| Autor: |
Prieto Recio JR; Hospital Universitario Río Hortega., Alonso Fernández JI; Hospital Universitario Río Hortega., Fierro Lorenzo I; Universidad Europea de Madrid., Rico Feijoo J; Hospital Universitario Río Hortega., Tejero-Pintor FJ; Hospital Universitario Río Hortega., Pacheco Sánchez D; Universidad de Valladolid., de Luis Román DA; Centro de Investigación de Endocrinología y Nutrición. Servicio de Endocrinología y Nutrición. Hospital Clínico Universitario de Valladolid., Aldecoa Álvarez-Santullano C; Hospital Universitario Río Hortega. |
| Jazyk: |
Spanish; Castilian |
| Zdroj: |
Nutricion hospitalaria [Nutr Hosp] 2020 Jul 13; Vol. 34 (3), pp. 474-482. |
| DOI: |
10.20960/nh.02907 |
| Abstrakt: |
Introduction: Introduction: obesity has become a worldwide health problem due to its relationship with cardiovascular morbimortality, thus bariatric surgery is considered as one of the main solutions for the correction of excess weight and, consequently, the improvement of its associated heart diseases. Objective: to compare vertical gastrectomy (VG) and biliopancreatic diversion (BPD) by observing echocardiographic characteristics both before and after surgery, as well as to evaluate surgical outcome in terms of the BAROS scale. Methods: results were collected from the echocardiographic testing requested for the preoperative study of patients who underwent surgery over the course of 24 months (from January 2014 to December 2015), as well as their anthropometric data. These were compared with postoperative parameters measured at 3 years after surgery. Results: finally, 26 patients were selected (13 VG and 13 BPD) with a mean age of 42 yrs. VG: initial BMI: 44.6 ± 7.1; final BMI: 31.8 ± 11.3 (p < 0.01); BPD: initial BMI: 48.1 ± 14.2; final BMI: 32.7 ± 10.4 (p < 0.01). Echocardiography: normal systolic function: 100% vs 92%; normal diastolic function: 88.5% vs 69.2%; no valvulopathy: 80% vs 69%; normal left atrium: 76.9% vs 73.1% (p > 0.05); HTA: 38.5% vs 19.2% (p < 0.05), preoperatively and postoperatively, respectively. Conclusions: no significant differences were found between the two groups studied with different techniques, although a slight deterioration in diastolic function was found in both groups. The comorbidities associated with obesity improved in both groups, and the surgery was scored as positive. The scant variation revealed by echocardiography prompts to reconsider its systematic preoperative use in these patients given the low cost-benefit ratio. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
|
