Efic?cia da cirurgia bari?trica em idosos
Ano de defesa: | 2020 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Pontif?cia Universidade Cat?lica do Rio Grande do Sul
|
Programa de Pós-Graduação: |
Programa de P?s-Gradua??o em Medicina e Ci?ncias da Sa?de
|
Departamento: |
Escola de Medicina
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://tede2.pucrs.br/tede2/handle/tede/9497 |
Resumo: | Introduction: We have observed a progressive increase in life expectancy in the world population. Projections indicate that we will have more than 34 million Brazilians over the age of 60 in 2025. This same line of growth is also seen in obesity rates, with worrying levels in this age group. In this scenario, bariatric surgery has become an increasingly frequent therapeutic option for these people, since it is considered one of the bests treatments for the control of morbid obesity. Methods: We retrospectively selected 62 patients over 60 years of age who underwent gastrointestinal shunt surgery with Roux-en-Y reconstruction from 2009 to 2017. As a control, 178 patients under the age of 60 were selected. The effects of bariatric surgery on the resolution of metabolic diseases (diabetes, hypertension and dyslipidemia), weight loss and its correlation with the remission of metabolic diseases were evaluated, as well as the use of medications to treat these diseases before and after surgery. Results: The average age in the elderly group was 62,8, while in the youngest the average was 38,9. Diabetes and hypertension were more prevalent in the elderly (P<0,001), while dyslipidemia was not different in the preoperative period (P=0,358). The mean total body weight loss was -36.8 kg at 12 months and -37.9 kg at 24 months in the elderly group, with no difference for the non-elderly group (P = 0.257). The elderly had remission rates of diabetes, hypertension and dyslipidemia of 51,5%, 45,5% and 48,8% at 24 months, respectively. There was no correlation between weight loss and remission of metabolic diseases in the elderly group. In non-elderly people, remission rates reached levels of 77,8%, 67,3% and 65,5% for diabetes, hypertension and dyslipidemia, respectively, at 24 months. In this group, there was a correlation between weight loss and remission of metabolic diseases (rb=0,42; P=0,004). Both groups showed a significant reduction in the number of medications used to control metabolic diseases, both at 12 and 24 months. Conclusion: Our study indicates that although the effects of bariatric surgery are not as effective for the control of metabolic diseases in the elderly as in non-elderly people, it presents important clinical results, and should be part of the treatment of severe obesity in this segment of the population. |
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Mottin, Cl?udio Cor?http://lattes.cnpq.br/8827120189677376http://lattes.cnpq.br/0067671500121875Silva, Rodrigo Dallagrave Corr?a da2021-02-22T13:21:18Z2020-10-30http://tede2.pucrs.br/tede2/handle/tede/9497Introduction: We have observed a progressive increase in life expectancy in the world population. Projections indicate that we will have more than 34 million Brazilians over the age of 60 in 2025. This same line of growth is also seen in obesity rates, with worrying levels in this age group. In this scenario, bariatric surgery has become an increasingly frequent therapeutic option for these people, since it is considered one of the bests treatments for the control of morbid obesity. Methods: We retrospectively selected 62 patients over 60 years of age who underwent gastrointestinal shunt surgery with Roux-en-Y reconstruction from 2009 to 2017. As a control, 178 patients under the age of 60 were selected. The effects of bariatric surgery