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ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

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Abstract

STOL, Aluísio et al. Complications and deaths in operations to treat morbid obesity. ABCD, arq. bras. cir. dig. [online]. 2011, vol.24, n.4, pp. 282-284. ISSN 0102-6720.  http://dx.doi.org/10.1590/S0102-67202011000400007.

BACKGROUND: Bariatric surgery, although complex, has low morbidity and mortality, but when they happen, serious consequences are expected in patients evolution. AIM:To evaluate the presence of complications and deaths in patients with morbid obesity who underwent surgical treatment. METHODS: Retrospective analysis of 656 patients undergoing bariatric surgery. Were analyzed: sex, age, pre-operative weight, body mass index before surgery, procedure performed, length of hospital stay, post-operative complications and mortality. RESULTS: The age ranged from 16 to 68 years (mean 36.6 years). Of the total, 80.7% were female. The mean body mass index was 42.8kg/m2 (35 to 68 kg/m2). The average length of hospital stay was 4.5 days (1 to 125 days). The gastric bypass was performed in 370 patients (56.40%) and operation of Capella in 236 cases (35.97%). Major complication were fistulas in 17 patients (2.59%). Reoperation was needed in 17 patients (2.59%). Eight patients died (1.21%), three submitted to Capella procedure, three to bypass, Scopinaro operation in one and vertical gastrectomy in one. CONCLUSION: The main complication was digestive fistula, which occurred in 2.59% and mortality was 1.21%.

Keywords : Obesity, morbid; Surgical procedures, operative; Complications.

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