Gastric sleeve compared to Roux-y gastric By-pass in the treatment of severe obesity in the state of Santa Catarina between 2015 and 2021
DOI:
https://doi.org/10.33448/rsd-v12i5.41560Keywords:
Obesity; Obesity, Morbid; Bariatric surgery; Jejunoileal bypass; Gastrectomy.Abstract
Obesity is excess body fat, which is associated with the risk of developing chronic diseases, such as type II diabetes mellitus (DMII), cardiovascular disease, dyslipidemia, among others. In Brazil, 50% of the adult population and 15% of children are overweight. Bariatric surgery is an effective treatment for severe obesity (BMI>40), generating marked weight loss that is sustained over the long term. The two most performed bariatric surgeries in the world are the Roux-en-Y gastric bypass (BP) and the Vertical Gastrectomy or Gastric Sleeve (SV). In Brazil, BP is still the most common surgery. Between 2013 and 2018, 1,629 SV and 43,211 BP were performed. The objective of the study is to compare the use of VS with BP in the treatment of severe obesity in SC between 2015 and 2021. This is an ecological study, for which data on procedures approved by the SUS in SC were collected from the System of Hospital Information (SIH-SUS) found in DATASUS. 1850 procedures were performed in SC, of which 113 were performed by SV and 1737 by LP. It is concluded, when evaluating the linear regression rates of the trend of the use of BP and SV in SC between 2015 and 2021, the presence of reduction with the use of BP and of stability with the use of SV, as well as a behavior of stability in relation to linear regression rates of mean length of hospital stay for VS and BP in Santa Catarina.
References
Antunes, J. L. F., & Cardoso, M. R. A. (2015). Uso da análise de séries temporais em estudos epidemiológicos. Epidemiologia E Serviços De Saúde, 24(3), 565–576. https://doi.org/10.5123/S1679-49742015000300024
Azim, S., & Kashyap, S. R. (2016). Bariatric Surgery: Pathophysiology and Outcomes. Endocrinology and metabolism clinics of North America, 45(4), 905–921. https://doi.org/10.1016/j.ecl.2016.06.011
Angrisani, L., Santonicola, A., Iovino, P., Vitiello, A., Higa, K., Himpens, J., Buchwald, H., & Scopinaro, N. (2018). IFSO Worldwide Survey 2016: Primary, Endoluminal, and Revisional Procedures. Obesity surgery, 28(12), 3783–3794. https://doi.org/10.1007/s11695-018-3450-2
Angrisani, L., Santonicola, A., Iovino, P., Vitiello, A., Zundel, N., Buchwald, H., & Scopinaro, N. (2017). Bariatric Surgery and Endoluminal Procedures: IFSO Worldwide Survey 2014. Obesity surgery, 27(9), 2279–2289. https://doi.org/10.1007/s11695-017-2666-x
Arterburn, D., & Gupta, A. (2018). Comparing the Outcomes of Sleeve Gastrectomy and Roux-en-Y Gastric Bypass for Severe Obesity. JAMA, 319(3), 235–237. https://doi.org/10.1001/jama.2017.20449
Buchwald, H., & Oien, D. M. (2013). Metabolic/bariatric surgery worldwide 2011. Obesity surgery, 23(4), 427–436. https://doi.org/10.1007/s11695-012-0864-0
DATASUS – Ministério da Saúde. (n.d.). https://datasus.saude.gov.br
Fagundes, A. M., Lopes, R. B., Ribeiro, L. W. G., Silva, C. E., Martins, V. G. F. B., Rosário, C. C., Lopes, J. R., Souza, E. M. N. S., Cardoso, V. S. A., & Law, L G M (2022). Técnicas e complicações durante a cirurgia bariátrica: uma revisão da literatura. Pesquisa, Sociedade e Desenvolvimento, 11 (16), e387111637420. https://doi.org/10.33448/rsd-v11i16.37420
Fernandes, S R, Figueiredo, B Q, Bomfim, K C N, Sousa, K K, Sousa, L M S, Gaia, M G G, Ribeiro Júnior, M A., Souza, V H , & Antonacci Júnior, E. . (2021). Análise das vantagens e desvantagens da cirurgia videolaparoscópica em relação à laparotomia: uma revisão integrativa da literatura. Pesquisa, Sociedade e Desenvolvimento, 10 (12), e157101220356. https://doi.org/10.33448/rsd-v10i12.20356
