| Autor: |
Bettini S; Department of Medicine, University of Padova, 35128 Padova, Italy.; Center for the Study and the Integrated Treatment of Obesity, Padova University Hospital, 35128 Padova, Italy., Segato G; Department of General Surgery, 'San Bortolo' Hospital, 36100 Vicenza, Italy., Prevedello L; Center for the Study and the Integrated Treatment of Obesity, Padova University Hospital, 35128 Padova, Italy., Fabris R; Center for the Study and the Integrated Treatment of Obesity, Padova University Hospital, 35128 Padova, Italy., Prà CD; Center for the Study and the Integrated Treatment of Obesity, Padova University Hospital, 35128 Padova, Italy., Zabeo E; Center for the Study and the Integrated Treatment of Obesity, Padova University Hospital, 35128 Padova, Italy., Compagnin C; Department of Medicine, University of Padova, 35128 Padova, Italy., De Luca F; Department of Medicine, University of Padova, 35128 Padova, Italy., Finco C; General Surgery, 'Cazzavillan' Hospital, Arzignano, 36071 Vicenza, Italy., Foletto M; Center for the Study and the Integrated Treatment of Obesity, Padova University Hospital, 35128 Padova, Italy., Vettor R; Department of Medicine, University of Padova, 35128 Padova, Italy.; Center for the Study and the Integrated Treatment of Obesity, Padova University Hospital, 35128 Padova, Italy., Busetto L; Department of Medicine, University of Padova, 35128 Padova, Italy.; Center for the Study and the Integrated Treatment of Obesity, Padova University Hospital, 35128 Padova, Italy., On Behalf Of The Veneto Obesity Network |
| Abstrakt: |
Fewer studies compared the improvement of plasma lipid levels after different types of surgery, in particular compared to one-anastomosis gastric bypass (OAGB). The aim of our study was to investigate how laparoscopic sleeve gastrectomy (LSG) and OAGB impact on weight loss and lipid profile 18 months after surgery, in patients with severe obesity. Forty-six patients treated with OAGB were matched to eighty-eight patients submitted to LSG. Weight loss after OAGB (33.2%) was more evident than after LSG (29.6%) ( p = 0.024). The difference in the prevalence of dyslipidemia showed a statistically significant reduction only after OAGB (61% versus 22%, p < 0.001). After adjustment for delta body mass index (BMI), age and sex, we demonstrated a statistically significant decrease of the differences between the changes before and after (delta Δ) the two surgery procedures: Δ total cholesterol values ( p < 0.001), Δ low density lipoprotein-cholesterol values ( p < 0.001) and Δ triglycerides values ( p = 0.007). Patients with severe obesity undergoing to OAGB presented a better improvement of lipid plasma values than LSG patients. The reduction of lipid plasma levels was independent of the significant decrease of BMI after surgery, of age and of sex. |
