Morbid obesity;
Gastric bypass;
Cardiovascular risk;
Quality of life;
BARIATRIC SURGERY;
SLEEVE GASTRECTOMY;
MEDICAL THERAPY;
D O I:
10.3305/NH.2014.29.3.7163
中图分类号:
R15 [营养卫生、食品卫生];
TS201 [基础科学];
学科分类号:
100403 ;
摘要:
Objectives: To determine the prevalence of major comorbidities of morbidity obese patients and to evaluate the gastric bypass effect on the weight status, cardiovascular risk and quality of life in these patients. Methods: The evolution of weight, comorbidity, 10-year follow-up of cardiovascular risk (estimated by the Framingham risk score) and quality of life using the test BAROS (Bariatric Analysis and Reporting Outcome System) was analyzed in 162 patients with morbid obesity before and 2 years after gastric bypass. Results: Body mass index (BMI) was reduced from 51.12 +/- 7.22 to 29.94 +/- 4.86 kg/m(2) (72.85% loss of excess weight). Hypertension (HT), dyslipidemia and type 2 diabetes mellitus (T2DM) were resolved in 71.93%, 91.38% and 82.93% respectively (p < 0.001). Cardiovascular risk greater than 10% was reduced from 25.91% to 4.32% (p < 0.001). According to BAROS scale, surgery was positive in 95% of cases. Conclusions: Gastric bypass is very effective in weight loss; benefits in comorbidities, cardiovascular risk and quality of life.
机构:
Univ Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Univ Michigan, Dept Surg, Ann Arbor, MI 48109 USAUniv Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Birkmeyer, John D.
Finks, Jonathan F.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Univ Michigan, Dept Surg, Ann Arbor, MI 48109 USAUniv Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Finks, Jonathan F.
O'Reilly, Amanda
论文数: 0引用数: 0
h-index: 0
机构:
Univ Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Univ Michigan, Dept Surg, Ann Arbor, MI 48109 USAUniv Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
O'Reilly, Amanda
Oerline, Mary
论文数: 0引用数: 0
h-index: 0
机构:
Univ Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Univ Michigan, Dept Surg, Ann Arbor, MI 48109 USAUniv Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Oerline, Mary
Carlin, Arthur M.
论文数: 0引用数: 0
h-index: 0
机构:
Henry Ford Hlth Syst, Dept Surg, Detroit, MI USAUniv Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Carlin, Arthur M.
Nunn, Andre R.
论文数: 0引用数: 0
h-index: 0
机构:
Forest Hlth Med Ctr, Ypsilanti, MI USAUniv Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Nunn, Andre R.
Dimick, Justin
论文数: 0引用数: 0
h-index: 0
机构:
Univ Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Univ Michigan, Dept Surg, Ann Arbor, MI 48109 USAUniv Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Dimick, Justin
Banerjee, Mousumi
论文数: 0引用数: 0
h-index: 0
机构:
Univ Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Univ Michigan, Dept Surg, Ann Arbor, MI 48109 USAUniv Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Banerjee, Mousumi
Birkmeyer, Nancy J. O.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Univ Michigan, Dept Surg, Ann Arbor, MI 48109 USAUniv Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
机构:
Hosp Especialidades Ctr Med La Raza, Dept Surg, BR-74093250 Goiania, Go, Brazil
Hosp Especialidades Ctr Med La Raza, Dept Surg Gastroenterol, BR-74093250 Goiania, Go, BrazilHosp Especialidades Ctr Med La Raza, Dept Surg, BR-74093250 Goiania, Go, Brazil
De Paula, Aureo L.
Stival, Alessandro R.
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Especialidades Ctr Med La Raza, Dept Surg Gastroenterol, BR-74093250 Goiania, Go, BrazilHosp Especialidades Ctr Med La Raza, Dept Surg, BR-74093250 Goiania, Go, Brazil
Stival, Alessandro R.
