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Effects of Gastric Banding on Cardiovascular Risk Factors

Impact of Laparoscopic Stomach Banding on Heart Health of Morbidly Obese Patients

Weight Loss Surgery For Class 3 Obesity - Research Into Gastric Reduction Surgery

Effects of Gastric Banding on Cardiovascular Risk Factors in Morbidly Obese Patients

To analyze the short-term effects of weight loss on the cardiovascular risk factors in morbidly obese patients.

Method

Five metabolic cardiovascular risk factors (blood glucose, blood pressure, total cholesterol, high-density lipoprotein (HDL)-cholesterol, and triglycerides) were determined before and 15.3 +/- 2.1 months after laparoscopic gastric banding in 650 morbidly obese patients. Global cardiovascular risk was calculated according to the Prospective Cardiovascular Munster (PROCAM) scoring system.

Results

Mean weight loss was 22.7 +/- 20.4 kg. Normalization of the metabolic alteration was observed in 67.3% of patients with diabetes, 38.3% of patients with hypercholesterolemia, 72.5% of patients with low HDL-cholesterol, 72.3% of patients with hypertriglyceridemia, and 46.7% of patients with hypertension. PROCAM score fell from 31.4 +/- 11.6 to 28.0 +/- 12.0 points. The modifications of total cholesterol and blood pressure were unrelated to percentage weight loss. Percentage weight loss was significantly related to the reductions of fasting blood glucose, triglyceride level, and the PROCAM score and to the increase of HDL-cholesterol concentrations observed after surgery. However, the strength of these four relationships was generally low. The variations of HDL-cholesterol concentrations and blood pressure levels were more influenced by actual energy balance than by the extent of weight loss.

Issues

Weight loss observed in the first 12-18 months after gastric banding was associated with a significant improvement of single cardiovascular risk factors and global risk. On the other hand, the extent of weight loss was poorly related to the magnitude of improvement in cardiovascular risk.

Sources:
Busetto L, Sergi G, Enzi G, Segato G, De Marchi F, Foletto M, De Luca M, Pigozzo S, Favretti F. Obesity Unit, Department of Medical and Surgical Sciences, Unviersity of Padova, Padova, Italy.

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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. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources