Bariatrik Cerrahi Olgularında Preoperatif Değerlendirme Sırasında Tespit Edilen Hastalıkların Prevalansı

Year 2020, Volume: 10 Issue: 4, 650 - 654, 15.12.2020

Feyzi Gökosmanoğlu Kerim Güzel Gülşah Bayçelebi

https://doi.org/10.31832/smj.791837

Abstract

Giriş: Obezite prevalansı dünya çapında artmaktadır. Bu durum önemli bir sağlık sorunu haline geldi. Morbid obezitede başarılı tedavi yöntemlerinden biride bariatrik cerrahidir. Obeziteye eşlik eden hastalıkların tesbit edilmesi, preoperatif mortalite riskini ve postoperatif başarıyı öngörmemizi sağlayacaktır.
Gereç ve Yöntemler: Araştırmamız Ekim 2016-Ağustos 2020 yılları arasında hastanemiz Metabolik ve Bariatrik Cerrahi kliniğimizde morbid obezite nedeni ile bariatrik cerrahi yapılan toplam 742 olgu üzerinde yürütüldü.

Bulgular: Dosyaları incelenen 742 hastanın kayıtları değerlendirildi. Hastaların 474 kadın, 268 erkek, yaş ortalaması 50.8 ± 8.9 yıl, ortalama vücut kitle indeksi (VKİ) 48.9 ± 5.0 kg/m2 idi. Obezite prevalansındaki artış ile tip-2 diyabet, hipertansiyon, metabolik sendrom ve diğer hastalıklarda ciddi artışlar tesbit edildi. Tiroid ve adrenal bez hastalıklarında artış yada tesbit edilme sıklığı göze çarpmaktadır.

Sonuç: Obezite prevalansındaki artış ile birlikte obeziteye eşlik eden hastalıklarda da artış saptanmaktadır. Obezite olguları preoperatif dönemde değerlendirilmeleri sırasında eşlik eden hastalıkların saptanması, cerrahi öncesi tedavisi, cerrahiye bağlı mortalite ve morbiditeyi azaltır, cerrahinin başarısını artırır.

Objective: The prevalence of obesity is increasing worldwide. This has become an important health problem. One of the successful treatment methods in morbid obesity is the bariatric surgery. Detecting the diseases that accompany obesity will enable us to predict the risk of preoperative mortality and postoperative success.

Materials and Methods: The present study was conducted between October 2016 and August 2020 on a total of 742 cases that under went bariatric surgery because of morbid obesity in our hospital Metabolic and Bariatric Surgery Clinic.

Results: The records of a total of 742 patients whose medical files were examined were evaluated in the study. The mean age of 474 women, 268 men was 50.8 ± 8.9 years, the mean Body Mass Index (BMI) was 48.9 ± 5.0 kg/m2. Significant increases were detected with the increase in obesity prevalence and Type-2 Diabetes, Hypertension, Metabolic Syndrome and other diseases. The frequency of increase or detection of thyroid and adrenal glands diseases was also noticeable in this respect.

Conclusion: An increase was detected in the diseases that accompany obesity with the increase in obesity prevalence. Obesity decreases the detection of comorbidities during the evaluation of cases in preoperative period, pre-surgical treatment, and reduces mortality and morbidity because of surgery, and increases the success of surgery.

Keywords

Bariatrik cerrahi, preoperatif değerlendirme, obezite

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