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POST-BARIATRIC SURGERY WEIGHT REGAIN: EVALUATION OF NUTRITIONAL PROFILE OF CANDIDATE PATIENTS FOR ENDOSCOPIC ARGON PLASMA COAGULATION
BACKGROUND: Bariatric surgery is effective treatment for weight loss, but demand continuous nutritional care and physical activity. They regain weight happens with inadequate diets, physical inactivity and high alcohol consumption. AIM: To investigate in patients undergoing Roux-Y-of gastroplasty we...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Colégio Brasileiro de Cirurgia Digestiva
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4739247/ https://www.ncbi.nlm.nih.gov/pubmed/25861068 http://dx.doi.org/10.1590/S0102-67202015000100011 |
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author | CAMBI, Maria Paula Carlini MARCHESINI, Simone Dallegrave BARETTA, Giorgio Alfredo Pedroso |
author_facet | CAMBI, Maria Paula Carlini MARCHESINI, Simone Dallegrave BARETTA, Giorgio Alfredo Pedroso |
author_sort | CAMBI, Maria Paula Carlini |
collection | PubMed |
description | BACKGROUND: Bariatric surgery is effective treatment for weight loss, but demand continuous nutritional care and physical activity. They regain weight happens with inadequate diets, physical inactivity and high alcohol consumption. AIM: To investigate in patients undergoing Roux-Y-of gastroplasty weight regain, nutritional deficiencies, candidates for the treatment with endoscopic argon plasma, the diameter of the gastrojejunostomy and the size of the gastric pouch at the time of treatment with plasma. METHODS: A prospective 59 patients non-randomized study with no control group undergoing gastroplasty with recurrence of weight and candidates for the endoscopic procedure of argon plasma was realized. The surgical evaluation consisted of investigation of complications in the digestive system and verification of the increased diameter of the gastrojejunostomy. Nutritional evaluation was based on body mass index at the time of operation, in the minimum BMI achieved after and in which BMI was when making the procedure with plasma. The laboratory tests included hemoglobin, erythrocyte volume, ferritin, vitamin D, B12, iron, calcium, zinc and serum albumin. Clinical analysis was based on scheduled follow-up. RESULTS: Of the 59 selected, five were men and 51 women; were included 49 people (four men and 44 women) with all the complete data. The exclusion was due to the lack of some of the laboratory tests. Of this total 19 patients (38.7%) had a restrictive ring, while 30 (61.2%) did not. Iron deficiency anemia was common; 30 patients (61.2%) were below 30 with ferritin (unit); 35 (71.4%) with vitamin B12 were below 300 pg/ml; vitamin D3 deficiency occurred in more than 90%; there were no cases of deficiency of protein, calcium and zinc; glucose levels were above 99 mg/dl in three patients (6.12%). Clinically all had complaints of labile memory, irritability and poor concentration. All reported that they stopped treatment with the multidisciplinary team in the first year after the operation. CONCLUSIONS: The profile of patients submitted to argon plasma procedure was: anastomosis in average with 27 mm; multiple nutritional deficiencies with predominance of iron deficiency anemia; ferritin below 30; vitamin B12 levels below 300 pg/ml; labile memory complaints, irritability and poor concentration. |
format | Online Article Text |
id | pubmed-4739247 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Colégio Brasileiro de Cirurgia Digestiva |
record_format | MEDLINE/PubMed |
