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Perfil clínico e epidemiológico de pacientes submetidos a cirurgia bariátrica em um hospital do sistema único de saúde.

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  • Bruno Gadelha Bezerra Silva Médico residente de Cirurgia Geral do Hospital e Maternidade José Martiniano de Alencar, Ceará, Brasil.
  • Antônio Gláucio de Sousa Nóbrega Médico preceptor de Cirurgia Geral e membro da equipe de Cirurgia Bariátrica e Metabólica do Hospital e Maternidade José Martiniano de Alencar, Ceará, Brasil.
  • Paulo Marcos Lopes Médico preceptor de Cirurgia Geral e membro da equipe de Cirurgia Bariátrica e Metabólica do Hospital e Maternidade José Martiniano de Alencar, Ceará, Brasil.
  • Adriano Veras Oliveira Médico preceptor de Cirurgia Geral e membro da equipe de Cirurgia Bariátrica e Metabólica do Hospital e Maternidade José Martiniano de Alencar, Ceará, Brasil.
  • Márcio Almeida de Sousa Jucá Médico preceptor de Cirurgia Geral e membro da equipe de Cirurgia Bariátrica e Metabólica do Hospital e Maternidade José Martiniano de Alencar, Ceará, Brasil.
  • Elciana Almeida Loiola Enfermeira do Serviço de Cirurgia Bariátrica e Metabólica do Hospital e Maternidade José Martiniano de Alencar, Brasil.

Resumo

A obesidade é uma doença crônica associada a comorbidades. Uma opção terapêutica é a cirurgia. É crescente o número de cirurgias bariátricas pelo Sistema Único de Saúde (SUS), porém há poucos relatos nacionais que descrevem as características dos pacientes operados. Objetivo: relatar o perfil clínico e epidemiológico dos pacientes submetidos à cirurgia bariátrica no Hospital José Martiniano de Alencar (HMJMA), instituição do SUS no Ceará. Materiais e Métodos: revisou-se os registros de 61 pacientes operados de outubro de 2018 à março de 2020 no referido hospital. Avaliou-se características sociodemográficas, histórico pessoal e familiar de obesidade, perfil antropométrico e comorbidades. Os dados foram apresentados por meio de estatística descritiva simples. Resultados: dos pacientes operados, cuja idade média foi de 38 anos, 84% eram do sexo feminino, 100% não tabagistas, 85% não alcoolistas, 67% casados e 80% moram na capital. Parcela considerável não tinham atividade remunerada (40%) nem ensino básico completo (22%). Foi referida obesidade na idade adulta em 73% e história familiar em 76%. Dos tratamentos prévios, mencionou-se dieta (92%) com orientação de nutricionista (59%), atividade física (75%) e uso de medicações (64%) com prescrição médica (29%). O índice de massa corporal (IMC) médio pré-operatório foi de 41,41 kg/m2. Todos tinham comorbidades, cuja prevalência de hipertensão arterial foi de 43%, diabetes 29% e dislipidemia 29%. Conclusão: o perfil dos pacientes operados de obesidade no HMJMA foi composto, principalmente, por mulheres, jovens, não tabagistas, não alcoolistas, obesos grau III com IMC médio de 41,41 kg/m2 e com múltiplas comorbidades, destacando-se as doenças metabólicas.

Palavras-chave: Epidemiologia, Obesidade, Cirurgia Bariátrica, SUS

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When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us, as it floats around us in an eternity of bliss; and then, my friend, when darkness overspreads my eyes, and heaven and earth seem to dwell in my soul and absorb its power, like the form of a beloved mistress, then I often think with longing, Oh, would I could describe these conceptions, could impress upon paper all that is living so full and warm within me, that it might be the mirror of my soul, as my soul is the mirror of the infinite God! O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents. I should be incapable of drawing a single stroke at the present moment; and yet I feel that I never was a greater artist than now. When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us. O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents.

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When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us, as it floats around us in an eternity of bliss; and then, my friend, when darkness overspreads my eyes, and heaven and earth seem to dwell in my soul and absorb its power, like the form of a beloved mistress, then I often think with longing, Oh, would I could describe these conceptions, could impress upon paper all that is living so full and warm within me, that it might be the mirror of my soul, as my soul is the mirror of the infinite God! O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents. I should be incapable of drawing a single stroke at the present moment; and yet I feel that I never was a greater artist than now. When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us. O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents.

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When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us, as it floats around us in an eternity of bliss; and then, my friend, when darkness overspreads my eyes, and heaven and earth seem to dwell in my soul and absorb its power, like the form of a beloved mistress, then I often think with longing, Oh, would I could describe these conceptions, could impress upon paper all that is living so full and warm within me, that it might be the mirror of my soul, as my soul is the mirror of the infinite God! O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents. I should be incapable of drawing a single stroke at the present moment; and yet I feel that I never was a greater artist than now. When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us. O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents.