Clinical-nutritional evolution of older women submitted to roux-en-y gastric bypass

作者：de Moraes Mayanne Ribeiro; de Mendonca Soares Bruna Lucia; Maio Regiane; Pessoa de Araujo Burgos Maria Goretti

来源：Nutricion Hospitalaria, 2015, 31(3): 1330-1335.

DOI：10.3305/nh.2015.31.3.8112

• Bariatric surgery
• Gastric bypass
• Elderly
• Weight loss

The aim of the present study was to describe the clinical-nutritional evolution of older women submitted to Roux-en-Y gastric bypass surgery. A concurrent, retrospective study was conducted involving a sample of 16 older women with morbid obesity submitted to Roux-en-Y gastric bypass surgery between 1997 and 2010. Weight, body mass index (BMI), percentage of weight loss (%WL) and percentage of excess weight loss (%EWL) were evaluated three, six and 12 months after surgery. Preoperative comorbidities, postoperative clinical-nutritional manifestations and pen-operative mortality were also investigated. Mean age was 62.02 +/- 2.02 years. A progressive reduction was found in mean body weight (116.04 +/- 22.99 to 80.96 +/- 21.43 Kg) and BMI (47.13 +/- 8.19 to 33.42 +/- 9.31 Kg/m(2)), with a consequent %WL of 28.60 +/- 8.59% and % EWL of 6439 +/- 3.99% throughout the one-year follow-up period (p < 0.05). All patients has diseases associated with obesity, the most frequent of which were arterial hypertension (n = 16), arthropathy (n = 11), dyslipidemia (n = 9) and diabetes (n = 7). The following clinical-nutritional symptoms were reported: alopecia (n = 9), nausea/vomiting (n = 7), constipation (n = 5) and food intolerance (n = 4). One patient was diagnosed with malnutrition one year after surgery. No deaths occurred within 30 days after surgery. At the one-year evaluation, surgical success was evidenced by the significant reductions in mean weight and BMI and the more than 50% loss of excess weight.

• 出版日期2015-3