León-Quintero N, Llamas-Prieto LE, Rodriguez-Rodriguez G, Sánchez-Rentería M, León-Quintero-Loreto M, Hernandez-Vázquez M, Tello-Gálvez SL, Parada-Gallardo FJ, Moreno-Díaz EA

Language: Spanish
References: 14
Page: 143-149
PDF size: 622.92 Kb.

ABSTRACT

Introduction Bariatric Analysis and Reporting Outcome System (BAROS) has been validated as the best comprehensive and objective evaluation system to assess the benefits of bariatric surgery. It considers different variables such as percentage of excess weight loss (% EWL), resolution and / or improvement of comorbidities, and postoperative quality of life. Complications of the procedure or surgical reoperations are also taken into account.
Material and Methods. The objective of the study was to create a comparison between Roux on Y Gastric Bypass (RYGB) and Gastric Sleeve (GS) to assess which of the two surgical techniques has the best outcomes according to the BAROS model. Of the 282 patients operated at San Javier Hospital between January 2011 and December 2016, only 66 agreed to consent to participate in the study. Of these patients, 37 were female and 29 male who were followed up at 6 and 12 months after surgery, 43 patients underwent RYGB and 23 GS.
Results. The pre-surgical average body mass index (BMI) was 38.9 kg / m2. The average age was 38 years and the %EWL was 69.5 for RYGB and 109.5 for GS. The majority of patients had improvement of their comorbidities. The quality of life according to the Moorehead- Ardelt questionnaire showed improvement in all patients. The evaluation with the BAROS score in the RYGB group was excellent in 93% and very good in 7% of patients. In the GS group, 87% obtained excellent results, 9% very good and 4% good.
Discussion. Both surgical approaches yielded excellent results of weight loss control in obese patients with associated comorbidities as well as improving their quality of life. These results demonstrate that BAROS is simple and quick evaluation tool for bariatric patients after surgery.

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