Implementation of the bariatric surgery program at the Hospital de Especialidades de las Fuerzas Armadas No. 1: initial results

Abstract

Introduction: the obesity affects about 22.1% of the Ecuadorian population and its prevalence continues to increase. Bariatric surgery is an effective option for its treatment, but it reaches only 1% of the affected population.

Objective: to describe the experience in the implementation of bariatric surgery program at the Hospital de Especialidades de las Fuerzas N° 1.

Methodology: It is a descriptive and retrospective study, it was conducted from February 2016 to February 2019; demographic characteristics, presurgical follow-up, weight evolution before and after the procedure was measured at short, medium and long term.

Results: A total of 39 individuals were included, 74.4% women and 25.6% men. The average age was 45.9 years (SD ± 9.9 years); the mean body mass index at the first evaluation was 41.04 kg / m2 (DS ± 5.1), at the first month a percentage reduction of excess weight of 21.7% (DS ± 14.7) was achieved, at the third month 42.8% ( SD ± 18.27) and one year after 66.3% (DS ± 12.6), however, 13 patients abandoned follow-up.

Conclusion: despite the technical and operational difficulties in implementing a bariatric sur