on the resolution of metabolic diseases (diabetes, hypertension and dyslipidemia), weight loss and its correlation with the remission of metabolic diseases were evaluated, as well as the use of medications to treat these diseases before and after surgery. Results: The average age in the elderly group was 62,8, while in the youngest the average was 38,9. Diabetes and hypertension were more prevalent in the elderly (P<0,001), while dyslipidemia was not different in the preoperative period (P=0,358). The mean total body weight loss was -36.8 kg at 12 months and -37.9 kg at 24 months in the elderly group, with no difference for the non-elderly group (P = 0.257). The elderly had remission rates of diabetes, hypertension and dyslipidemia of 51,5%, 45,5% and 48,8% at 24 months, respectively. There was no correlation between weight loss and remission of metabolic diseases in the elderly group. In non-elderly people, remission rates reached levels of 77,8%, 67,3% and 65,5% for diabetes, hypertension and dyslipidemia, respectively, at 24 months. In this group, there was a correlation between weight loss and remission of metabolic diseases (rb=0,42; P=0,004). Both groups showed a significant reduction in the number of medications used to control metabolic diseases, both at 12 and 24 months. Conclusion: Our study indicates that although the effects of bariatric surgery are not as effective for the control of metabolic diseases in the elderly as in non-elderly people, it presents important clinical results, and should be part of the treatment of severe obesity in this segment of the population.Introdu??o: Temos observado um progressivo aumento da expectativa de vida na popula??o mundial. Proje??es apontam que teremos mais de 34 milh?es de pessoas acima de 60 anos em 2025 no Brasil. Essa mesma linha de crescimento tamb?m ? observada nos ?ndices de obesidade, com n?veis preocupantes nessa faixa et?ria. Nesse cen?rio, a cirurgia bari?trica vem se tornando uma op??o terap?utica cada vez mais frequente para essas pessoas, uma vez que ela ? considerada um dos melhores tratamentos para controle da obesidade m?rbida. M?todos: Foram selecionados, retrospectivamente, 62 pacientes com mais de 60 anos, submetidos a cirurgia de deriva??o gastrointestinal com reconstru??o em Y-de-Roux no per?odo de 2009 at? 2017. Como controle, foram selecionados 178 pacientes com idade inferior a 60 anos. Foram avaliados os efeitos da cirurgia bari?trica quanto a resolu??o de doen?as metab?licas (diabetes, hipertens?o e dislipidemia), a perda de peso e sua correla??o com a remiss?o das doen?as metab?licas, assim como o uso de medica??es no tratamento dessas doen?as antes e ap?s a cirurgia. Resultados: A m?dia de idade no grupo de idosos foi de 62,8, enquanto nos mais jovens a m?dia foi de 38,9. O diabetes e a hipertens?o se mostraram mais prevalentes nos idosos (P<0,001), enquanto para a dislipidemia n?o houve diferen?a (P=0,358), no pr?-operat?rio. A m?dia de perda de peso total foi de -36,8 kg aos 12 meses e de -37,9 kg aos 24 meses no grupo idoso, sem diferen?a para o grupo n?o-idoso (P=0,257). Os idosos apresentaram taxas de remiss?o do diabetes, da hipertens?o e da dislipidemia de 51,5%, de 45,5% e de 48,8% aos 24 meses, respectivamente. N?o houve correla??o entre a perda de peso e remiss?o das doen?as metab?licas no grupo de idosos. J? nos n?o-idosos as taxas de remiss?o atingiram n?veis de 77,8%, 67,3% e 65,5% para diabetes, hipertens?o e dislipidemia, respectivamente, aos 24 meses. Nesse grupo, houve correla??o entre a perda de peso e a remiss?o das doen?as metab?licas (rb=0,42; P=0,004). Ambos os grupos apresentaram redu??o significativa no n?mero de medica??es utilizadas para controle das doen?as metab?licas, tanto aos 12 quanto