Flegal, K. M., Kruszon-Moran, D., Carroll, M. D., Fryar, C. D., & Ogden, C. L. (2016). Trends in Obesity Among Adults in the United States, 2005 to 2014. JAMA, 315(21), 2284–2291. https://doi.org/10.1001/jama.2016.6458
Germini, D. L., & Medeiros, C. C. (2019). Comparação entre as técnicas de sleeve e bypass gástrico em Y de Roux em cirurgia bariátrica: sintese de evidências. International Journal of Health Management Review, 5(2). https://doi.org/10.37497/ijhmreview.v5i2.174
Han, Y., Jia, Y., Wang, H., Cao, L., & Zhao, Y. (2020). Comparative analysis of weight loss and resolution of comorbidities between laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass: A systematic review and meta-analysis based on 18 studies. International journal of surgery (London, England), 76, 101–110. https://doi.org/10.1016/j.ijsu.2020.02.035
Osland, E. J., & Memon, M. A. (2018). Laparoscopic Roux-en-Y gastric bypass or vertical sleeve gastrectomy: a weighty decision. Annals of translational medicine, 6(Suppl 1), S69. https://doi.org/10.21037/atm.2018.10.43
Oliveira, A M de, Costa, S. S., Costa, I S, & Batalha Júnior, N. J P (2021). Cirurgias bariátricas realizadas no sistema único de saúde brasileiro entre 2010 e 2019 . Pesquisa, Sociedade e Desenvolvimento, 10 (1), e47510111985. https://doi.org/10.33448/rsd-v10i1.11982
Oliveira, C. M. de ., Nassif, A. T., Branco Filho, A. J., Nassif, L. S., Wrubleski, T. de A., Cavassola, A. P., & Pintan, R. V.. (2019). Factibilidade da gastrectomia vertical aberta no Sistema Único de Saúde. Revista Do Colégio Brasileiro De Cirurgiões, 46(6), e20192351. https://doi.org/10.1590/0100-6991e-20192351
Peterli R, Wölnerhanssen B K, Peters T, et al. (2017). Efeito da Gastrectomia Sleeve Laparoscópica versus Bypass Gástrico Laparoscópico Roux-en-Y na Perda de Peso em Pacientes com Obesidade Mórbida: O Ensaio Clínico Randomizado SM-BOSS. JAMA. 2018;319(3):255–265. doi:10.1001/jama.2017.20897
Rubino, F., & Panagiotopoulos, S. (2017). Surgery: Metabolic surgery: the cutting edge of diabetes care. Nature reviews. Gastroenterology & hepatology, 14(7), 389–390. https://doi.org/10.1038/nrgastro.2017.45
Rufino, I I., Oliveira, D N de., & Rasera Júnior, I. (2023). Obesidade e cirurgia bariátrica: uma análise entre as técnicas de bypass e sleeve e seus impactos na saúde do paciente obeso. Pesquisa, Sociedade e Desenvolvimento, 12 (1), e16112139465. https://doi.org/10.33448/rsd-v12i1.39465
Salminen, P., Helmiö, M., Ovaska, J., Juuti, A., Leivonen, M., Peromaa-Haavisto, P., Hurme, S., Soinio, M., Nuutila, P., & Victorzon, M. (2018). Effect of Laparoscopic Sleeve Gastrectomy vs Laparoscopic Roux-en-Y Gastric Bypass on Weight Loss at 5 Years Among Patients With Morbid Obesity: The SLEEVEPASS Randomized Clinical Trial. JAMA, 319(3), 241–254. https://doi.org/10.1001/jama.2017.20313
Schauer, P. R., Bhatt, D. L., Kirwan, J. P., Wolski, K., Aminian, A., Brethauer, S. A., Navaneethan, S. D., Singh, R. P., Pothier, C. E., Nissen, S. E., Kashyap, S. R., & STAMPEDE Investigators (2017). Bariatric Surgery versus Intensive Medical Therapy for Diabetes - 5-Year Outcomes. The New England journal of medicine, 376(7), 641–651. https://doi.org/10.1056/NEJMoa1600869
Tonatto-Filho, A. J., Gallotti, F. M., Chedid, M. F., Grezzana-Filho, T. de J. M., & Garcia, A. M. S. V. (2019). Bariatric surgery in brazilian public health system: the good, the bad and the ugly, or a long way to go. Yellow sign!. ABCD. Arquivos Brasileiros De Cirurgia Digestiva (são Paulo), 32(4), e1470. https://doi.org/10.1590/0102-672020190001e1470
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