PREOPERATIVE HOSPITALIZATION AS A BRIDGING STRATEGY FOR WEIGHT LOSS IN PATIENTS WITH BODY MASS INDEX = 50 KG/M2 WHO ARE CANDIDATES FOR BARIATRIC SURGERY
ABSTRACT BACKGROUND: Preoperative hospitalization with the purpose to obtain more effective weight loss provides intensive care for patients who have a higher body mass index (BMI) and associated diseases that involve a greater risk of peri- and postoperative complications. It is a therapeutic stra...
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Colégio Brasileiro de Cirurgia Digestiva
2025-01-01
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| Series: | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202024000100341&lng=en&tlng=en |
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| author | Renata Ramos Severo Fernando Santa-Cruz Flávio Kreimer André Bezerra de Sena Álvaro Antônio Bandeira Ferraz |
| author_facet | Renata Ramos Severo Fernando Santa-Cruz Flávio Kreimer André Bezerra de Sena Álvaro Antônio Bandeira Ferraz |
| author_sort | Renata Ramos Severo |
| collection | DOAJ |
| description | ABSTRACT BACKGROUND: Preoperative hospitalization with the purpose to obtain more effective weight loss provides intensive care for patients who have a higher body mass index (BMI) and associated diseases that involve a greater risk of peri- and postoperative complications. It is a therapeutic strategy that can make it possible to overcome obstacles related to the difficulty of adhering to obesity treatment. AIMS: To analyze the implementation of a preoperative hospitalization strategy for weight loss in patients eligible for bariatric surgery. METHODS: Retrospective study that included 194 patients with a BMI=50 kg/m2. They were grouped according to preoperative preparation strategies: inpatient (n=32) and outpatient (n=162), who underwent Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG) between 2010 and 2020. The groups were compared regarding preoperative weight loss before and after the strategies and postoperative up to two years after surgery. RESULTS: Most patients were female and there were significant differences in age group (an average of 42.94 years in the preoperative hospitalization strategy group and 37.73 in the outpatient strategy group). The mean BMI in the hospitalized group was 63.01±8.72 kg/m2, and in the outpatient group it was 54.95±4.31 kg/m2. There was a significant difference only between initial and preoperative weight in the hospitalized group. Furthermore, the difference between initial weight and last recorded weight up to two years after surgery was significant in each group. The occurrence of associated diseases was higher in the outpatient group. CONCLUSIONS: Patients following the preoperative hospitalization strategy experienced significant weight loss before surgery. |
| format | Article |
| id | doaj-art-53fe1db29e874ea38e4631ce183702f3 |
| institution | Kabale University |
| issn | 0102-6720 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Colégio Brasileiro de Cirurgia Digestiva |
| record_format | Article |
| series | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| spelling | doaj-art-53fe1db29e874ea38e4631ce183702f32025-01-21T07:44:02ZengColégio Brasileiro de Cirurgia DigestivaABCD: Arquivos Brasileiros de Cirurgia Digestiva0102-67202025-01-013710.1590/0102-6720202400058e1852PREOPERATIVE HOSPITALIZATION AS A BRIDGING STRATEGY FOR WEIGHT LOSS IN PATIENTS WITH BODY MASS INDEX = 50 KG/M2 WHO ARE CANDIDATES FOR BARIATRIC SURGERYRenata Ramos Severohttps://orcid.org/0000-0001-9560-1607Fernando Santa-Cruzhttps://orcid.org/0000-0002-3178-1036Flávio Kreimerhttps://orcid.org/0000-0001-6164-9987André Bezerra de Senahttps://orcid.org/0000-0003-1834-7320Álvaro Antônio Bandeira Ferrazhttps://orcid.org/0000-0002-3832-3927ABSTRACT BACKGROUND: Preoperative hospitalization with the purpose to obtain more effective weight loss provides intensive care for patients who have a higher body mass index (BMI) and associated diseases that involve a greater risk of peri- and postoperative complications. It is a therapeutic strategy that can make it possible to overcome obstacles related to the difficulty of adhering to obesity treatment. AIMS: To analyze the implementation of a preoperative hospitalization strategy for weight loss in patients eligible for bariatric surgery. METHODS: Retrospective study that included 194 patients with a BMI=50 kg/m2. They were grouped according to preoperative preparation strategies: inpatient (n=32) and outpatient (n=162), who underwent Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG) between 2010 and 2020. The groups were compared regarding preoperative weight loss before and after the strategies and postoperative up to two years after surgery. RESULTS: Most patients were female and there were significant differences in age group (an average of 42.94 years in the preoperative hospitalization strategy group and 37.73 in the outpatient strategy group). The mean BMI in the hospitalized group was 63.01±8.72 kg/m2, and in the outpatient group it was 54.95±4.31 kg/m2. There was a significant difference only between initial and preoperative weight in the hospitalized group. Furthermore, the difference between initial weight and last recorded weight up to two years after surgery was significant in each group. The occurrence of associated diseases was higher in the outpatient group. CONCLUSIONS: Patients following the preoperative hospitalization strategy experienced significant weight loss before surgery.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202024000100341&lng=en&tlng=enObesity, morbidBariatric surgeryCaloric restrictionWeight loss |
| spellingShingle | Renata Ramos Severo Fernando Santa-Cruz Flávio Kreimer André Bezerra de Sena Álvaro Antônio Bandeira Ferraz PREOPERATIVE HOSPITALIZATION AS A BRIDGING STRATEGY FOR WEIGHT LOSS IN PATIENTS WITH BODY MASS INDEX = 50 KG/M2 WHO ARE CANDIDATES FOR BARIATRIC SURGERY ABCD: Arquivos Brasileiros de Cirurgia Digestiva Obesity, morbid Bariatric surgery Caloric restriction Weight loss |
| title | PREOPERATIVE HOSPITALIZATION AS A BRIDGING STRATEGY FOR WEIGHT LOSS IN PATIENTS WITH BODY MASS INDEX = 50 KG/M2 WHO ARE CANDIDATES FOR BARIATRIC SURGERY |
| title_full | PREOPERATIVE HOSPITALIZATION AS A BRIDGING STRATEGY FOR WEIGHT LOSS IN PATIENTS WITH BODY MASS INDEX = 50 KG/M2 WHO ARE CANDIDATES FOR BARIATRIC SURGERY |
| title_fullStr | PREOPERATIVE HOSPITALIZATION AS A BRIDGING STRATEGY FOR WEIGHT LOSS IN PATIENTS WITH BODY MASS INDEX = 50 KG/M2 WHO ARE CANDIDATES FOR BARIATRIC SURGERY |
| title_full_unstemmed | PREOPERATIVE HOSPITALIZATION AS A BRIDGING STRATEGY FOR WEIGHT LOSS IN PATIENTS WITH BODY MASS INDEX = 50 KG/M2 WHO ARE CANDIDATES FOR BARIATRIC SURGERY |
| title_short | PREOPERATIVE HOSPITALIZATION AS A BRIDGING STRATEGY FOR WEIGHT LOSS IN PATIENTS WITH BODY MASS INDEX = 50 KG/M2 WHO ARE CANDIDATES FOR BARIATRIC SURGERY |
| title_sort | preoperative hospitalization as a bridging strategy for weight loss in patients with body mass index 50 kg m2 who are candidates for bariatric surgery |
| topic | Obesity, morbid Bariatric surgery Caloric restriction Weight loss |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202024000100341&lng=en&tlng=en |
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