Macedo, Antonio
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Especialidades Ctr Med La Raza, Dept Surg, BR-74093250 Goiania, Go, BrazilHosp Especialidades Ctr Med La Raza, Dept Surg, BR-74093250 Goiania, Go, Brazil
Macedo, Antonio
Ribamar, Jose
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Especialidades Ctr Med La Raza, Dept Surg, BR-74093250 Goiania, Go, BrazilHosp Especialidades Ctr Med La Raza, Dept Surg, BR-74093250 Goiania, Go, Brazil
Ribamar, Jose
Mancini, Marcio
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Dept Endocrinol, Sao Paulo, BrazilHosp Especialidades Ctr Med La Raza, Dept Surg, BR-74093250 Goiania, Go, Brazil
Mancini, Marcio
Halpern, Alfredo
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Dept Endocrinol, Sao Paulo, BrazilHosp Especialidades Ctr Med La Raza, Dept Surg, BR-74093250 Goiania, Go, Brazil
Halpern, Alfredo
Vencio, Sergio
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Especialidades Ctr Med La Raza, Dept Endocrinol, BR-74093250 Goiania, Go, BrazilHosp Especialidades Ctr Med La Raza, Dept Surg, BR-74093250 Goiania, Go, Brazil
机构:
Med Grp Inc, Adv Laparoscop Surg Associates, Fresno, CA 93710 USA
Univ Calif San Francisco, Fresno, CA USA
Fresno Heart & Surg Hosp, Fresno, CA USAMed Grp Inc, Adv Laparoscop Surg Associates, Fresno, CA 93710 USA
Higa, Kelvin
Ho, Tienchin
论文数: 0引用数: 0
h-index: 0
机构:
Med Grp Inc, Adv Laparoscop Surg Associates, Fresno, CA 93710 USAMed Grp Inc, Adv Laparoscop Surg Associates, Fresno, CA 93710 USA
Ho, Tienchin
Tercero, Francisco
论文数: 0引用数: 0
h-index: 0
机构:
Med Grp Inc, Adv Laparoscop Surg Associates, Fresno, CA 93710 USA
Univ Calif San Francisco, Fresno, CA USAMed Grp Inc, Adv Laparoscop Surg Associates, Fresno, CA 93710 USA
Tercero, Francisco
Yunus, Tahir
论文数: 0引用数: 0
h-index: 0
机构:
Med Grp Inc, Adv Laparoscop Surg Associates, Fresno, CA 93710 USA
Univ Calif San Francisco, Fresno, CA USAMed Grp Inc, Adv Laparoscop Surg Associates, Fresno, CA 93710 USA
Yunus, Tahir
Boone, Keith B.
论文数: 0引用数: 0
h-index: 0
机构:
Med Grp Inc, Adv Laparoscop Surg Associates, Fresno, CA 93710 USA
Univ Calif San Francisco, Fresno, CA USA
Fresno Heart & Surg Hosp, Fresno, CA USAMed Grp Inc, Adv Laparoscop Surg Associates, Fresno, CA 93710 USA
机构:
Univ Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Univ Michigan, Dept Surg, Ann Arbor, MI 48109 USAUniv Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Birkmeyer, John D.
Finks, Jonathan F.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Univ Michigan, Dept Surg, Ann Arbor, MI 48109 USAUniv Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Finks, Jonathan F.
O'Reilly, Amanda
论文数: 0引用数: 0
h-index: 0
机构:
Univ Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Univ Michigan, Dept Surg, Ann Arbor, MI 48109 USAUniv Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
O'Reilly, Amanda
Oerline, Mary
论文数: 0引用数: 0
h-index: 0
机构:
Univ Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Univ Michigan, Dept Surg, Ann Arbor, MI 48109 USAUniv Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Oerline, Mary
Carlin, Arthur M.
论文数: 0引用数: 0
h-index: 0
机构:
Henry Ford Hlth Syst, Dept Surg, Detroit, MI USAUniv Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Carlin, Arthur M.
Nunn, Andre R.
论文数: 0引用数: 0
h-index: 0
机构:
Forest Hlth Med Ctr, Ypsilanti, MI USAUniv Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Nunn, Andre R.
