{"id":8237,"date":"2024-08-08T06:30:00","date_gmt":"2024-08-08T09:30:00","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/?p=8237"},"modified":"2024-07-30T22:37:28","modified_gmt":"2024-07-31T01:37:28","slug":"mecanismos-de-acao-das-cirurgias-bariatrica-e-metabolicas-muito-alem-de-restricao-e-ma-absorcao","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/cirurgia\/mecanismos-de-acao-das-cirurgias-bariatrica-e-metabolicas-muito-alem-de-restricao-e-ma-absorcao\/","title":{"rendered":"Mecanismos de a\u00e7\u00e3o das cirurgias bari\u00e1trica e metab\u00f3licas: Muito al\u00e9m de restri\u00e7\u00e3o e m\u00e1 absor\u00e7\u00e3o"},"content":{"rendered":"<div class=\"pdfprnt-buttons pdfprnt-buttons-post pdfprnt-top-right\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/8237?print=pdf\" class=\"pdfprnt-button pdfprnt-button-pdf\" target=\"_blank\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/plugins\/pdf-print\/images\/pdf.png\" alt=\"image_pdf\" title=\"Ver PDF\" \/><\/a><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/8237?print=print\" class=\"pdfprnt-button pdfprnt-button-print\" target=\"_blank\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/plugins\/pdf-print\/images\/print.png\" alt=\"image_print\" title=\"Conte\u00fado de impress\u00e3o\" \/><\/a><\/div>\n<p>A obesidade \u00e9 uma doen\u00e7a cr\u00f4nica e \u00e9 considerada uma epidemia global sendo associada a uma s\u00e9rie de complica\u00e7\u00f5es, tais como diabetes tipo 2, hipertens\u00e3o, dislipidemia e doen\u00e7as cardiovasculares. A cirurgia bari\u00e1trica\/metab\u00f3lica \u00e9 eficaz no tratamento da obesidade e na melhora ou resolu\u00e7\u00e3o de diversas complica\u00e7\u00f5es associadas.<\/p>\n\n\n\n<p>No Brasil as cirurgias bari\u00e1tricas\/metab\u00f3licas mais realizadas s\u00e3o Bypass g\u00e1strico em Y de Roux e Gastrectomia vertical. Muitos ainda acreditam que as cirurgias funcionam apenas por meio de restri\u00e7\u00e3o alimentar e disabsor\u00e7\u00e3o. No entanto, as interven\u00e7\u00f5es cir\u00fargicas ocasionam diversas mudan\u00e7as fisiol\u00f3gicas que contribuem para seus mecanismos de a\u00e7\u00e3o. Restri\u00e7\u00e3o e m\u00e1 absor\u00e7\u00e3o s\u00e3o complica\u00e7\u00f5es das cirurgias bari\u00e1tricas e metab\u00f3licas.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-impacto-da-cirurgia-bariatrica-metabolica-nas-alteracoes-hormonais\"><strong>Impacto da Cirurgia Bari\u00e1trica\/metab\u00f3lica nas Altera\u00e7\u00f5es Hormonais:<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Insulina e Horm\u00f4nios Incret\u00ednicos:<\/strong> Pacientes submetidos \u00e0 cirurgia bari\u00e1trica\/metab\u00f3lica frequentemente apresentam melhora na sensibilidade \u00e0 insulina e na secre\u00e7\u00e3o de horm\u00f4nios incret\u00ednicos, como o pept\u00eddeo semelhante ao glucagon 1 (GLP-1) e o pept\u00eddeo insulinotr\u00f3pico dependente de glicose (GIP). Essas altera\u00e7\u00f5es contribuem para o controle glic\u00eamico e a remiss\u00e3o do diabetes tipo 2, al\u00e9m de promover menos fome e saciedade.<\/li>\n\n\n\n<li><strong>Leptina e Grelina:<\/strong> A cirurgia bari\u00e1trica\/metab\u00f3lica pode resultar em redu\u00e7\u00e3o da leptina, horm\u00f4nio produzido pelo tecido adiposo que regula a saciedade, e diminui\u00e7\u00e3o dos n\u00edveis de grelina, horm\u00f4nio orex\u00edgeno sintetizado no est\u00f4mago. Essas mudan\u00e7as hormonais auxiliam na regula\u00e7\u00e3o do apetite e na manuten\u00e7\u00e3o da perda de peso p\u00f3s-cirurgia. Por\u00e9m, n\u00e3o h\u00e1 evid\u00eancia de que esses efeitos tenham interfer\u00eancia nos resultados a longo prazo, principalmente em rela\u00e7\u00e3o \u00e0 perda ponderal.