Determinar la relación de la calidad de la dieta con el cambio de peso, el índice de masa corporal y la depresión en mujeres sometidas a una gastrectomía en manga: Un estudio descriptivo transversal

Introduction: This study aims to determine the relationship of diet quality in women with weight change, body mass index (BMI), and depression one year after undergoing sleeve gastrectomy. Material and methods: This is a cross-sectional descriptive study with 62 women aged 18–65 years who underwent sleeve gastrectomy in a private hospital and completed their first postoperative year. The participants were asked to fill a questionnaire on 3-day food consumption record, sociodemographic characteristics, and nutritional status; Beck depression inventory (BDI) was applied. Mean adequacy ratio (MAR) was used to evaluate diet quality. Results:The mean age was 33.6 ± 9.5 years. The mean MAR score was 76.0 ± 31.8, and the mean BDI score was 8.2 ± 6.4. The excess weight loss rate was high in patients with good diet quality, and the BMI and depression scores were low (PEWL, BMI > 0.05, PBeck < 0.001). Diet quality was found to be negatively correlated with body weight, BMI and depression scores and positively correlated with excess weight loss. Conclusions: Enhancing the diet quality can help patients in overcoming postoperative depression and increasing the success of weight loss. Regular follow-up and guidance provided to the patients by specialized dietitians can further augment the success rates.Introducción: Este estudio tiene como objetivo determinar la relación de la calidad de la dieta con el cambio de peso, el índice de masa corporal (IMC) y la depresión en mujeres un año después de someterse a una gastrectomía en manga.Material y métodos: Se trata de un estudio descriptivo transversal con 62 mujeres de 18 a 65 años a las que se les realizó una gastrectomía en manga en un hospital privado y completaron su primer año postoperatorio. Se pidió a los participantes que llenaran un cuestionario sobre el registro de consumo de alimentos de 3 días, las características sociodemográficas y el estado nutricional. Se aplicó el inventario de depresión de Beck (BDI). Se utilizó la razón de adecuación media (MAR) para evaluar la calidad de la dieta.Resultados: La edad media fue de 33,6 ± 9,5 años. La puntuación media de MAR fue de 76,0 ± 31,8 y la puntuación media de BDI fue de 8,2 ± 6,4. La tasa de pérdida excesiva de peso fue alta en pacientes con buena calidad de la dieta, y las puntuaciones de IMC y depresión fueron bajas (PEWL, IMC> 0,05; PBeck <0,001). Se encontró que la calidad de la dieta se correlacionó negativamente con el peso corporal, el IMC y las puntuaciones de depresión y se correlacionó positivamente con la pérdida excesiva de peso.Conclusiones: Mejorar la calidad de la dieta puede ayudar a los pacientes a superar la depresión posoperatoria y aumentar el éxito de la pérdida de peso. El seguimiento regular y la orientación proporcionada a los pacientes por dietistas especializados pueden aumentar aún más las tasas de éxito

Anal fissürlü hastalarda isosorbit dinitrat ile leteral internal sfinkterotominin klinik iyileşme ve anal kanal istirahat basıncına etkilerinin karşılaştırılması

TEZ3327Tez (Uzmanlık) -- Çukurova Üniversitesi, Adana, 2000.Kaynakça (s. 51-58) var.v, 58 s. ; rnk. res. ; 30 cm.

Determining the relationship of diet quality with weight change, body mass index, and depression in women who had undergone sleeve gastrectomy: A cross-sectional descriptive study

