Date Published: May 20, 2020
Publisher: Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
Author(s): Rodrigo Lira Sousa Lima, Eduardo Jose Silva Gomes de Oliveira, Emanuel Cabral Pereira, Lucas da Silva Costa, Thiago Sousa Dourado, José Aparecido Valadão, Roclides Castro Lima, Giuliano Peixoto Campelo, Roger Moura de Brito, Caio Márcio Barros de Oliveira, Ed Carlos Rey Moura, Plinio da Cunha Leal.
To compare the satisfaction levels about the surgery and anesthesia management, and to analyze the postoperative outcomes of patients undergoing Gastric Bypass and Sleeve Gastroplasty surgeries in a private hospital in Sao Luís-MA.
The sample consisted of patients undergoing Bypass and Sleeve bariatric surgeries from August 2018 to August 2019, who were in the range of 18 and 70 years old and had not used drugs or presented cardiac arrhythmias, dilated cardiomyopathy, and conduction disorder heart. Data were collected from the evaluation forms and recorded in a form with closed questions.
Most patients were female (Bypass – 56% and Sleeve – 67.4%) and aged between 30 and 39 years old (Bypass – 32% and Sleeve – 55.8%). Information (Bypass – 92% and Sleeve – 86.1%) was the highest satisfaction index found. Sleepiness in the immediate postoperative period (Bypass – 92% and Sleeve – 93%) was the main side effect. There were no postoperative complications in patients between the two types of surgery.
Patients submitted to Bypass and Sleeve were completely satisfied with the perioperative management. There was no statistically significant difference when comparing adverse effects between the techniques.
Obesity is considered an increasingly common disease, the prevalence of which is already reaching epidemic proportions and has serious social and psychological consequences. Studies underline that overweight and obesity will reach levels of 89% in men and 85% in women by 20301.
A total of 68 subjects participated in the study. Sociodemographic data were described in Table 1. There was a predominance of females (56% Bypass and 67.6% Sleeve) in both types of surgery (p = 0.345) and the most prevalent age group was between 30 and 39 years (p = 0.078), although without statistical difference. Regarding academic degree, there was no statistically significant difference (p = 0.478). In Bypass, most patients had completed higher education (76%), and the same result was found for the Sleeve (58.13%). Regarding the degree of obesity, there was a quantitative difference between the two surgical procedures. Most (69.8%) of the patients who underwent sleeve surgery were in preoperative obesity grade 2. For those who underwent bypass surgery, 64% had Grade 3 obesity before surgery (p = 0.00).
There was a predominance of females among the patients evaluated for both Bypass and Sleeve. This result corroborates those studies conducted in the Northeast region of Brazil19, Brazil20,21 and international studies22,23. Epidemiological data showed, in Brazil, a higher prevalence of obesity in women compared to men, with a difference of 0.6% between both genders19.
A relevant rate of bariatric surgery was observed, especially in the female public. When comparing adverse effects between Gastric Bypass and Sleeve Gastroplasty, there was no statistically significant difference. Patients submitted to Bypass and Sleeve were completely satisfied with the perioperative management. They reported feeling well informed, and having their privacy respected, a reasonable waiting time for surgery, good pain control, and mild post-operative discomfort. Postoperative complications, when they appeared, had a lower frequency than in literature. However, due to the obesity epidemic and the increasing frequency of bariatric surgical procedures, the encouragement of new studies on patient satisfaction levels with perioperative management can improve the quality of the service offered and benefit this portion of society.