ABSTRACT
IntroduçaÌo: Um dos efeitos colaterais da cirurgia bariaÌtrica, a intoleraÌncia alimentar, eÌ uma das causas dos sintomas comuns do poÌs-operatoÌrio, como voÌmito, diarreia, e siÌndrome de dumping. Objetivo: Este trabalho objetivou avaliar os fatores que estaÌo relacionados com a ocorreÌncia da intoleraÌncia alimentar em pacientes de poÌs-operatoÌrio de cirurgia bariaÌtrica. MeÌtodo: Trata-se de um estudo observacional transversal, no qual foram analisados 37 pacientes, no periÌodo de 8 meses. Os dados foram coletados em prontuaÌrio, sendo obtidas informaçoÌes antropomeÌtricas, socioeconoÌmicas e relacionadas aÌ intoleraÌncia alimentar. Para identificar os fatores que estaÌo associados com a intoleraÌncia alimentar no poÌs-operatoÌrio de cirurgia bariaÌtrica, utilizou-se o teste qui-quadrado. A magnitude da associaçaÌo entre os fatores de risco e a ocorreÌncia do agravo foi expressa em Odds Ratio e respectivos intervalos de 95% de confiança. Resultados: Dos 37 pacientes, 86,5% saÌo do sexo feminino e 56,8% apresentaram intoleraÌncia alimentar. O grupo alimentar menos tolerado foi dos cereais (47,6%), seguido do grupo das carnes (38%). Observou-se que 36,1% dos pacientes apresentaram episoÌdio de voÌmito, 30,6% tiveram siÌndrome de dumping e 37,8% relataram entalaçaÌo ao deglutir algum liÌquido ou alimento. Constatou-se associaçaÌo positiva entre tempo de cirurgia (OR=0,08; IC=0,01-0,49), %PEP (OR=0,21; IC=0,46-0,95) e excesso de peso em kg (OR=0,22; IC=0,05-0,91) com a presença de intoleraÌncia alimentar. ConclusoÌes: Observou-se que o tempo de cirurgia, percentual da perda do excesso de peso e excesso de peso estiveram associados com o desenvolvimento da intoleraÌncia alimentar. SaÌo necessaÌrios mais estudos, a fim de predizer os mecanismos de açaÌo pelo qual se desenvolve essa intoleraÌncia.
Introduction: One of the side effects of bariatric surgery, food intolerance, is one cause of the common postoperative symptoms such as vomiting, diarrhea, and dumping syndrome. Objective: This study aimed to evaluate the factors or are related to the occurrence of food intolerance in post-operative bariatric surgery patients. Methods: This was a cross-sectional observational study, which analyzed 37 patients within 8 months. Data were collected from medical records and were obtained anthropometric, socioeconomic and related to food intolerance. To identify factors that are associated with food intolerance in post-bariatric surgery, we used the chi-square test. The magnitude of the association between risk factors and the occurrence of the injury was expressed as odds ratios and respective intervals of 95% confidence. Results: Of the 37 patients, 86.5% were female and 56.8% had food intolerance. The least tolerated food group was cereals (47.6%) followed by the meat of the group (38%). It was observed that 36.1% of patients had vomiting episode, 30.6% were dumping syndrome and 37.8% reported pinch to swallow any liquid or food. Found a positive association between time of surgery (OR=0.08, CI=.0.01 - 0.49), %PEP (OR=0.21, CI=0.46 to 0.95) and overweight in kg (OR=0.22, CI=0.05 to 0.91) with the presence of food intolerance. Conclusions: It was found that the time of surgery, loss of excess weight percentage of overweight and have been associated with the development of food intolerance. Make more research is necessary in order to predict the mechanisms of action by which develop this intolerance.