postoperative complications in general surgery. BMJ Open. Vol. 5. Num. 7. 2015.
12. Silva, A.K.M.B. Efeitos da fisioterapia respiratória pré-operatória em pacientes candidatos à cirurgia bariátrica. Dissertação em mestrado. Faculdade de Medicina da Universidade de SP. São Paulo. 2009.
13. Matos, M.I.R. Aranha, L.S.; Faria, A.N.; Ferreira, S.R.G.; Bacaltchuck, J.; Zanella, M.T. Binge eating disorder, anxiety, depression and body image in grade III obesity patients. Revista Brasileira de Psiquiatria, Vol. 24. Num. 4. 2002. p.165-169.
14. Castro, M.R.; Ferreira, M.E.C.; Carvalho, R.S.; Ferreira, V.N.; Pereira, H.A.C. Cirurgia Bariátrica: a trajetória de mulheres obesas em busca do emagrecimento. HU Revista. Juiz de Fora. Vol. 36. Num. 1. 2010. p. 29-36.
15. Kelles, S.M.B.; Barreto, S.M.; Guerra, H.L. Mortality and hospital stay after bariatric surgery in 2167 patientes: Influence of the surgeon expertise. Obesity Surgery, Vol. 19. Num. 9. 2009. p. 1228-1235.
16. Sheetz, K.H.; Guy, K.; Allison, J.H.; Barnhart, K.A.; Hawken, S.R.; Hayden, E.L.; Starr, J.B.; Terjimanian, M.N.; Waits, S.A. Mullard, A.J.; Krapohl, G.; Ghaferi, A.A.; Campbell, D.A.; Jr, Englesbe, M.J. Improving the care of elderly adults undergoing surgery in Michigan. Journal of the American Geriatrics Society, Vol. 62. Num. 2. 2014. p. 352–357.
17. Boscatto, E.C.; Duarte, M.F.S.; Gomes, M.A.; Gomes, G.M.B. Aspectos físicos, psicossociais e comportamentais de obesos mórbidos submetidos a cirurgia bariátrica. Journal of the Health Sciences Institute. Vol. 28. Num. 2. 2010. p.195-8.
18. Tavares, T.B.; Nunes, S.B.; Santos, M.O. Obesidade e qualidade de vida: revisão de literatura. Revista Medica de Minas Gerais. Vol. 20. Num. 3. 2010. p. 359-366.
19. Mônaco, D.V. Merhi, V.A.L.; Aranha, N. Brandalise, A.; Brandalise, N.A. Impacto da cirurgia bariátrica “tipo Capella modificado” sobre a perda ponderal em pacientes com obesidade mórbida. Revista de Ciências Médicas de Campinas. Vol. 15. Num. 4. 2006. p. 289-298.
20. Costa, A.C.C.; Ivo, M.L.; Cantero, W.B.; Tognini, J.R.F. Obesidade em pacientes candidatos à cirurgia bariátrica. Acta Paulista de Enfermagem. Vol. 22. Num. 1. 2009. p. 55-9.
21. Junges, V.M.; Cavalheiro, J.M.B.; Fam, E.F.; Closs, V.E.; Gottlieb, M.G.V. Perfil do paciente obeso e portador de síndrome metabólica candidato à cirurgia bariátrica em uma clínica particular de Porto Alegre, Rio Grande do Sul. Sciencia Médica. Vol. 26. Num. 3. 2016.
22. Nguyen, N.T.; Goldman, C.; Rosenquist, C.J.; Arango, A.; Cole, C.J.; Lee, S.J.; Wolfe, B.M. Laparoscopic Versus Open Gastric Bypass: A Randomized Study of Outcomes, Quality of Life, and Costs. Annals of Surgery. Vol. 234. Num. 3. 2001. p. 279–291.
23. Moreira, R.A.N.; Caetano, J.A.; Barros, L.M.; Galvão, M.T.G. Diagnóstico de enfermagem, fatores relacionados e de risco no pós-operatório de cirurgia bariátrica. Revista da Escola de Enfermagem da USP. Vol. 47. Num. 1. 2013. p. 168-75.