Resultados a mediano plazo del bypass gástrico en Y de Roux vs gastrectomía vertical en pacientes con obesidad severa operados en el HTMC en el periodo 2016-2020.

Abstract

Introduction: Obesity is an inflammatory pathological state associated with high morbidity and mortality. This condition represents an important risk factor for the development of multiple diseases such as diabetes mellitus, dyslipidemia, etc. The treatment is based on weight loss and improvement of eating habits. In cases of morbid obesity, the treatment of choice is bariatric surgery. Currently the two best known and practiced techniques are the laparoscopic gastric bypass and the laparoscopic gastric sleeve. Methodology: This is a longitudinal retrospective observational analytical study. Information was collected from the medical records of patients undergoing gastric bypass and gastric sleeve at the Teodoro Maldonado Carbo Hospital in the period 2016-2022. A descriptive and inferential statistical analysis was performed on the collected data. Results: The parameters before and after performing bariatric surgery (after one year) were studied. Quality indicators were established for each of the parameters studied and the p value between the results of the two surgical techniques was calculated. A decrease in weight and BMI and an improvement in metabolic parameters (glycaemia, HbA1c, cholesterol and triglycerides) were observed. Both techniques met the quality criteria, and it was also reported that there is no significant difference between the results of the techniques, that is, neither is superior to the other. Conclusion: Both surgical techniques obtained results that accomplished the established quality criteria. None of the techniques is superior to the other, in both similar results were achieved.