Cirugia de manga gástrica, complicaciones y desventajas en el Hospital Doctor Teodoro Maldonado Carbo de junio a diciembre del 2013
Fecha
2015
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
La obesidad es una enfermedad que va en aumento tanto en Ecuador como en el resto del mundo, las transgresiones dietéticas y el sedentarismo son los factores fundamentales para este alarmante aumento de su prevalencia. Se identificó los factores de riesgo y complicaciones del tratamiento quirúrgico con manga gástrica en la población de pacientes con sobrepeso del Hospital IESS Teodoro Maldonado Carbo,. El presente estudio fue de tipo descriptivo, observacional de corte transversal. Se analizó todos los pacientes atendidos en el servicio consulta externa de Cirugía General entre el 1 de junio hasta el 31 de diciembre del 2013. El género más afectado por la obesidad fue el femenino 77,4% (89 pacientes) con mayor incidencia en el grado III, la provincia del Guayas representó el 68,7% (79 pacientes), el 60% (69 pacientes) correspondió al grupo de edad entre 41 - 60 años, con un promedio de edad de 41,82 años (Rango entre 27 y 55 años), el 18,26% (21) de la muestra investigada tuvieron complicaciones postoperatorias, la fístula gástrica con el 5,22% (6 pacientes) fue la principal complicación. Hubo reducción de las principales comorbilidades: la media de HTA preoperatoria bajo de 154,82/83,90 mmHg a valores postoperarios de 129,23/78,66 mmHg, esto representó una reducción del 15,53% de los valores de la PAS y del 6,25% de los valores de PAD a los 6 meses de seguimiento. Los niveles de glucosa sérica descendieron un 51,06% a los 6 meses del postquirúrgico y los niveles de colesterol descendieron en un 64,33% y los niveles de HDL sérico aumentaron en un 38,42% en el control postoperatorio final a los 6 meses de la cirugía. La gastrectomía vertical en manga demostró ser una alternativa para el manejo de pacientes con obesidad con muy buenos resultados.
Obesity is a disease that is increasing in both Ecuador and the rest of the world, dietary transgressions and sedentary lifestyle are the main factors for this alarming increase in its prevalence. Risk factors and complications of gastric sleeve surgery in the patient population overweight Hospital IESS Teodoro Maldonado Carbo identified ,. This study was descriptive, cross-sectional observational. All patients attending the outpatient service of General Surgery from 1 June to 31 December 2013. The genus most affected by obesity was 77.4% female (89 patients) with higher incidence in the analyzed grade III, Guayas province accounted for 68.7% (79 patients), 60% (69 patients) corresponded to the age group between 41 - 60 years, with a mean age of 41,82 years (range between 27 and 55 years), 18.26% (21) of the investigated sample had postoperative complications, gastric fistula with 5.22% (6 patients) was the main complication. There was reduction of major comorbidities: the average preoperative hypertension bass 154,82 / 83,90 mmHg to postoperarios values of 129,23 / 78,66 mmHg, this represented a decline of 15.53% of the values of SBP and 6.25% of the values of PAD at 6 months follow up. The niveless serum glucose decreased 51.06% at 6 months after surgery and Cholesterol levels decreased by 64.33% and serum HDL levels increased by 38.42% in the final postoperative control at 6 months after surgery. The vertical sleeve gastrectomy proved to be an alternative for the management of patients with obesity with very good results. Keywords: Obesity, inactivity, gastric sleeve.
Obesity is a disease that is increasing in both Ecuador and the rest of the world, dietary transgressions and sedentary lifestyle are the main factors for this alarming increase in its prevalence. Risk factors and complications of gastric sleeve surgery in the patient population overweight Hospital IESS Teodoro Maldonado Carbo identified ,. This study was descriptive, cross-sectional observational. All patients attending the outpatient service of General Surgery from 1 June to 31 December 2013. The genus most affected by obesity was 77.4% female (89 patients) with higher incidence in the analyzed grade III, Guayas province accounted for 68.7% (79 patients), 60% (69 patients) corresponded to the age group between 41 - 60 years, with a mean age of 41,82 years (range between 27 and 55 years), 18.26% (21) of the investigated sample had postoperative complications, gastric fistula with 5.22% (6 patients) was the main complication. There was reduction of major comorbidities: the average preoperative hypertension bass 154,82 / 83,90 mmHg to postoperarios values of 129,23 / 78,66 mmHg, this represented a decline of 15.53% of the values of SBP and 6.25% of the values of PAD at 6 months follow up. The niveless serum glucose decreased 51.06% at 6 months after surgery and Cholesterol levels decreased by 64.33% and serum HDL levels increased by 38.42% in the final postoperative control at 6 months after surgery. The vertical sleeve gastrectomy proved to be an alternative for the management of patients with obesity with very good results. Keywords: Obesity, inactivity, gastric sleeve.
Descripción
Palabras clave
Obesidad, Sedentarismo, Manga gástrica, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador, Cirugía