THE EXPERIENCE OF A BARIATRIC SURGERY CLINIC IN THE WESTERN AMAZON

• DOI: 10.22533/at.ed.1593582310087

• Palavras-chave: Bariatric surgery; Comorbidities; Complications.

• Keywords: Bariatric surgery; Comorbidities; Complications.

• Abstract:

  Combating obesity in the western Amazon has major challenges, including access to health services, territorial extension and precarious means of transport. The big question is to provide the best treatment for patients, maintaining the effectiveness found in other regions of the country. Clinical treatment has been shown to be ineffective, as most patients regain weight in a short time. Thus, bariatric surgery has been shown to be a positive alternative for weight loss, control of comorbidities, in addition to improving the quality of life for patients. Therefore, the objective of this study is to evaluate the comorbidities, complications and quality of life of patients undergoing bariatric surgery in a clinic in the western Amazon. Patients answered a questionnaire about sociodemographic data, comorbidities and complications. During the research, 270 patients answered the questionnaire, of which 90.4% were women and 9.6% were men, both with grade II or III obesity. The practice of physical activity 69.9% performs three times a week and 31.3% do not. Among the most prevalent comorbidities are hypertension (44.2%), type 2 diabetes mellitus (17.3%), osteoarticular diseases (9.6%), metabolic syndrome (11.5%), obstructive sleep apnea (7.7%), dyslipidemia (3.8%). After surgery, there was a reduction in the prevalence of hypertension, type 2 diabetes mellitus, obstructive sleep apnea syndrome and dyslipidemia. With regard to complications, they had a prevalence of bleeding (3.7%), followed by stenosis (1.1%), pulmonary embolism (0.3%), thrombosis (0.3%) and fistula (0.3%), all with early diagnosis and resolution. The results show the main comorbidities presented by the patients and their complications, in addition to reinforcing the quality of the treatments, following the protocols of the guidelines of the Brazilian Society of Bariatric and Metabolic Surgery, which obtained results equivalent to those of the great reference centers in the country, contributing to a better quality of life for patients in the western Amazon.