Modificaciones de dislipidemia según IMC en pacientes sometidos a bypass gástrico vs manga gástrica en el Hospital Dr. Teodoro Maldonado Carbo en el periodo 2015 - 2017.

Abstract

Introduction: Obesity is defined as an abnormal or excessive accumulation of fat that can be harmful to health with a Body Mass Index (BMI) equal to or greater than 30 kg / m2, bariatric surgery has been shown to achieve a significant sustained reduction of weight in obese patients. Objective: Determine if there is a significant difference in the postoperative control at the 3-month follow-up between patients with obesity grade II and III plus dyslipidemia operated on gastric bypass and gastric sleeve with respect to the reduction of BMI and optimization of the lipid profile. Materials and methods: Observational, analytical cohort study. Were include patients older than 18 years were treated in general surgery at the Teodoro Maldonado Carbo Hospital from May 2015 to May 2017 with a previous diagnosis of dyslipidemia and type II and II obesity who had undergone bypass and gastric sleeve surgery. All patients have results of BMI and lipid profile three months after surgery. Results: A total of 67 patients from the Teodoro Maldonado Carbo Hospital were include, during the period May 2015 to May 2017, who were operated on by gastric sleeve and bypass surgery. The average age was 42 years. Of this population, 46 (62%) were women and 21 (38%) were men. The patients undergoing gastric bypass were 26 and those with gastric sleeve 41. Postoperative BMI with gastric sleeve gave us a value of 33, 68 kg / m2 and the gastric bypass rate had a value of 38, 49 kg / m2, which indicates us that gastric sleeve has a higher effect on the reduction of BMI at 3 months post intervention on gastric bypass (p => 0.000). Ther e were no significant results with respect to the post-surgical optimization of any of the parameters studied in the lipid profile in the comparison performed with respect to the surgical technique.