gastroenterologist-2016_posters-accepted-abstracts

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Gastro 2016

August 11-12, 2016

Volume 6, Issue 4(Suppl)

J Gastrointest Dig Syst 2016

ISSN:2161-069X JGDS, an open access journal

conferenceseries

.com

August 11-12, 2016 Birmingham, UK

Global Gastroenterologists Meeting

Psychodynamics of patients who regained weight after bariatric surgery

Michele Daiane Birck

and

Terezinha de Camargo Viana

University of Brasilia, Brazil

ariatric surgery has been identified as the best treatment to severe obesity, considering criteria of loss and maintenance of

weight as well as reversing the adverse effects of obesity. However, 20-30% of patients undergoing surgery begin to regain

weight, on average, 24 months after the procedure, possibly decreasing their levels of quality of life, health and psychosocial

well-being achieved with weight loss. This study is the first author's doctoral work and is ongoing. It aims to identify the

psychodynamics of patients who regained weight after bariatric surgery. To this end, it intends to apply a semi-structured

interview (with the use of questionnaires) and run group of patients who regained weight. The group will be attended by up

to 15 people who have bariatric surgery for at least three years ago. Participants will be invited in private clinic specializing in

obesity. It is intend to make 12 bimonthly sessions, with discussion of subjects generators, in other words, issues related to the

context of obesity and weight regained and previously defined based on the demand of the participants and the experience of

the researcher. It is believed that there are unclear psychodynamic issues present in obese people, which surgery does not access,

leading to weight regained. From the better understanding of the phenomenon regain, it intends to improve the guidelines for

psychological care to the subject in the pre and post-bariatric surgery and be able to rethink the current psychological inclusion

and exclusion criteria for the surgical procedure.

The importance of oral health in pre and postoperative bariatric patients

Ricardo Bruno Ventre

University of Mogi das Cruzes, Brazil

ral health has become an important part of the multidisciplinary team that works with the candidates for bariatric

surgery. Important studies have shown the relationship of obesity and its impacts on oral health, demonstrating that this

combination can lead to the worse of both problems. The diabetes mellitus is a major target of this relationship especially with

periodontal disease that is a leading cause of tooth loss. Bariatric patients could be more vulnerable to tooth decay based on the

need of more frequent and prolonged meals during the day. It can also lead to plaque accumulation and the formation of dental

calculus, which, if untreated, can implicate in worst periodontal diseases by compromising the bone support of the tooth. The

meals’ periodicity and its quality, as well as the modification of the salivary activity and its modified Ph (vitamin deficiencies

and anemia), can lead to an increased cariogenic capacity of the biofilm adhered to tooth surface. Without teeth and some

changes in the oral structures, especially with prosthesis not well adapted, you cannot chew and grind the food correctly, and

that is the basic condition for the main nutrients absorption.

J Gastrointest Dig Syst 2016, 6:4(Suppl)