Bariatric surgery at hospital de San José Bogotá D.C. expertise and results
Cirugía bariátrica en el hospital de San José, Bogotá D.C. experiencia y resultados
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Abstract
Treatment for obesity has gained importance over the last few years as a result of increased global incidence and Iack of medica) therapeutic options for sorne types of overweight. Thus bariatric procedures are more frequently practiced nowadays. Objective: to describe expertise and results at Hospital de San José, Bogotá DC between January 2006 and April 2009. Methods: cohort of 146 patients with an indication for bariatric surgery during named period. Results: 54 males(37%), mean age 54 years(SD: 10.5) and 92 females(37%), mean age 43 years(SD: 11). The mean body mass index of candidates to bariatric surgery was 43 k/m2 (SD: 5.1); 20 (13.7%) were classified as extremely obese. Comorbid conditions included arterial hypertension(43.1%), hyperlipidemia(40.4%) and diabetes mellitus(34.9%). There was an abdominal surgery history in 34.2%. Ali the procedures corresponded to a gastric bypass surgery except for one sleeve gastrectomy. Mean weight loss between an 8-month and 10.month post-surgical follow-up period was 55%(SD: 9:9.1) with reduction of serum fasting glucose and lipid profile. Data from the total study population were not obtained. The most common complication was surgical site infection in 12 patients(8.2%), of which 8(5.5%) had infection of the abdominal cavity. Anastomotic complications such as intestinal leaks was documented in 7 cases(4.8 %), internal hernia in 3 (2.1%), strictures with peritonitis in 2(1.4%). No cases of hemoperitoneum, marginal ulcers or incisional hernias were reported. Mean operating time was 106 minutes(SD: 22) and was greater in 25 (17.1%) cases(= 120 minutes). Mean hospital stay was four days. The overall mortality rate in hospitalized patients was 7(4.7%), as follows: zero in 2006(35 surgeries), 4 in 2007(59 surgeries, 6.7%), 1 in 2008(29 surgeries, 3.4%) and 2 in 2009(22 surgeries, 9%). Conclusio s: Those who underwent bariatric surgery at Hospital de San José, presented adequate reduction of their overweight during the first ten-month postoperative follow-up period and frank reduction of glycemia, cholesterol and triglycerides.
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