EFFECTS OF LONG-TERM ROUX-EN-Y GASTRIC BYPASS ON BODY WEIGHT AND CLINICAL METABOLIC COMORBIDITIES IN BARIATRIC SURGERY SERVICE OF A UNIVERSITY HOSPITAL

ABSTRACT Background: Due to the high failure rate observed in the clinical treatment of morbid obesity an increase in bariatric surgery indications, as an alternative for the control of obesity and comorbidities, is noticeable. Aim: To evaluate the performance of type 2 diabetes mellitus, high blood pressure and dyslipidemia in patients submitted to Roux-en-Y gastric bypass in late follow-up. Methods: Retrospective analysis of 59 patients included in the bariatric surgery program. Anthropometric (height and body weight) and laboratory (LDLc, HDLc, VLDLc, triglyceride -TG - and glucose) data were collected on pre- and postoperative stages, through medical records. Results: Among the patients, 86% were female aged 43±11, of whom 52% had attended high school. The average postoperative time was 7±3 years. During the postoperative period, there were decreases of weight and body mass index, respectively (133±06 kg vs 91±04 kg p摘要 背景：鉴于病态肥胖临床治疗失败率居高不下，减重代谢外科手术（bariatric surgery）作为控制肥胖及其共病的替代方案，其适应证不断扩大的趋势已十分显著。 目的：评估接受鲁比尼-Y型胃旁路术（Roux-en-Y gastric bypass）的患者在远期随访中，2型糖尿病（type 2 diabetes mellitus）、高血压及血脂异常的病情控制效果。 方法：对纳入减重代谢外科手术项目的59例患者开展回顾性分析。通过病历资料采集术前及术后阶段的人体测量学指标（身高、体重）与实验室检测指标：低密度脂蛋白胆固醇（LDLc）、高密度脂蛋白胆固醇（HDLc）、极低密度脂蛋白胆固醇（VLDLc）、甘油三酯（triglyceride-TG）及葡萄糖。 结果：本研究纳入的患者中，86%为女性，年龄为43±11岁，其中52%的患者接受过高中教育。术后平均随访时长为7±3年。术后随访期间，患者体重与体重指数均出现下降，分别为（133±06 kg vs 91±04 kg p