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Master Thesis

Place du médecin généraliste dans le suivi des cinq premières années après chirurgie bariatrique : enquête auprès de 84 médecins généralistes d’une cohorte de 80 patients opérés et suivis au Centre Spécialisé de l’Obésité de Réunion-Mayotte entre 2012 et 2014

Abstract : Introduction: one in ten Reunion Islanders is obese. Thus, bariatric surgery is experiencing a real boom on the island, like the metropolitan areas. The Academy of Medicine published a report in 2017 which highlights the importance of post-operative monitoring, in particular by the general practitioner. Unlike France, no studies have been carried out on the island. The main objective of this work is therefore to study the place of the general practitioner in the follow-up of the first five years of patients operated on and followed by the Specialized Center for Obesity (CSO) Réunion-Mayotte. Materials and methods: a questionnaire was sent by mail to the 84 general practitioners who followed at least one of the patients operated by the CSO between 2012 and 2014. A retrospective study of the cohort of 80 patients was also conducted. Results: among the 41 doctors who responded, 86% consider their place important in the postoperative monitoring of patients but recognize losing sight of it at least 10%. 56% feel incompetent to provide follow-up alone due to the non-compliance and psychological difficulties of certain patients. But 66% of doctors would be in favor of a consultation dedicated to post-operative follow-up. 5 years after having been operated mainly on a sleeve or bypass, 57.5% of the patients were reviewed by the CSO, who noted, as expected, a significant reduction in their weight and comorbidities. Conclusion: bariatric surgery makes it possible to reduce obesity and its comorbidities which particularly affect Reunion. Post-operative follow-up still needs to be improved by further integrating the general practitioner.
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https://dumas.ccsd.cnrs.fr/dumas-03124313
Contributor : Ufr Santé Unicaen <>
Submitted on : Thursday, January 28, 2021 - 3:53:26 PM
Last modification on : Thursday, April 22, 2021 - 3:27:51 AM
Long-term archiving on: : Thursday, April 29, 2021 - 7:44:25 PM

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  • HAL Id : dumas-03124313, version 1

Citation

Laurence Bandama Atiama. Place du médecin généraliste dans le suivi des cinq premières années après chirurgie bariatrique : enquête auprès de 84 médecins généralistes d’une cohorte de 80 patients opérés et suivis au Centre Spécialisé de l’Obésité de Réunion-Mayotte entre 2012 et 2014. Médecine humaine et pathologie. 2020. ⟨dumas-03124313⟩

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