<\/li>\n\n\n\n<li><strong>Pept\u00eddeo YY (PYY) e a oxintomodulina (OXM):<\/strong> Estes horm\u00f4nios est\u00e3o envolvidos na regula\u00e7\u00e3o do apetite e da saciedade, tamb\u00e9m podem ser influenciados pela cirurgia bari\u00e1trica\/metab\u00f3lica promovendo uma resposta metab\u00f3lica favor\u00e1vel e ajudando na manuten\u00e7\u00e3o da perda de peso a longo prazo<\/li>\n\n\n\n<li><strong>Modifica\u00e7\u00e3o da Microbiota Intestinal :<\/strong> A cirurgia bari\u00e1trica\/metab\u00f3lica pode alterar a composi\u00e7\u00e3o e a fun\u00e7\u00e3o da microbiota intestinal, que desempenha um papel importante na regula\u00e7\u00e3o do peso corporal e do metabolismo. Essas altera\u00e7\u00f5es podem contribuir para a melhoria do controle glic\u00eamico e do metabolismo lip\u00eddico. As modifica\u00e7\u00f5es da flora bacteriana t\u00eam rela\u00e7\u00e3o direta com aumento de circula\u00e7\u00e3o de \u00e1cidos biliares secund\u00e1rios que tem dentre suas a\u00e7\u00f5es fisiol\u00f3gicas a diminui\u00e7\u00e3o da fome, aumento da saciedade e melhora de secre\u00e7\u00e3o insul\u00ednica incretino-independente, isto \u00e9, sua secre\u00e7\u00e3o independe de ingesta alimentar para ocorrer.<\/li>\n\n\n\n<li><strong>Melhora da Sensibilidade \u00e0 Insulina:<\/strong> Muitos portadores de obesidade tamb\u00e9m apresentam resist\u00eancia \u00e0 insulina, um fator de risco para o desenvolvimento de diabetes tipo 2. A perda de peso induzida pela cirurgia bari\u00e1trica\/metab\u00f3lica melhora a sensibilidade \u00e0 insulina e, em alguns casos, levar \u00e0 remiss\u00e3o do diabetes tipo 2.<\/li>\n\n\n\n<li><strong>Redu\u00e7\u00e3o da Inflama\u00e7\u00e3o Cr\u00f4nica:<\/strong> A obesidade est\u00e1 frequentemente associada a um estado de inflama\u00e7\u00e3o cr\u00f4nica de baixo grau, que contribui para o desenvolvimento de doen\u00e7as metab\u00f3licas, cardiovasculares e outras condi\u00e7\u00f5es cr\u00f4nicas. A perda de peso ap\u00f3s a cirurgia bari\u00e1trica\/metab\u00f3lica pode reduzir a inflama\u00e7\u00e3o e melhorar a sa\u00fade geral do paciente<\/li>\n<\/ul>\n\n\n\n<p>As altera\u00e7\u00f5es hormonais desencadeadas pela cirurgia bari\u00e1trica\/metab\u00f3lica desempenham um papel fundamental nos efeitos metab\u00f3licos e fisiol\u00f3gicos observados ap\u00f3s o procedimento. Compreender essas mudan\u00e7as hormonais \u00e9 essencial para melhorar as estrat\u00e9gias terap\u00eauticas e otimizar os resultados cl\u00ednicos em pacientes submetidos \u00e0 cirurgia bari\u00e1trica\/metab\u00f3lica.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-leia-tambem\"><strong>Leia tamb\u00e9m<br><\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/gastropedia.pub\/pt\/cirurgia\/como-identificar-quem-tera-a-melhor-resposta-a-cirurgia-bariatrica-e-metabolica\/\">Como identificar quem ter\u00e1 a melhor resposta \u00e0 cirurgia bari\u00e1trica e metab\u00f3lica<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/gastropedia.pub\/pt\/cirurgia\/obesidade\/gastrectomia-vertical-e-bypass-gastrico-em-y-de-roux-existe-diferenca-nos-resultados-a-longo-prazo\/\" target=\"_blank\" rel=\"noreferrer noopener\">Gastrectomia Vertical e Bypass G\u00e1strico em Y de Roux. Existe diferen\u00e7a nos resultados a longo prazo?