Evolução dos sintomas de compulsão alimentar um ano após cirurgia bariátrica e sua correlação com a perda de peso

Abstract

Background- Bariatric surgery is the most effective treatment for obesity class II and III. However, some patients do not get the desired results or initially lose and then regain the weight lost. To identify this symptom early on and treat these individuals adequately remains a challenge. As binge eating directly affects the food intake, the study of this symptom and its relation to bariatric surgery and its results is increasing, because it appears to have an influence on the observed results. Objectives- The purpose of our study is to see how the variation in the intensity of the BE- measured by the Binge Eating Scale (BES)- interferes in the %EWL one year after YRGB. Methods- We conducted a transversal study with 149 patients older than 18 years who were evaluated one year after performing YRGB. The variation in the intensity of binge eating was measured through the difference of the BES score pre and postoperative. Results- The variation of one unit in the BES implies an inverse variation of 0, 41% of %EWL (p <0, 05). The coefficient of correlation between the variation symptoms BE and the %EWL is -0,186 (p=0,033). The coefficient of correlation between the intensity of BE symptoms one year after surgery and the %EWL is -0,353 (p <0,001). Conclusions- There is a correlation between the variation in intensity of the BE one year after YRGB and the %EWL. The correlation between the BE and the %EWL is greater after the surgery than it is at the preoperative stage.