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Effect of Vertical Banded Gastroplasty on Hypertension, Diabetes and Dyslipidemia

Weight Loss After Gastroplasty Improves Blood Pressure, Triglyceride Levels and Glycemia

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Effect of Vertical Banded Gastroplasty on Hypertension, Diabetes and Dyslipidemia

Operations for morbid obesity that are effective in inducing weight loss improve blood pressure, glycemic control and dyslipidemia. Our purpose was to study the effectiveness of vertical banded gastroplasty in improving hypertension, diabetes and dyslipidemias in morbidly obese patients.

Method

Retrospective analysis of a cohort of 80 morbidly, obese patients was conducted. Characteristics of patients were: mean age 37 years; gender: women 65, men 15; mean initial BMI 49.5 kg/m2; follow-up > 5 years in 52 patients. Blood pressure, cholesterol and triglyceride levels and glycemia were assessed preoperatively and 1, 3, 6, 12, 18 months and every year after vertical banded gastroplasty.

Results

Hypertension resolved in 65.5% of patients (38 of 58), serum cholesterol level became normal in 34.28% of patients (12 of 35), triglyceride level became normal in 77.77% (7 of 9) and diabetes resolved in 55.55% (5 of 9).

Conclusion

Weight loss induced by vertical banded gastroplasty improves blood pressure, triglyceride levels and glycemia. The beneficial changes occur early in the postoperative period and last 5 years or more, despite of the trend to regain some weight. Improvements in risk factors were greater in patients with higher preoperative values.

Source:
Arribas del Amo D, Elia Guedea M, Aguilella Diago V, Martinez Diez M. Department of Surgery, Clinico Universitario Lozano Blesa, San Juan Bosco, Zaragoza, Spain. 2002

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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2008 Bariatric-Surgery.Info - Terms - Contact - Information - Resources - Add URL