spelling | pubmed-47392472016-02-24 POST-BARIATRIC SURGERY WEIGHT REGAIN: EVALUATION OF NUTRITIONAL PROFILE OF CANDIDATE PATIENTS FOR ENDOSCOPIC ARGON PLASMA COAGULATION CAMBI, Maria Paula Carlini MARCHESINI, Simone Dallegrave BARETTA, Giorgio Alfredo Pedroso Arq Bras Cir Dig Original Article BACKGROUND: Bariatric surgery is effective treatment for weight loss, but demand continuous nutritional care and physical activity. They regain weight happens with inadequate diets, physical inactivity and high alcohol consumption. AIM: To investigate in patients undergoing Roux-Y-of gastroplasty weight regain, nutritional deficiencies, candidates for the treatment with endoscopic argon plasma, the diameter of the gastrojejunostomy and the size of the gastric pouch at the time of treatment with plasma. METHODS: A prospective 59 patients non-randomized study with no control group undergoing gastroplasty with recurrence of weight and candidates for the endoscopic procedure of argon plasma was realized. The surgical evaluation consisted of investigation of complications in the digestive system and verification of the increased diameter of the gastrojejunostomy. Nutritional evaluation was based on body mass index at the time of operation, in the minimum BMI achieved after and in which BMI was when making the procedure with plasma. The laboratory tests included hemoglobin, erythrocyte volume, ferritin, vitamin D, B12, iron, calcium, zinc and serum albumin. Clinical analysis was based on scheduled follow-up. RESULTS: Of the 59 selected, five were men and 51 women; were included 49 people (four men and 44 women) with all the complete data. The exclusion was due to the lack of some of the laboratory tests. Of this total 19 patients (38.7%) had a restrictive ring, while 30 (61.2%) did not. Iron deficiency anemia was common; 30 patients (61.2%) were below 30 with ferritin (unit); 35 (71.4%) with vitamin B12 were below 300 pg/ml; vitamin D3 deficiency occurred in more than 90%; there were no cases of deficiency of protein, calcium and zinc; glucose levels were above 99 mg/dl in three patients (6.12%). Clinically all had complaints of labile memory, irritability and poor concentration. All reported that they stopped treatment with the multidisciplinary team in the first year after the operation. CONCLUSIONS: The profile of patients submitted to argon plasma procedure was: anastomosis in average with 27 mm; multiple nutritional deficiencies with predominance of iron deficiency anemia; ferritin below 30; vitamin B12 levels below 300 pg/ml; labile memory complaints, irritability and poor concentration. Colégio Brasileiro de Cirurgia Digestiva 2015 /pmc/articles/PMC4739247/ /pubmed/25861068 http://dx.doi.org/10.1590/S0102-67202015000100011 Text en http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article CAMBI, Maria Paula Carlini MARCHESINI, Simone Dallegrave BARETTA, Giorgio Alfredo Pedroso POST-BARIATRIC SURGERY WEIGHT REGAIN: EVALUATION OF NUTRITIONAL PROFILE OF CANDIDATE PATIENTS FOR ENDOSCOPIC ARGON PLASMA COAGULATION |
title | POST-BARIATRIC SURGERY WEIGHT REGAIN: EVALUATION OF NUTRITIONAL PROFILE
OF CANDIDATE PATIENTS FOR ENDOSCOPIC ARGON PLASMA COAGULATION |
title_full | POST-BARIATRIC SURGERY WEIGHT REGAIN: EVALUATION OF NUTRITIONAL PROFILE
OF CANDIDATE PATIENTS FOR ENDOSCOPIC ARGON PLASMA COAGULATION |
title_fullStr | POST-BARIATRIC SURGERY WEIGHT REGAIN: EVALUATION OF NUTRITIONAL PROFILE
OF CANDIDATE PATIENTS FOR ENDOSCOPIC ARGON PLASMA COAGULATION |
title_full_unstemmed | POST-BARIATRIC SURGERY WEIGHT REGAIN: EVALUATION OF NUTRITIONAL PROFILE
OF CANDIDATE PATIENTS FOR ENDOSCOPIC ARGON PLASMA COAGULATION |
title_short | POST-BARIATRIC SURGERY WEIGHT REGAIN: EVALUATION OF NUTRITIONAL PROFILE
OF CANDIDATE PATIENTS FOR ENDOSCOPIC ARGON PLASMA COAGULATION |
title_sort | post-bariatric surgery weight regain: evaluation of nutritional profile
of candidate patients for endoscopic argon plasma coagulation |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4739247/ https://www.ncbi.nlm.nih.gov/pubmed/25861068 http://dx.doi.org/10.1590/S0102-67202015000100011 |
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