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Type: Artigo
Title: Preoperative Multidisciplinary Program For Bariatric Surgery: A Proposal For The Brazilian Public Health System
Title Alternative: Programa Multidisciplinar De Assistência Pré-operatória Para Cirurgia Bariátrica: Uma Proposta Para O Sistema Público De Saúde Do Brasil
Author: Chaim
Elinton Adami; Pareja
José Carlos; Gestic
Martinho Antonio; Utrini
Murillo Pimentel; Cazzo
Abstract: Bariatric surgery has become the gold standard treatment for morbid obesity, but access to surgery remains difficult and low compliance to postoperative follow-up is common. To improve outcomes, enable access and optimize follow-up, we developed a multidisciplinary preoperative approach for bariatric surgery. OBJECTIVE To determine the impact of this program in the outcomes of bariatric surgery in the Brazilian public health system. METHODS A prospective evaluation of the individuals who underwent a preoperative multidisciplinary program for bariatric surgery and comparison of their surgical outcomes with those observed in the prospectively collected historical database of the individuals who underwent surgery before the beginning of the program. RESULTS There were 176 individuals who underwent the multidisciplinary program and 226 who did not. Individuals who underwent the program had significantly lower occurrence of the following variables: hospital stay; wound dehiscence; wound infection; pulmonary complications; anastomotic leaks; pulmonary thromboembolism; sepsis; incisional hernias; eventrations; reoperations; and mortality. Both loss of follow-up and weight loss failure were also significantly lower in the program group. CONCLUSION The adoption of a comprehensive preoperative multidisciplinary approach led to significant improvements in the postoperative outcomes and also in the compliance to the postoperative follow-up. It represents a reproducible and potentially beneficial approach within the context of the Brazilian public health system.
Subject: Obesity
Bariatric Surgery
Gastric Bypass
Public Health
Preoperative Care
Cirurgia Bariátrica
Derivação Gástrica
Saúde Pública
Cuidados Pré-operatórios
Editor: Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE Colégio Brasileiro de Cirurgia Digestiva - CBCD Sociedade Brasileira de Motilidade Digestiva e Neurogastroenterologia - SBMDN Federação Brasileira de Gastroenterologia - FBGSociedade Brasileira de Hepatologia - SBHSociedade Brasileira de Endoscopia Digestiva - SOBED
Citation: Arquivos De Gastroenterologia. Instituto Brasileiro De Estudos E Pesquisas De Gastroenterologia - Ibepege Colégio Brasileiro De Cirurgia Digestiva - Cbcd Sociedade Brasileira De Motilidade Digestiva E Neurogastroenterologia - Sbmdn Federação Brasileira De Gastroenterologia - Fbgsociedade Brasileira De Hepatologia - Sbhsociedade Brasileira De Endoscopia Digestiva - Sobed, v. 54, n. 1, p. 70 - 74
Rights: aberto
Date Issue: 2017
Appears in Collections:Unicamp - Artigos e Outros Documentos

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