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Revista da AMRIGS
Volume 48  No 1: 1 - 72 / Janeiro - Março 2004
BL ISSN 0102 - 2105
ORIGINAL ARTICLE

 

Preliminary results of the surgical treatment for morbid obesity in a multi-disciplinary center

Marcelo Garcia Toneto, Cláudio Corá Mottin, Giuseppe Repetto, Jacqueline Rizzolli, Myriam Moretto, Diovanne Berleze, César Luis Brito, Daniela Casagrande, Fernanda Colossi

ABSTRACT

Objective: The aim of this study was to evaluate the preliminary results of bariatric surgery in a multi-disciplinary center.

Methods: From March 2000 to March 2003, 252 patients underwent operations for morbid obesity and were evaluated prospectively. Study endpoints were surgical complications, operative mortality, percentage of excess body weight loss and impact in quality of life.

Results: There were 186 (73.8%) women and 66 (26.2%) male with a mean age of 37.2 years. Roux-en-Y gastic bypass with a silastic ring was used in 250 patients. One (0.39%) operative death ocurred. Follow-up ranged from 1 to 36 months. Mean excess of body weight loss was 85.5% in the second year. Quality of life and comorbidities were significantly improved in the late follow-up.

Conclusion: The results of this study show that bariatric operations can be safely performed by a specialized group. Improvement in quality of life and comorbidities, with a low operative mortality are achieved with the surgical treatment of this patients.

Key words: Morbid Obesity, Bariatric Surgery, Roux-en-y Gastric Bypass, Quality of Life.
 
 
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Marcelo Garcia Toneto – Professor do Departamento de Cirurgia da FAMED-PUCRS.

Cláudio Corá Mottin – Professor Adjunto do Departamento de Cirurgia da FAMED-PUCRS.

Giuseppe Repetto – Chefe do Departamento de Endocrinologia da FAMED-PUCRS.

Jacqueline Rizzolli – Endocrinologista do COM – PUCRS.

Myriam Moretto – Gastroenterologista do Hospital São Lucas da PUCRS.

Diovanne Berleze – Cardiologista responsável pelo Centro da Obesidade Mórbida da PUCRS.

César Luis Brito – Professor Assistente do Departamento de Psiquiatria FAMED-PUCRS.

Daniela Casagrande – Nutricionista do COM – Hospital São Lucas da PUCRS.

Fernanda Colossi – Nutricionista do COM – Hospital São Lucas da PUCRS.

Trabalho realizado no Centro da Obesidade Mórbida (COM) do Hospital São Lucas da PUCRS, Faculdade de Medicina da PUCRS (FAMED-PUCRS).

* Endereço para correspondência:

Marcelo Garcia Toneto

Centro Clínico da PUC – Av. Ipiranga, 6690 Conj 302. CEP 90610-000 – Porto Alegre – RS – Brasil.

Fone (51) 33360890 / 33395796.

: mtoneto@terra.com.br.