Tratamento de curto prazo com liraglutide no reganho de peso após cirurgia bariátrica
Open accessAbstract
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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Most reports on GLP1-RA efficacy in patients with weight regain after bariatric surgery are limited to liraglutide and come from observational studies or case reports.
“Reports on the efficacy of GLP1-RAs in patients with weight regain after bariatric surgery are mostly limited to liraglutide in observational studies or case reports [9–20].”
The role of GLP1-RAs in treating weight regain after bariatric surgery is still not defined.
“Their role in the treatment of weight regain after bariatric surgery remains to be defined.”
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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
- Publisher
- FapUNIFESP (SciELO)
- 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
- gold
- doi.org
- 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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