Introduction: This study aims to determine the relationship of diet quality in women with weight change, body mass index (BMI), and depression one year after undergoing sleeve gastrectomy. Material and Methods: This is a cross-sectional descriptive study with 62 women aged 18-65 years who underwent sleeve gastrectomy in a private hospital and completed their first postoperative year. The participants were asked to fill a questionnaire on 3-day food consumption record, sociodemographic characteristics, and nutritional status; beck depression inventory (BDI) was applied. Mean adequacy ratio (MAR) was used to evaluate diet quality. Results: The mean age was 33.6±9.5 years. The mean MAR score was 76.0±31.8, and the mean BDI score was 8.2±6.4. The excess weight loss rate was high in patients with good diet quality, and the BMI and depression scores were low (PEWL, BMI > 0.05, PBeck < 0.001). Diet quality was found to be negatively correlated with body weight, BMI and depression scores and positively correlated with excess weight loss. Conclusions: Enhancing the diet quality can help patients in overcoming postoperative depression and increasing the success of weight loss. Regular follow-up and guidance provided to the patients by specialized dietitians can further augment the success rates.Introducción: Este estudio tiene como objetivo determinar la relación de la calidad de la dieta con el cambio de peso, el índice de masa corporal (IMC) y la depresión en mujeres un año después de someterse a una gastrectomía en manga. Material y Métodos: Se trata de un estudio descriptivo transversal con 62 mujeres de 18 a 65 años a las que se les realizó una gastrectomía en manga en un hospital privado y completaron su primer año postoperatorio. Se pidió a los participantes que llenaran un cuestionario sobre el registro de consumo de alimentos de 3 días, las características sociodemográficas y el estado nutricional. Se aplicó el inventario de depresión de Beck (BDI). Se utilizó la razón de adecuación media (MAR) para evaluar la calidad de la dieta. Resultados: La edad media fue de 33,6±9,5 años. La puntuación media de MAR fue de 76,0±31,8 y la puntuación media de BDI fue de 8,2±6,4. La tasa de pérdida excesiva de peso fue alta en pacientes con buena calidad de la dieta, y las puntuaciones de IMC y depresión fueron bajas (PEWL, IMC > 0,05; PBeck < 0,001). Se encontró que la calidad de la dieta se correlacionó negativamente con el peso corporal, el IMC y las puntuaciones de depresión y se correlacionó positivamente con la pérdida excesiva de peso. Conclusiones: Mejorar la calidad de la dieta puede ayudar a los pacientes a superar la depresión posoperatoria y aumentar el éxito de la pérdida de peso. El seguimiento regular y la orientación proporcionada a los pacientes por dietistas especializados pueden aumentar aún más las tasas de éxito

30-Day Morbidity and Mortality of Bariatric Surgery During the COVID-19 Pandemic: a Multinational Cohort Study of 7704 Patients from 42 Countries.

BACKGROUND There are data on the safety of cancer surgery and the efficacy of preventive strategies on the prevention of postoperative symptomatic COVID-19 in these patients. But there is little such data for any elective surgery. The main objectives of this study were to examine the safety of bariatric surgery (BS) during the coronavirus disease 2019 (COVID-19) pandemic and to determine the efficacy of perioperative COVID-19 protective strategies on postoperative symptomatic COVID-19 rates. METHODS We conducted an international cohort study to determine all-cause and COVID-19-specific 30-day morbidity and mortality of BS performed between 01/05/2020 and 31/10/2020. RESULTS Four hundred ninety-nine surgeons from 185 centres in 42 countries provided data on 7704 patients. Elective primary BS (n = 7084) was associated with a 30-day morbidity of 6.76% (n = 479) and a 30-day mortality of 0.14% (n = 10). Emergency BS, revisional BS, insulin-treated type 2 diabetes, and untreated obstructive sleep apnoea were associated with increased complications on multivariable analysis. Forty-three patients developed symptomatic COVID-19 postoperatively, with a higher risk in non-whites. Preoperative self-isolation, preoperative testing for SARS-CoV-2, and surgery in institutions not concurrently treating COVID-19 patients did not reduce the incidence of postoperative COVID-19. Postoperative symptomatic COVID-19 was more likely if the surgery was performed during a COVID-19 peak in that country. CONCLUSIONS BS can be performed safely during the COVID-19 pandemic with appropriate perioperative protocols. There was no relationship between preoperative testing for COVID-19 and self-isolation with symptomatic postoperative COVID-19. The risk of postoperative COVID-19 risk was greater in non-whites or if BS was performed during a local peak

Safety of Bariatric Surgery in ≥ 65-Year-Old Patients During the COVID-19 Pandemic

