Cited by 93Bariatric Surgery and OutcomesPharmacology and Obesity TreatmentBody Contouring and Surgery

Tratamento de curto prazo com liraglutide no reganho de peso após cirurgia bariátrica

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Pajecki, Denis, Halpern, Alfredo, Cercato, Cintia, Mancini, Marcio, Cleva, Roberto de, Santo, Marco Aurélio·2013·Revista do Colégio Brasileiro de Cirurgiões

Abstract

OBJETIVO: avaliar os resultados da utilização do liraglutide em um grupo de pacientes submetidos ao tratamento cirúrgico da obesidade mórbida com perda insatisfatória de peso ou ganho de mais de 15% do seu peso mínimo atingido. MÉTODOS: realizou-se análise retrospectiva de 15 pacientes operados que tiveram perda de excesso de peso <50% após dois anos de seguimento ou reganho de peso de mais de 15% do peso mínimo atingido. Foram incluídos apenas pacientes que apresentavam a "anatomia cirúrgica" normal avaliada por radiografia contrastada e endoscopia digestiva alta. A média de idade foi 47,2±12,5 anos e os pacientes receberam liraglutide na dose de 1,2 a 3,0mg/dia por oito a 28 semanas de seguimento. RESULTADOS: o tratamento cirúrgico induziu uma perda de peso de 34,1± 16,5Kg. A média de reganho de peso após 5,3 ±3,3 anos foi 14,2±12,1Kg. A media de peso reduziu significativamente após o tratamento com liraglutide (100,9±18,3Kg vs. 93,5±17,4Kg; p<0,0001). Seis pacientes apresentaram náuseas e dois descontinuaram o tratamento em decorrência do custo da medicação. CONCLUSÃO: o tratamento clínico medicamentoso dirigido para o controle da saciedade com o uso do liraglutide pode ser uma alternativa para manejo dos pacientes com reganho de peso ou perda insuficiente após o tratamento cirúrgico, quando nenhum problema técnico tenha sido identificado.

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  1. Rev. Col. Bras. Cir. 2012; 40(3): 191-195

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Authors
Pajecki, D., Halpern, A., Cercato, C., Mancini, M., Cleva, R. D., & Santo, M. A.
Affiliations
Universidade de São Paulo (BR)
Venue
Revista do Colégio Brasileiro de Cirurgiões
Published
2013-06
Volume
40
Issue
3
Pages
191-195
ISSN
0100-6991 (ISSN-L)
OpenAlex
W2049384527
Cited by
93
References
14
Citations by year
2026: 6 · 2025: 11 · 2024: 16 · 2023: 12 · 2022: 9 · 2021: 8 · 2020: 8 · 2019: 7 · 2018: 6 · 2017: 4 · 2016: 6
FWCI
1.97
Type
journal article
Language
pt
Open access
Licence
cc-by-nc
Locations
  • Revista do Colégio Brasileiro de Cirurgiões (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
  • Americanae (AECID Library) (submittedVersion, cc-by-nc)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
  • Health Sciences › Medicine › Pharmacology › Pharmacology and Obesity Treatment
  • Health Sciences › Medicine › Surgery › Body Contouring and Surgery
Keywords
liraglutide, bariatric surgery, morbid obesity, weight regain, weight loss, GLP-1 receptor agonists
MeSH terms
Liraglutide, Female, Humans, Male, Middle Aged, Obesity, Morbid, Retrospective Studies, Time Factors, Weight Gain, Treatment Failure, Bariatric Surgery, Glucagon-Like Peptide 1

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