Efectos de la cirugía bariátrica sobre las comorbilidades de la obesidad en pacientes de 20 a 65 años atendidos en el hospital Teodoro Maldonado Carbo durante el periodo 2016 - 2019.

Abstract

Objective: To determine the effects of bariatric surgery on the comorbidities that obese patients present in Teodoro Maldonado Carbo. Materials and methods: Retrospective, observational and analytical study. A total of 197 operated on between January 2016 to January 2019 were included. The database and analysis were performed in the SPSS v25.0 program. The analysis was performed using Mauchly's sphericity test for BMI and Cochran's Q test for APP variables. Results: The mean age was 40.31 years, with a predominance of the female sex (70%). The majority of the population presented gastroesophageal reflux disease (79.70%) as a history. Following, the two main comorbidities obtained were type 2 diabetes mellitus and hypertension, with 55.30% and 52.80% respectively. The most widely used surgical technique was gastric sleeve. Over time, a significant reduction was obtained for osteoarthritis and gastroesophageal reflux disease; Blood pressure values decreased significantly (x2 (4) = 73.20; p = 0.000). Furthermore, the patients managed to have a remission of diabetes mellitus 2 after surgery (x2 (4) = 149.18; p = 0.000). Conclusions: After surgery, the symptoms of GERD and osteoarthritis decrease, the blood pressure values also drop, and the patient returns to a state of normoglycemia. The BMI of patients after surgery also reduces.