<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/gastropedia.pub\/pt\/cirurgia\/obesidade\/reganho-de-peso-e-perda-de-peso-insuficiente-apos-cirurgia-bariatrica\/\" target=\"_blank\" rel=\"noreferrer noopener\">Reganho de peso e perda de peso insuficiente ap\u00f3s cirurgia bari\u00e1trica<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-referencias\"><strong>Refer\u00eancias:<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Laferrere B. Diabetes remission after bariatric surgery: is it just the incretins? Int J Obes. 2011;35 Suppl 3:S22\u20135.<\/li>\n\n\n\n<li>UK Prospective Diabetes Study (UKPDS) Group. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet 1998;352:837\u2013853<\/li>\n\n\n\n<li>Cohen RV, Pinheiro JC, Schiavon CA, Salles JE, Wajchenberg BL, Cummings DE. Effects of gastric bypass surgery in patients with type 2 diabetes and only mild obesity. Diabetes Care 2012;35:1420-8. DOI: <a href=\"http:\/\/dx.doi.org\/10.2337\/dc11-2289\">http:\/\/dx.doi.org\/10.2337\/dc11-2289<\/a><\/li>\n\n\n\n<li>Hansen EN, Tamboli RA, Isbell JM, et al. Role of the foregut in the early improvement in glucose tolerance and insulin sensitivity following Roux-en-Y gastric bypass surgery. Am J Physiol Gastrointest Liver Physiol. 2011;300(5):G795\u2013802.<\/li>\n\n\n\n<li>Cohen RV, Rubino F, Schiavon C, Cummings DE. Diabetes remission without weight loss after duodenal bypass surgery. Surg Obes Relat Dis 2012;8:e66\u2013e68<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-como-citar-este-artigo\">Como citar este artigo<\/h2>\n\n\n\n<p class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">Pechy F, Cohen R. Mecanismos de a\u00e7\u00e3o das cirurgias bari\u00e1trica e metab\u00f3licas: Muito al\u00e9m de restri\u00e7\u00e3o e m\u00e1 absor\u00e7\u00e3o Gastropedia 2024; vol 2. Dispon\u00edvel em: <a href=\"https:\/\/gastropedia.pub\/pt\/?p=8237\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/gastropedia.pub\/pt\/cirurgia\/mecanismos-de-acao-das-cirurgias-bariatrica-e-metabolicas-muito-alem-de-restricao-e-ma-absorcao<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A obesidade \u00e9 uma doen\u00e7a cr\u00f4nica e \u00e9 considerada uma epidemia global sendo associada a uma s\u00e9rie de complica\u00e7\u00f5es, tais como diabetes tipo 2, hipertens\u00e3o, dislipidemia e doen\u00e7as cardiovasculares. A&hellip;<\/p>\n","protected":false},"author":5787,"featured_media":8560,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[24,30],"tags":[],"ano":[396],"tipo":[121],"volume":[44],"class_list":["post-8237","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cirurgia","category-obesidade","ano-396","tipo-assuntos-gerais","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Mecanismos de a\u00e7\u00e3o das cirurgias bari\u00e1trica e metab\u00f3licas: Muito al\u00e9m de restri\u00e7\u00e3o e m\u00e1 absor\u00e7\u00e3o - Gastropedia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/gastropedia.pub\/pt\/cirurgia\/mecanismos-de-acao-das-cirurgias-bariatrica-e-metabolicas-muito-alem-de-restricao-e-ma-absorcao\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Mecanismos de a\u00e7\u00e3o das cirurgias bari\u00e1trica e metab\u00f3licas: Muito al\u00e9m de restri\u00e7\u00e3o e m\u00e1 absor\u00e7\u00e3o\" \/>\n<meta property=\"og:description\" content=\"A obesidade \u00e9 uma doen\u00e7a cr\u00f4nica e \u00e9 considerada uma epidemia global sendo associada a uma s\u00e9rie de complica\u00e7\u00f5es, tais como diabetes tipo 2, hipertens\u00e3o, dislipidemia e doen\u00e7as cardiovasculares. 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