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Inicio Cirugía Española (English Edition) Results of the national registry of patients diagnosed with inflammatory bowel d...
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Vol. 102. Issue 1.
Pages 44-52 (January 2024)
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Vol. 102. Issue 1.
Pages 44-52 (January 2024)
Special article
Results of the national registry of patients diagnosed with inflammatory bowel disease candidates for bariatric surgery (ReNacEIBar)
Resultados del registro nacional de pacientesdiagnosticados de enfermedad inflamatoria intestinal candidatos a cirugía bariátrica (ReNacEIBar)
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Manuel Ferrer-Márqueza,b,
Corresponding author
manuferrer78@hotmail.com

Corresponding author.
, M. Dolores Frutos Bernalc, Amador García Ruiz de Gordejuelad, Manuel García-Redondoa, Mónica Milláne, Fátima Sabench Pereferrerf, Jordi Tarascó Palomaresg, Grupo ReNacEIBar 1
a Unidad de Cirugía Bariátrica y Coloproctología, Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario Torrecárdenas, Almería
b Departamento de Cirugía Bariátrica (Obesidad Almería), Hospital Mediterráneo, Almería
c Servicio de Cirugía General y Aparato Digestivo, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia
d Unidad de Cirugía Endocrina, Bariátrica y Metabólica, Servicio de Cirugía General Hospital Universitari de la Vall d’Hebron, Universitat Autónoma, Barcelona
e Unidad de Coloproctología, Hospital Universitario y Politécnico La Fe, Valencia
f Facultad de Medicina. Unidad de Cirugía, Hospital Universitario Sant Joan, IISPV, Reus, Tarragona
g Servicio de Cirugía General y Aparato Digestivo, Hospital Universitari Germans Trias i Pujol, Badalona
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Statistics
Figures (2)
Tables (5)
Table 1. Baseline characteristics of patients with IBD treated with bariatric surgery.
Table 2. Characteristics of surgery according to type of IBD (CD vs UC).
Table 3. Weight evolution after bariatric surgery and its comparison between CD and UC.
Table 4. Evolution of IBD after bariatric surgery.
Table 5. Review of the literature of patients with IBD treated with bariatric surgery.
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Abstract
Background

Our aim is to carry out a national registry of patients with inflammatory bowel disease (IBD) who underwent bariatric surgery, as well as evaluate the results and management of this type of patients in the usual clinical practice.

Methods

National multicentric observational retrospective study, including patients, previously diagnosed with IBD who underwent bariatric surgery from January 2000 to December 2022.

Results

Forty-one patients have been included: 43,9% previously diagnosed with ulcerative colitis, 57,3% Crohn's disease, and an indeterminate colitis (2,4%). The preoperative BMI was 45.8 ± 6,1 kg/m2. Among the bariatric surgeries, 31 (75,6%) sleeve gastrectomy, 1 (2,4%) gastric bypass and 9 (22%) one anastomosis gastric have been carried out. During the postoperative period, 9.8% complications have been recorded. BMI was 29,5 ± 4,7 kg/m2 and percent total weight lost was 33,9 ± 9,1% at 12 months.

Conclusions

Bariatric surgery in patients with inflammatory bowel disease can be considered safe and effective.

Keywords:
Inflammatory bowel disease
RENACEIBAR
Bariatric surgery, gastric bypass
Laparoscopic sleeve gastrectomy
BAGUA
Ulcerative colitis, Crohn disease
Resumen
Introducción

El objetivo principal es realizar un Registro Nacional de pacientes diagnosticados de enfermedad inflamatoria intestinal (EII) que son sometidos a cirugía bariátrica, así como evaluar los resultados y aspectos fundamentales del manejo de este tipo de pacientes en la práctica clínica habitual.

Metodología

Estudio retrospectivo observacional multicéntrico nacional, en el que se incluyen pacientes diagnosticados previamente de EII, que hayan sido intervenidos de cirugía bariátrica desde enero de 2000 hasta diciembre de 2022.

Resultados

Se han incluido un total de 41 pacientes: 43,9% diagnosticados previamente de colitis ulcerosa, 53,7% de enfermedad de Crohn, y una colitis indeterminada (2,4%). El IMC preoperatorio ha sido de 45,8 ± 6,1 kg/m2. Se han realizado 31 (75,6%) gastrectomías verticales, 1 (2,4%) Bypass gástrico y 9 (22%) Bypass gástrico de una anastomosis. Se han registrado un 9,8% de complicaciones. A los 12 meses, el IMC medio fue de 29,5 ± 4,7 kg/m2, presentando un %PTP de 33,9 ± 9,1%.

Conclusiones

La cirugía bariátrica en pacientes previamente diagnosticados de EII se puede considerar eficaz en cuanto a pérdida de peso, y segura en relación con un porcentaje bajo de complicaciones.

Palabras clave:
Enfermedad inflamatoria intestinal
RENACEIBAR
Cirugía bariátrica, bypass gástrico
Gastrectomía vertical laparoscópica
BAGUA
Colitis ulcerosa, enfermedad Crohn

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