aos 24 meses. Conclus?o: Nosso estudo indica que embora os efeitos da cirurgia bari?trica n?o sejam t?o efetivos para o controle das doen?as metab?licas em idosos quanto nos n?o-idosos, esse m?todo apresenta resultados cl?nicos importantes, devendo fazer parte do tratamento da obesidade grave nessa parcela da popula??o.Submitted by PPG Medicina e Ci?ncias da Sa?de (medicina-pg@pucrs.br) on 2021-02-10T12:35:25Z No. of bitstreams: 1 Dissertacao_Mestrado_Rodrigo_versao_para_entrega.pdf: 2148129 bytes, checksum: ea4353ccf5f9f3566f8dcca3a3361b6b (MD5)Approved for entry into archive by Sheila Dias (sheila.dias@pucrs.br) on 2021-02-22T13:12:24Z (GMT) No. of bitstreams: 1 Dissertacao_Mestrado_Rodrigo_versao_para_entrega.pdf: 2148129 bytes, checksum: ea4353ccf5f9f3566f8dcca3a3361b6b (MD5)Made available in DSpace on 2021-02-22T13:21:18Z (GMT). No. of bitstreams: 1 Dissertacao_Mestrado_Rodrigo_versao_para_entrega.pdf: 2148129 bytes, checksum: ea4353ccf5f9f3566f8dcca3a3361b6b (MD5) Previous issue date: 2020-10-30application/pdfhttp://tede2.pucrs.br:80/tede2/retrieve/180013/DIS_RODRIGO_DALLEGRAVE_CORREA_DA_SILVA_CONFIDENCIAL.pdf.jpgporPontif?cia Universidade Cat?lica do Rio Grande do SulPrograma de P?s-Gradua??o em Medicina e Ci?ncias da Sa?dePUCRSBrasilEscola de MedicinaObesidadeIdosoBypass G?stricoDoen?as Metab?licaObesityElderlyGastric BypassMetabolic DiseasesCIENCIAS DA SAUDE::MEDICINAEfic?cia da cirurgia bari?trica em idososinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisTrabalho ser? publicado como artigo ou livro60 meses22/02/2026-721401722658532398500500500-224747486637135387-969369452308786627info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_RSinstname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSTHUMBNAILDIS_RODRIGO_DALLEGRAVE_CORREA_DA_SILVA_CONFIDENCIAL.pdf.jpgDIS_RODRIGO_DALLEGRAVE_CORREA_DA_SILVA_CONFIDENCIAL.pdf.jpgimage/jpeg4071http://tede2.pucrs.br/tede2/bitstream/tede/9497/3/DIS_RODRIGO_DALLEGRAVE_CORREA_DA_SILVA_CONFIDENCIAL.pdf.jpg7243fc14f1efd30d7a97cb215164756fMD53TEXTDIS_RODRIGO_DALLEGRAVE_CORREA_DA_SILVA_CONFIDENCIAL.pdf.txtDIS_RODRIGO_DALLEGRAVE_CORREA_DA_SILVA_CONFIDENCIAL.pdf.txttext/plain1518http://tede2.pucrs.br/tede2/bitstream/tede/9497/4/DIS_RODRIGO_DALLEGRAVE_CORREA_DA_SILVA_CONFIDENCIAL.pdf.txtc0552b88c0f4b0d9a770146e495b592eMD54ORIGINALDIS_RODRIGO_DALLEGRAVE_CORREA_DA_SILVA_CONFIDENCIAL.pdfDIS_RODRIGO_DALLEGRAVE_CORREA_DA_SILVA_CONFIDENCIAL.pdfapplication/pdf608807http://tede2.pucrs.br/tede2/bitstream/tede/9497/2/DIS_RODRIGO_DALLEGRAVE_CORREA_DA_SILVA_CONFIDENCIAL.pdf5a37fd439be8147614853d126ce179beMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-8590http://tede2.pucrs.br/tede2/bitstream/tede/9497/1/license.txt220e11f2d3ba5354f917c7035aadef24MD51tede/94972021-02-22 20:00:09.609oai:tede2.pucrs.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.pucrs.br/tede2/PRIhttps://tede2.pucrs.br/oai/requestbiblioteca.central@pucrs.br||opendoar:2021-02-22T23:00:09Biblioteca Digital de Teses e Dissertações da PUC_RS - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.por.fl_str_mv |
Efic?cia da cirurgia bari?trica em idosos |
title |
Efic?cia da cirurgia bari?trica em idosos |
spellingShingle |
Efic?cia da cirurgia bari?trica em idosos Silva, Rodrigo Dallagrave Corr?a da Obesidade Idoso Bypass G?strico Doen?as Metab?lica Obesity Elderly Gastric Bypass Metabolic Diseases CIENCIAS DA SAUDE::MEDICINA |
title_short |
Efic?cia da cirurgia bari?trica em idosos |
title_full |
Efic?cia da cirurgia bari?trica em idosos |
title_fullStr |
Efic?cia da cirurgia bari?trica em idosos |
title_full_unstemmed |
Efic?cia da cirurgia bari?trica em idosos |
title_sort |
Efic?cia da cirurgia bari?trica em idosos |
author |
Silva, Rodrigo Dallagrave Corr?a da |
author_facet |