Dimick, Justin
论文数: 0引用数: 0
h-index: 0
机构:
Univ Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Univ Michigan, Dept Surg, Ann Arbor, MI 48109 USAUniv Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Dimick, Justin
Banerjee, Mousumi
论文数: 0引用数: 0
h-index: 0
机构:
Univ Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Univ Michigan, Dept Surg, Ann Arbor, MI 48109 USAUniv Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Banerjee, Mousumi
Birkmeyer, Nancy J. O.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
Univ Michigan, Dept Surg, Ann Arbor, MI 48109 USAUniv Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA
机构:
Hosp Especialidades Ctr Med La Raza, Dept Surg, BR-74093250 Goiania, Go, Brazil
Hosp Especialidades Ctr Med La Raza, Dept Surg Gastroenterol, BR-74093250 Goiania, Go, BrazilHosp Especialidades Ctr Med La Raza, Dept Surg, BR-74093250 Goiania, Go, Brazil
De Paula, Aureo L.
Stival, Alessandro R.
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Especialidades Ctr Med La Raza, Dept Surg Gastroenterol, BR-74093250 Goiania, Go, BrazilHosp Especialidades Ctr Med La Raza, Dept Surg, BR-74093250 Goiania, Go, Brazil
Stival, Alessandro R.
Macedo, Antonio
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Especialidades Ctr Med La Raza, Dept Surg, BR-74093250 Goiania, Go, BrazilHosp Especialidades Ctr Med La Raza, Dept Surg, BR-74093250 Goiania, Go, Brazil
Macedo, Antonio
Ribamar, Jose
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Especialidades Ctr Med La Raza, Dept Surg, BR-74093250 Goiania, Go, BrazilHosp Especialidades Ctr Med La Raza, Dept Surg, BR-74093250 Goiania, Go, Brazil
Ribamar, Jose
Mancini, Marcio
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Dept Endocrinol, Sao Paulo, BrazilHosp Especialidades Ctr Med La Raza, Dept Surg, BR-74093250 Goiania, Go, Brazil
Mancini, Marcio
Halpern, Alfredo
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Dept Endocrinol, Sao Paulo, BrazilHosp Especialidades Ctr Med La Raza, Dept Surg, BR-74093250 Goiania, Go, Brazil
Halpern, Alfredo
Vencio, Sergio
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Especialidades Ctr Med La Raza, Dept Endocrinol, BR-74093250 Goiania, Go, BrazilHosp Especialidades Ctr Med La Raza, Dept Surg, BR-74093250 Goiania, Go, Brazil
机构:
Med Grp Inc, Adv Laparoscop Surg Associates, Fresno, CA 93710 USA
Univ Calif San Francisco, Fresno, CA USA
Fresno Heart & Surg Hosp, Fresno, CA USAMed Grp Inc, Adv Laparoscop Surg Associates, Fresno, CA 93710 USA
Higa, Kelvin
Ho, Tienchin
论文数: 0引用数: 0
h-index: 0
机构:
Med Grp Inc, Adv Laparoscop Surg Associates, Fresno, CA 93710 USAMed Grp Inc, Adv Laparoscop Surg Associates, Fresno, CA 93710 USA
Ho, Tienchin
Tercero, Francisco
论文数: 0引用数: 0
h-index: 0
机构:
Med Grp Inc, Adv Laparoscop Surg Associates, Fresno, CA 93710 USA
Univ Calif San Francisco, Fresno, CA USAMed Grp Inc, Adv Laparoscop Surg Associates, Fresno, CA 93710 USA
Tercero, Francisco
Yunus, Tahir
论文数: 0引用数: 0
h-index: 0
机构:
Med Grp Inc, Adv Laparoscop Surg Associates, Fresno, CA 93710 USA
Univ Calif San Francisco, Fresno, CA USAMed Grp Inc, Adv Laparoscop Surg Associates, Fresno, CA 93710 USA
Yunus, Tahir
Boone, Keith B.
论文数: 0引用数: 0
h-index: 0
机构:
Med Grp Inc, Adv Laparoscop Surg Associates, Fresno, CA 93710 USA
Univ Calif San Francisco, Fresno, CA USA
Fresno Heart & Surg Hosp, Fresno, CA USAMed Grp Inc, Adv Laparoscop Surg Associates, Fresno, CA 93710 USA