Impaired Abdominal Skin Sensory Function in Morbid Obesity and After Bariatric Surgery

Impaired Abdominal Skin Sensory Function in Morbid Obesity and After Bariatric Surgery

Author Bussolaro, Rodolpho Alberto Autor UNIFESP Google Scholar
Garcia, Elvio Bueno Autor UNIFESP Google Scholar
Zanella, Maria Teresa Autor UNIFESP Google Scholar
Ferreira, Lydia Masako Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Bariatric surgery reduces body weight, but creates the need for surgical correction of the patient's body shape, especially of the abdomen. the abdominal skin of the ex-obese has a lower quantity of fibrous and non-fibrous components; however, its functional status has not yet been studied. This study quantified, at different depths, the neurological function of the abdominal skin of the obese and morbidly ex-obese.Semmes-Weinstein monofilaments were used to quantify sensory levels of abdominal skin at the supra-umbilical (SU), umbilical (U), and infra-umbilical (IU) levels in 25 currently morbidly obese, 56 post-bariatric patients (open Roux-en-Y gastric bypass), and 43 women with normal body weight and/or overweight without previous obesity (control).Only the control group showed a positive correlation between a worsening of sensory perception and age (p = 0.02). in the morbid obesity group, sensory threshold was higher at the IU level (9.60 g/mm(2)) than at the U (5.86 g/mm(2)) and SU (5.38 g/mm(2)) levels (p < 0.05). the mean sensory threshold for morbid obesity subjects (6.95 g/mm(2)) was higher than that of the post-bariatric patients (4.44 g/mm(2)), which in turn was higher than that of the control group (3.47 g/mm(2)), p < 0.01.Morbidly obese and post-bariatric patients have lost the normal positive correlation between age and skin sensitiveness. the IU region has sensitiveness compromised in morbid obesity. Sensory thresholds in post-bariatric patients showed improvement relative to morbidly obese, but remained worse than the control subjects.
Keywords Obesity
Bariatric surgery
Plastic surgery
Skin
Skin sensation
Tactile sensitiveness
Abdomen
Semmes-Weinstein monofilaments
Language English
Date 2012-03-01
Published in Obesity Surgery. New York: Springer, v. 22, n. 3, p. 353-359, 2012.
ISSN 0960-8923 (Sherpa/Romeo, impact factor)
Publisher Springer
Extent 353-359
Origin http://dx.doi.org/10.1007/s11695-011-0485-z
Access rights Closed access
Type Article
Web of Science ID WOS:000300251900002
URI http://repositorio.unifesp.br/handle/11600/34665

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