ABSTRACT
OBJECTIVE: This study aimed to comparatively analyze sociodemographic data and postoperative parameters of patients undergoing bypass and sleeve surgeries in a private hospital in São Luís, MA. METHODS: The study was descriptive, prospective, observational, and comparative, with a quantitative approach between August 2020 and July 2021. We analyzed 74 participants of both genders, aged between 18 and 70 years, with 31 undergoing Roux-en-Y gastric bypass surgery and 43 undergoing sleeve gastrectomy surgery. In the postoperative period, sociodemographic characteristics, surgery and anesthesia duration, pain levels, adverse effects, weight loss, and complications from the surgical procedure were analyzed. RESULTS: Males predominated in Roux-en-Y gastric bypass and females in sleeve gastrectomy surgery. Clinical characteristics regarding self-declared ethnicity, age and place of birth, education, and marital status were similar between the studied groups. Roux-en-Y gastric bypass had an average surgery time of 112.14±10.06 min and sleeve gastrectomy 91.11±23.69 min, with a significant difference (p<0.001). Regarding anesthesia time, gastric bypass averaged 160.36±13.99 min and sleeve gastrectomy 154.88±29.10 min, with no statistical difference between groups (p=0.335). Nausea, vomiting, and drowsiness were more common in Sleeve gastrectomy, with no significant difference (p=0.562). Roux-en-Y gastric bypass showed a higher rate of weight loss from 1 month after surgery (14.2±4.15) and more variation in body mass index within 3 months after surgery (32.17±4.76). Complications occurred in a small number of patients. CONCLUSION: The two surgical techniques proved effective in delivering the best results for patients, with the group undergoing bypass showing statistically significant weight loss from 1 month after the surgical procedure.
Subject(s)
Bariatric Surgery , Gastric Bypass , Laparoscopy , Obesity, Morbid , Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Young Adult , Bariatric Surgery/adverse effects , Gastrectomy/adverse effects , Gastrectomy/methods , Gastric Bypass/adverse effects , Gastric Bypass/methods , Laparoscopy/methods , Obesity, Morbid/surgery , Obesity, Morbid/complications , Postoperative Complications/etiology , Prospective Studies , Retrospective Studies , Treatment Outcome , Weight LossABSTRACT
SUMMARY OBJECTIVE: This study aimed to comparatively analyze sociodemographic data and postoperative parameters of patients undergoing bypass and sleeve surgeries in a private hospital in São Luís, MA. METHODS: The study was descriptive, prospective, observational, and comparative, with a quantitative approach between August 2020 and July 2021. We analyzed 74 participants of both genders, aged between 18 and 70 years, with 31 undergoing Roux-en-Y gastric bypass surgery and 43 undergoing sleeve gastrectomy surgery. In the postoperative period, sociodemographic characteristics, surgery and anesthesia duration, pain levels, adverse effects, weight loss, and complications from the surgical procedure were analyzed. RESULTS: Males predominated in Roux-en-Y gastric bypass and females in sleeve gastrectomy surgery. Clinical characteristics regarding self-declared ethnicity, age and place of birth, education, and marital status were similar between the studied groups. Roux-en-Y gastric bypass had an average surgery time of 112.14±10.06 min and sleeve gastrectomy 91.11±23.69 min, with a significant difference (p<0.001). Regarding anesthesia time, gastric bypass averaged 160.36±13.99 min and sleeve gastrectomy 154.88±29.10 min, with no statistical difference between groups (p=0.335). Nausea, vomiting, and drowsiness were more common in Sleeve gastrectomy, with no significant difference (p=0.562). Roux-en-Y gastric bypass showed a higher rate of weight loss from 1 month after surgery (14.2±4.15) and more variation in body mass index within 3 months after surgery (32.17±4.76). Complications occurred in a small number of patients. CONCLUSION: The two surgical techniques proved effective in delivering the best results for patients, with the group undergoing bypass showing statistically significant weight loss from 1 month after the surgical procedure.
ABSTRACT
INTRODUCTION: Introduction: malnutrition is a frequent event in cancer, and unless identified early, it can lead to progressive functional impairment of the organism. Objective: to associate the early application of the Global Subjective Evaluation Produced by the Patient (GSEPP) to the time of hospitalization and death in cancer patients. Methods: a cross-sectional, analytical study carried out between July and September 2014 in patient records (> 20 years) with cancer, with hospitalization for more than three days in a reference cancer hospital. Age, sex, origin, disease location, antineoplastic treatment, length of stay and application of GSEPP, type of discharge, weight loss in one and six months, body mass index (BMI) and GSEPP score were collected. Results: three hundred and sixty-six patients were evaluated: 51.6% women, 54.9% adults, 27.6% tumors of the digestive tract, 11.5% with metastasis, 21.9% of deaths and 40.4% with hospitalization time greater than or equal to ten days. The length of hospital stay was statistically lower in the early application of GSEPP (11.4 ± 1.5 vs 23.3 ± 1.3 days). The delay in the application of GSEPP was positively correlated with the increase in length of hospital stay, the GSEPP score, as well as malnutrition by BMI and weight loss in one and six months. Conclusion: early application of GSEPP was associated with improvements in the parameters of malnutrition, shorter hospitalization time, but not mortality. Measures that abbreviate its application should be taken to awaken the importance and the impact of this instrument in the health of the evaluated patient.
