Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/324359
Full metadata record
DC FieldValueLanguage
dc.contributor.CRUESPUNIVERSIDADE ESTADUAL DE CAMPINASpt_BR
dc.contributor.authorunicampChaim, Elinton Adamipt_BR
dc.contributor.authorunicampPareja, José Carlospt_BR
dc.typeArtigopt_BR
dc.titlePreoperative Multidisciplinary Program For Bariatric Surgery: A Proposal For The Brazilian Public Health Systemen
dc.titlePreoperative multidisciplinary program for bariatric surgery: a proposal for the brazilian public health systempt_BR
dc.title.alternativePrograma multidisciplinar de assistência pré-operatória para cirurgia bariátrica: uma proposta para o Sistema Público de Saúde do Brasilpt_BR
dc.contributor.authorChaim, E.A.pt_BR
dc.contributor.authorPareja, J.C.pt_BR
dc.contributor.authorGestic, M.A.pt_BR
dc.contributor.authorUtrini, M.P.pt_BR
dc.contributor.authorCazzo, E.pt_BR
unicamp.authorUniversidade Estadual de Campinas Faculdade de Ciências Médicas Departamento de Cirurgia, Campinas SP, Brazilpt_BR
dc.subjectObesityen
dc.subjectBariatric Surgeryen
dc.subjectGastric Bypassen
dc.subjectPublic Healthen
dc.subjectPreoperative Careen
dc.subjectObesidadeen
dc.subjectCirurgia Bariátricaen
dc.subjectDerivação Gástricaen
dc.subjectSaúde Públicaen
dc.subjectCuidados Pré-operatóriosen
dc.subjectObesidadept_BR
dc.subjectCirurgia bariátricapt_BR
dc.subject.otherlanguageObesitypt_BR
dc.subject.otherlanguageBariatric surgerypt_BR
dc.description.abstractBariatric surgery has become the gold standard treatment for morbid obesity, but access to surgery remains difficult and low compliance to postoperative follow-up is common. To improve outcomes, enable access and optimize follow-up, we developed a multidisciplinary preoperative approach for bariatric surgery. OBJECTIVE To determine the impact of this program in the outcomes of bariatric surgery in the Brazilian public health system. METHODS A prospective evaluation of the individuals who underwent a preoperative multidisciplinary program for bariatric surgery and comparison of their surgical outcomes with those observed in the prospectively collected historical database of the individuals who underwent surgery before the beginning of the program. RESULTS There were 176 individuals who underwent the multidisciplinary program and 226 who did not. Individuals who underwent the program had significantly lower occurrence of the following variables: hospital stay; wound dehiscence; wound infection; pulmonary complications; anastomotic leaks; pulmonary thromboembolism; sepsis; incisional hernias; eventrations; reoperations; and mortality. Both loss of follow-up and weight loss failure were also significantly lower in the program group. CONCLUSION The adoption of a comprehensive preoperative multidisciplinary approach led to significant improvements in the postoperative outcomes and also in the compliance to the postoperative follow-up. It represents a reproducible and potentially beneficial approach within the context of the Brazilian public health system.en
dc.description.abstractBariatric surgery has become the gold standard treatment for morbid obesity, but access to surgery remains difficult and low compliance to postoperative follow-up is common. To improve outcomes, enable access and optimize follow-up, we developed a multidipt_BR
dc.relation.ispartofArquivos de gastroenterologiapt_BR
dc.relation.ispartofabbreviationArq. gastroenterol.pt_BR
dc.publisher.citySão Paulo, SPpt_BR
dc.publisher.countryBrasilpt_BR
dc.publisherInstituto Brasileiro de Estudos e Pesquisas de Gastroenterologiapt_BR
dc.date.issued2017pt_BR
dc.identifier.citationArquivos De Gastroenterologia. Instituto Brasileiro De Estudos E Pesquisas De Gastroenterologia - Ibepege Colégio Brasileiro De Cirurgia Digestiva - Cbcd Sociedade Brasileira De Motilidade Digestiva E Neurogastroenterologia - Sbmdn Federação Brasileira De Gastroenterologia - Fbgsociedade Brasileira De Hepatologia - Sbhsociedade Brasileira De Endoscopia Digestiva - Sobed, v. 54, n. 1, p. 70 - 74pt_BR
dc.language.isoengpt_BR
dc.description.volume54pt_BR
dc.description.issuenumber1pt_BR
dc.description.firstpage70pt_BR
dc.description.lastpage74pt_BR
dc.rightsabertopt_BR
dc.rightsAbertopt_br
dc.sourceSCIELOpt_BR
dc.identifier.issn0004-2803pt_BR
dc.identifier.eissn1678-4219pt_BR
dc.identifier.idScieloS0004-28032017000100070pt_BR
dc.identifier.doi10.1590/s0004-2803.2017v54n1-14pt_BR
dc.identifier.urlhttp://www.scielo.br/scielo.php?script=sci_pdf&pid=S0004-28032017000100070pt_BR
dc.description.sponsorshipsem informaçãopt_BR
dc.description.sponsordocumentnumbersem informaçãopt_BR
dc.date.available2017-08-30T17:36:05Z-
dc.date.accessioned2017-08-30T17:36:05Z-
dc.description.provenanceMade available in DSpace on 2017-08-30T17:36:05Z (GMT). No. of bitstreams: 1 S0004-28032017000100070.pdf: 142128 bytes, checksum: 7f1f1c4132075ddfe5ab859369c02f62 (MD5) Previous issue date: 2017 Bitstreams deleted on 2021-01-04T21:12:35Z: S0004-28032017000100070.pdf,. Added 1 bitstream(s) on 2021-01-04T21:12:56Z : No. of bitstreams: 1 S0004-28032017000100070.pdf: 198771 bytes, checksum: e77ad3fdd8701c40e693948ee855b409 (MD5)en
dc.identifier.urihttp://repositorio.unicamp.br/jspui/handle/REPOSIP/324359-
dc.contributor.departmentDepartamento de Cirurgiapt_BR
dc.contributor.departmentDepartamento de Cirurgiapt_BR
dc.contributor.unidadeFaculdade de Ciências Médicaspt_BR
dc.contributor.unidadeFaculdade de Ciências Médicaspt_BR
dc.identifier.sourceS0004-28032017000100070pt_BR
dc.creator.orcid0000-0001-9370-9518pt_BR
dc.creator.orcid0000-0001-8993-7147pt_BR
dc.type.formArtigopt_BR
Appears in Collections:FCM - Artigos e Outros Documentos

Files in This Item:
File SizeFormat 
S0004-28032017000100070.pdf194.11 kBAdobe PDFView/Open


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.