Silva, Rodrigo Dallagrave Corr?a da |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Mottin, Cl?udio Cor? |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/8827120189677376 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/0067671500121875 |
dc.contributor.author.fl_str_mv |
Silva, Rodrigo Dallagrave Corr?a da |
contributor_str_mv |
Mottin, Cl?udio Cor? |
dc.subject.por.fl_str_mv |
Obesidade Idoso Bypass G?strico Doen?as Metab?lica |
topic |
Obesidade Idoso Bypass G?strico Doen?as Metab?lica Obesity Elderly Gastric Bypass Metabolic Diseases CIENCIAS DA SAUDE::MEDICINA |
dc.subject.eng.fl_str_mv |
Obesity Elderly Gastric Bypass Metabolic Diseases |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
Introduction: We have observed a progressive increase in life expectancy in the world population. Projections indicate that we will have more than 34 million Brazilians over the age of 60 in 2025. This same line of growth is also seen in obesity rates, with worrying levels in this age group. In this scenario, bariatric surgery has become an increasingly frequent therapeutic option for these people, since it is considered one of the bests treatments for the control of morbid obesity. Methods: We retrospectively selected 62 patients over 60 years of age who underwent gastrointestinal shunt surgery with Roux-en-Y reconstruction from 2009 to 2017. As a control, 178 patients under the age of 60 were selected. The effects of bariatric surgery on the resolution of metabolic diseases (diabetes, hypertension and dyslipidemia), weight loss and its correlation with the remission of metabolic diseases were evaluated, as well as the use of medications to treat these diseases before and after surgery. Results: The average age in the elderly group was 62,8, while in the youngest the average was 38,9. Diabetes and hypertension were more prevalent in the elderly (P<0,001), while dyslipidemia was not different in the preoperative period (P=0,358). The mean total body weight loss was -36.8 kg at 12 months and -37.9 kg at 24 months in the elderly group, with no difference for the non-elderly group (P = 0.257). The elderly had remission rates of diabetes, hypertension and dyslipidemia of 51,5%, 45,5% and 48,8% at 24 months, respectively. There was no correlation between weight loss and remission of metabolic diseases in the elderly group. In non-elderly people, remission rates reached levels of 77,8%, 67,3% and 65,5% for diabetes, hypertension and dyslipidemia, respectively, at 24 months. In this group, there was a correlation between weight loss and remission of metabolic diseases (rb=0,42; P=0,004). Both groups showed a significant reduction in the number of medications used to control metabolic diseases, both at 12 and 24 months. Conclusion: Our study indicates that although the effects of bariatric surgery are not as effective for the control of metabolic diseases in the elderly as in non-elderly people, it presents important clinical results, and should be part of the treatment of severe obesity in this segment of the population. |
publishDate |
2020 |
dc.date.issued.fl_str_mv |
2020-10-30 |
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2021-02-22T13:21:18Z |
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http://tede2.pucrs.br/tede2/handle/tede/9497 |
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Pontif?cia Universidade Cat?lica do Rio Grande do Sul |
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Programa de P?s-Gradua??o em Medicina e Ci?ncias da Sa?de |
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Brasil |
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Pontif?cia Universidade Cat?lica do Rio Grande do Sul |
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