Obesity is a growing public health problem and one of the leading causes of morbidity and mortality. Surgical treatment is the most effective approach for achieving sustained weight loss and controlling associated comorbidities; therefore, lifelong follow- up should be mandatory.The Portuguese Society for Obesity and Metabolic Diseases Surgery (SPCO) developed the present proposal for multidisciplinary follow- ...
Sleeve Gastrectomy (SG) is the most widely performed bariatric surgery worldwide. Despite being considered a relatively simple surgery compared with other metabolic choices, it has no negligible risk of postoperative complications. Gastric fistulas are one of the most feared complications and the most consensual explanation is the increased intraluminal pressure because of any cause of gastric emptying impairme...
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INTRODUÇÃO: Estudos de investigação não clínica suportam a evidência da associação direta entre a obesidade e o aumento de stress oxidativo, diminuição da disponibilidade de óxido nítrico e consequente disfunção endotelial. Contudo, o impacto destas alterações in vivo é difícil de avaliar devido à inacessibilidade destes microvasos. Com este estudo pretendeu-se avaliar o impacto da obesidade ...
Bariatric surgery, although an effective method, still has complications, like nutritional deficiencies. Our aim was to summarize the evidence on the frequency of complex B vitamin deficiencies in studies comparing Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG). We included 25 studies for qualitative synthesis and 21 studies for quantitative synthesis. Relevant data was extracted, including proport...
Objetivo: Descrição do caso clínico de uma doente diagnosticada com pseudotumor cerebri que apresentou melhoria após ser submetida a cirurgia bariátrica para obesidade mórbida associada. Caso Clínico: Doente de 42 anos, com obesidade mórbida (IMC de 44.4 kg/m2) e antecedentes de transplante renal, recorre ao Serviço de Urgência por queixas de hipovisão e cefaleias refratárias à terapêutica. A acuidade visual in...
Neuroendocrine neoplasms (NENs) are the most common tumor of the appendix and have an excellent prognosis. Appendiceal tumors diagnosed between 1989 and 2019 were reviewed, and clinical data were collected from patient files. Part of the series was immuno-profiled for markers related to cell cycle proliferation and/or senescence-type, apoptotic, and metastatic potential. Appendix NENs were detected in 74 patien...
Exercise has been suggested as a therapeutic approach to attenuate bone loss induced by bariatric surgery (BS), but its effectiveness remains unclear. Our aim was to determine if an exercise-training program could induce benefits on bone mass after BS. Eighty-four patients, submitted to gastric bypass or sleeve gastrectomy, were randomized to either exercise (EG) or control group (CG). One month post-BS, EG und...
Introduction: Our objective is to determine which complications lead to reoperation, and the outcomes of reoperation using laparoscopic adjustable gastric banding, laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy at Centro Hospitalar de São João.Material and Methods: Observational study. Patients included were aged 18 to 65 years at first gastric banding, underwent removal from March 21...