INTRODUCCIÓN: Introducción: la desnutrición es un acontecimiento frecuente en el cáncer. Si no se identifica precozmente puede provocar el compromiso funcional progresivo del organismo. Objetivo: asociar la aplicación precoz de la Evaluación Subjetiva Global Producida por el Paciente (ASGPPP) al tiempo de internación y muerte en pacientes con cáncer. Métodos: estudio transversal, analítico, realizado entre julio y septiembre de 2014 en historiales de pacientes (> 20 años) con cáncer, con ingreso superior a tres días en un hospital de referencia en cáncer. Se recogieron los siguientes datos: edad, sexo, procedencia, localización de la enfermedad, tratamiento antineoplásico, tiempo de internación y de aplicación de la ASGPPP, tipo de alta, pérdida de peso al mes y seis meses, índice de masa corporal (IMC) y puntaje de la ASGPPP. Resultados: trescientos sesenta y seis pacientes: el 51,6% mujeres, el 54,9% adultos, el 27,6% con tumores del tracto digestivo, el 11,5% con metástasis, con un 21,9% de óbitos y un 40,4% de casos con tiempo de internación mayor o igual a diez días. El tiempo de ingreso fue estadísticamente menor en la aplicación precoz de la ASGPPP (11,4 ± 1.5 vs. 23,3 ± 1,3 días). La demora en la aplicación de la ASGPPP se correlacionó positivamente con el aumento del tiempo de internación, la puntuación de la ASGPPP, así como, la desnutrición medida mediante por IMC y la pérdida de peso al mes y a los seis meses. Conclusión: la aplicación precoz de la ASGPPP se asoció con mejoras de los parámetros de desnutrición y menor tiempo de internación, pero no con la mortalidad. Se deben tomar medidas que abrevien su aplicación para reforzar la importancia y el impacto de este instrumento en el pronóstico del paciente evaluado.
Subject(s)
Malnutrition/diagnosis , Neoplasms/complications , Nutrition Assessment , Adult , Aged , Aged, 80 and over , Body Mass Index , Cross-Sectional Studies , Female , Hospital Mortality , Hospitalization , Humans , Length of Stay , Male , Malnutrition/complications , Malnutrition/therapy , Middle Aged , Nutritional Status , Weight Loss , Young AdultABSTRACT
Introduction: malnutrition is a frequent event in cancer, and unless identifi ed early, it can lead to progressive functional impairment of the organism. Objective: to associate the early application of the Global Subjective Evaluation Produced by the Patient (GSEPP) to the time of hospitalization and death in cancer patients. Methods: a cross-sectional, analytical study carried out between July and September 2014 in patient records (> 20 years) with cancer, with hospitalization for more than three days in a reference cancer hospital. Age, sex, origin, disease location, antineoplastic treatment, length of stay and application of GSEPP, type of discharge, weight loss in one and six months, body mass index (BMI) and GSEPP score were collected. Results: three hundred and sixty-six patients were evaluated: 51.6% women, 54.9% adults, 27.6% tumors of the digestive tract, 11.5% with metastasis, 21.9% of deaths and 40.4% with hospitalization time greater than or equal to ten days. The length of hospital stay was statistically lower in the early application of GSEPP (11.4 ± 1.5 vs 23.3 ± 1.3 days). The delay in the application of GSEPP was positively correlated with the increase in length of hospital stay, the GSEPP score, as well as malnutrition by BMI and weight loss in one and six months. Conclusion: early application of GSEPP was associated with improvements in the parameters of malnutrition, shorter hospitalization time, but not mortality. Measures that abbreviate its application should be taken to awaken the importance and the impact of this instrument in the health of the evaluated patient
Introducción: la desnutrición es un acontecimiento frecuente en el cáncer. Si no se identifi ca precozmente puede provocar el compromiso funcional progresivo del organismo. Objetivo: asociar la aplicación precoz de la Evaluación Subjetiva Global Producida por el Paciente (ASGPPP) al tiempo de internación y muerte en pacientes con cáncer. Métodos: estudio transversal, analítico, realizado entre julio y septiembre de 2014 en historiales de pacientes (> 20 años) con cáncer, con ingreso superior a tres días en un hospital de referencia en cáncer. Se recogieron los siguientes datos: edad, sexo, procedencia, localización de la enfermedad, tratamiento antineoplásico, tiempo de internación y de aplicación de la ASGPPP, tipo de alta, pérdida de peso al mes y seis meses, índice de masa corporal (IMC) y puntaje de la ASGPPP. Resultados: se evaluaron trescientos sesenta y seis pacientes: el 51,6% mujeres, el 54,9% adultos, el 27,6% con tumores del tracto digestivo, el 11,5% con metástasis, con un 21,9% de óbitos y un 40,4% de casos con tiempo de internación mayor o igual a diez días. El tiempo de ingreso fue estadísticamente menor en la aplicación precoz de la ASGPPP (11,4 ± 1.5 vs. 23,3 ± 1,3 días). La demora en la aplicación de la ASGPPP se correlacionó positivamente con el aumento del tiempo de internación, la puntuación de la ASGPPP, así como, la desnutrición medida mediante IMC y la pérdida de peso al mes y a los seis meses. Conclusión: la aplicación precoz de la ASGPPP se asoció con mejoras de los parámetros de desnutrición y menor tiempo de internación, pero no con la mortalidad. Se deben tomar medidas que abrevien su aplicación para reforzar la importancia y el impacto de este instrumento en el pronóstico del paciente evaluado
