Acta Cirúrgica Brasileira (Feb 2021)

Weight loss and adherence to postoperative follow-up after vertical gastrectomy for obesity treatment

  • Roclides Castro de Lima,
  • Thállisso Martins da Silva Rodrigues,
  • Christian Lamar Scheibe,
  • Giuliano Peixoto Campelo,
  • Luís Eduardo Veras Pinto,
  • Gustavo José Cavalcante Valadão,
  • Gustavo Pereira Câmara de Carvalho,
  • Marcos Roberto Dias Machado Junior,
  • José Aparecido Valadão,
  • Patrícia Cavalcante Ribeiro de Lima,
  • Plinio da Cunha Leal,
  • Caio Marcio Barros de Oliveira,
  • Ed Carlos Rey Moura

DOI
https://doi.org/10.1590/acb360203
Journal volume & issue
Vol. 36, no. 2

Abstract

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ABSTRACT Purpose To analyze the effectiveness of vertical gastrectomy in the treatment of obese patients, adherence to clinical follow-up and the influence of factors such as gender and age. Methods This is a retrospective, observational and descriptive study, conducted with patients undergoing vertical gastrectomy, operated at Hospital São Domingos, between January 2016 and July 2018. Results Most patients undergoing vertical gastrectomy were female (n = 193, 72.28%) and had a mean age of37.11 ± 8.96 years old. The loss of follow-up was 56.18%. Among adherent patients (n = 117; 43.82%), most patients were female (n = 89; 76.07%) and had a mean age of 37.92 ± 9.85 years old. The mean body mass index (BMI) of the adherents in the preoperative was 37.85 ± 3.72 kg/m2. Both BMI and excess weight (EW) showed a statistically significant difference between pre- and postoperative period. Percentage of excess weight loss (% EWL) was satisfactory for 96.6% of adherent patients. Older patients had a statistically significant lower % EWL compared to the other groups. Conclusions Vertical gastrectomy was effective in the treatment of obese patients, with significant weight loss.

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