Background Age &gt;= 65 years is regarded as a relative contraindication for bariatric surgery. Advanced age is also a recognised risk factor for adverse outcomes with Coronavirus Disease-2019 (COVID-19) which continues to wreak havoc on global populations. This study aimed to assess the safety of bariatric surgery (BS) in this particular age group during the COVID-19 pandemic in comparison with the younger cohort.Methods We conducted a prospective international study of patients who underwent BS between 1/05/2020 and 31/10/2020. Patients were divided into two groups - patients &gt;= 65-years-old (Group I) and patients &lt; 65-years-old (Group II). The two groups were compared for 30-day morbidity and mortality.Results There were 149 patients in Group 1 and 6923 patients in Group II. The mean age, preoperative weight, and BMI were 67.6 +/- 2.5 years, 119.5 +/- 24.5 kg, and 43 +/- 7 in Group I and 39.8 +/- 11.3 years, 117.7 +/- 20.4 kg, and 43.7 +/- 7 in Group II, respectively. Approximately, 95% of patients in Group 1 had at least one co-morbidity compared to 68% of patients in Group 2 (p = &lt; 0.001). The 30-day morbidity was significantly higher in Group I ( 11.4%) compared to Group II (6.6%) (p = 0.022). However, the 30-day mortality and COVID-19 infection rates were not significantly different between the two groups.Conclusions Bariatric surgery during the COVID-19 pandemic is associated with a higher complication rate in those &gt;= 65 years of age compared to those &lt; 65 years old. However, the mortality and postoperative COVID-19 infection rates are not significantly different between the two groups

Effect of BMI on safety of bariatric surgery during the COVID-19 pandemic, procedure choice, and safety protocols - An analysis from the GENEVA Study

Background: It has been suggested that patients with a Body Mass Index (BMI) of &gt; 60 kg/m2 should be offered expedited Bariatric Surgery (BS) during the Coronavirus Disease-2019 (COVID-19) pandemic. The main objective of this study was to assess the safety of this approach. Methods: We conducted a global study of patients who underwent BS between 1/05/2020 and 31/10/2020. Patients were divided into three groups according to their preoperative BMI -Group I (BMI &lt; 50 kg/m2), Group II (BMI 50-60 kg/m2), and Group III (BMI &gt; 60 kg/m2). The effect of preoperative BMI on 30-day morbidity and mortality, procedure choice, COVID-19 specific safety protocols, and comorbidities was assessed. Results: This study included 7084 patients (5197;73.4 % females). The mean preoperative weight and BMI were 119.49 &amp; PLUSMN; 24.4 Kgs and 43.03 &amp; PLUSMN; 6.9 Kg/m2, respectively. Group I included 6024 (85 %) patients, whereas Groups II and III included 905 (13 %) and 155 (2 %) patients, respectively.The 30-day mortality rate was higher in Group III (p = 0.001). The complication rate and COVID-19 infection were not different. Comorbidities were significantly more likely in Group III (p = &lt; 0.001). A significantly higher proportion of patients in group III received Sleeve Gastrectomy or One Anastomosis Gastric Bypass compared to other groups. Patients with a BMI of &gt; 70 kg/m2 had a 30-day mortality of 7.7 % (2/26). None of these patients underwent a Roux-en-Y Gastric Bypass. Conclusion: The 30-day mortality rate was significantly higher in patients with BMI &gt; 60 kg/m2. There was, however, no significant difference in complications rates in different BMI groups, probably due to differences in procedure selection

30-Day morbidity and mortality of bariatric metabolic surgery in adolescence during the COVID-19 pandemic – The GENEVA study

Background: Metabolic and bariatric surgery (MBS) is an effective treatment for adolescents with severe obesity. Objectives: This study examined the safety of MBS in adolescents during the coronavirus disease 2019 (COVID-19) pandemic. Methods: This was a global, multicentre and observational cohort study of MBS performed between May 01, 2020, and October 10,2020, in 68 centres from 24 countries. Data collection included in-hospital and 30-day COVID-19 and surgery-specific morbidity/mortality. Results: One hundred and seventy adolescent patients (mean age: 17.75 ± 1.30 years), mostly females (n&nbsp;=&nbsp;122, 71.8%), underwent MBS during the study period. The mean pre-operative weight and body mass index were 122.16 ± 15.92 kg and 43.7&nbsp;± 7.11 kg/m2, respectively. Although majority of patients had pre-operative testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (n&nbsp;=&nbsp;146; 85.9%), only 42.4% (n&nbsp;=&nbsp;72) of the patients were asked to self-isolate pre-operatively. Two patients developed symptomatic SARS-CoV-2 infection post-operatively (1.2%). The overall complication rate was 5.3% (n&nbsp;=&nbsp;9). There was no mortality in this cohort. Conclusions: MBS in adolescents with obesity is safe during the COVID-19 pandemic when performed within the context of local precautionary procedures (such as pre-operative testing). The 30-day morbidity rates were similar to those reported pre-pandemic. These data will help facilitate the safe re-introduction of MBS services for this group of patients