Beneficial Effects of Bariatric Surgery on Cardiac Structure and Function in Obesity.

Abstract:

BACKGROUND:Bariatric surgery is being considered as a therapeutic option for morbidly obese patients. Data are accumulating showing that this surgical intervention may improve in major cardiovascular morbidity and mortality. We evaluated the effects of bariatric surgery on left ventricular (LV) structure and function including LV mechanics in obese patients. METHODS:Thirty-seven patients (age = 36 ± 10 years; male:female = 11:26) undergoing bariatric surgery were enrolled. Echocardiography was performed before and after at least 1 year of bariatric surgery. Conventional echocardiographic parameters, including tissue Doppler measurements, were measured. LV global longitudinal, circumferential, and radial deformations were assessed utilizing 2D speckle tracking software. RESULTS:Patients decreased body mass index by 11.8 ± 4.7 over 15.6 ± 5.5 months. Bariatric surgery led to significant decreases in left ventricular (LV) size and mass (51.0 ± 3.3 to 49.1 ± 3.4 mm, p < 0.001 for LV end-diastolic dimension; 192.6 ± 33.5 to 146.2 ± 29.1 g, p < 0.001 for LV mass), and increases were noted in the ratio of early-to-late diastolic mitral inflow (E/A), early diastolic tissue Doppler velocity (Em), and LV longitudinal strain (1.42 ± 0.52 to 1.59 ± 0.56, p = 0.04 for E/A ratio; 9.7 ± 2.0 to 11.0 ± 2.4 cm/s, p < 0.001 for Em; 14.1 ± 1.9 to 16.2 ± 1.4 %, p < 0.001 for longitudinal strain). Changes of LV longitudinal strain were related to LV mass reduction (p = 0.04). However, LV ejection fraction, LV circumferential, and radial strains were all comparable at follow-up. CONCLUSION:Significant weight loss by bariatric surgery was associated with improved LV structure and function in obese patients, suggesting potential favorable effects of bariatric surgery to prevent future cardiovascular events.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Shin SH,Lee YJ,Heo YS,Park SD,Kwon SW,Woo SI,Kim DH,Park KS,Kwan J

doi

10.1007/s11695-016-2330-x

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

620-625

issue

3

eissn

0960-8923

issn

1708-0428

pii

10.1007/s11695-016-2330-x

journal_volume

27

pub_type

杂志文章
  • Impact of morbid obesity on chewing ability.

    abstract:BACKGROUND:This study compared the chewing parameters in a group of obese adult patients scheduled for gastric bypass surgery with those of a control group. METHODS:Chewing parameters were measured in two groups of subjects, one of 44 obese patients scheduled for gastric bypass surgery (body mass index [BMI] = 49.1 +/...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-008-9443-9

    authors: Veyrune JL,Miller CC,Czernichow S,Ciangura CA,Nicolas E,Hennequin M

    更新日期:2008-11-01 00:00:00

  • Anatomy and complications following laparoscopic sleeve gastrectomy: radiological evaluation and imaging pitfalls.

    abstract:BACKGROUND:To evaluate the post-operative gastric anatomy depicted by upper gastrointestinal gastrografin swallow studies (UGI) and report radiological work-up and management of complications following laparoscopic sleeve gastrectomy (LSG). METHODS:The study included 85 consecutive patients who underwent LSG for the t...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-010-0236-6

    authors: Triantafyllidis G,Lazoura O,Sioka E,Tzovaras G,Antoniou A,Vassiou K,Zacharoulis D

    更新日期:2011-04-01 00:00:00

  • Trocar Injuries in 17,446 Laparoscopic Gastric Bypass-a Nationwide Survey from the Scandinavian Obesity Surgery Registry.

    abstract:BACKGROUND:Although, the vast majority of bariatric procedures worldwide are performed laparoscopically, there is no consensus on the best technique to enter the first trocar, a potentially dangerous maneuver. Three principally different techniques exist: initial pneumoperitoneum by Verres needle, open Hasson technique...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-016-2080-9

    authors: Sundbom M,Ottosson J

    更新日期:2016-09-01 00:00:00

  • Upper Gastrointestinal Endoscopy prior to Bariatric Surgery-Mandatory or Expendable? An Analysis of 801 Cases.

    abstract:BACKGROUND:Upper gastrointestinal pathologies are common in bariatric patients. Preoperative esophagogastroduodenal endoscopy (EGD) should detect and treat pathologies that might alter the type of bariatric surgery. However, clinical consequences of these findings are often insignificant. The aim of this study was to a...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-2622-9

    authors: Wolter S,Duprée A,Miro J,Schroeder C,Jansen MI,Schulze-Zur-Wiesch C,Groth S,Izbicki J,Mann O,Busch P

    更新日期:2017-08-01 00:00:00

  • Uncommon intragastric migration of the Swedish adjustable gastric band.

    abstract:BACKGROUND:The aim of this study was to assess the incidence of intragastric migration of the Swedish adjustable gastric band (SAGB) and to evaluate the safety and effectiveness of gastroscopic band removal. METHODS:Between January 1996 and December 2001, 454 patients (381 women, 73 men) underwent a laparoscopic SAGB ...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章

    doi:10.1381/096089202321088183

    authors: Mittermair RP,Weiss H,Nehoda H,Aigner F

    更新日期:2002-06-01 00:00:00

  • Gut hormones and leptin: impact on energy control and changes after bariatric surgery--what the future holds.

    abstract::Obesity is now considered the new world epidemic. In an attempt to face this menace to public health, several treatments, apart from the traditional nutritional modification and oral medication, have been introduced, among them bariatric surgery and gut hormone-based treatments. The gastrointestinal (GI) tract is a po...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-012-0698-9

    authors: Michalakis K,le Roux C

    更新日期:2012-10-01 00:00:00

  • Type 1 Diabetes Mellitus and Bariatric Surgery: A Systematic Review and Meta-Analysis.

    abstract:BACKGROUND:Type 1 diabetes mellitus (T1DM) has a rising global prevalence. Although it is vastly outnumbered by type 2 diabetes mellitus rates, it remains a persistent worldwide source of morbidity and mortality. Increasingly, its sufferers are afflicted by obesity and its complications. The objective of the study is t...

    journal_title:Obesity surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s11695-015-1999-6

    authors: Ashrafian H,Harling L,Toma T,Athanasiou C,Nikiteas N,Efthimiou E,Darzi A,Athanasiou T

    更新日期:2016-08-01 00:00:00

  • Duodenal-Jejunal Bypass Liner (DJBL) Improves Cardiovascular Risk Biomarkers and Predicted 4-Year Risk of Major CV Events in Patients with Type 2 Diabetes and Metabolic Syndrome.

    abstract:BACKGROUND:The duodenal-jejunal bypass liner (DJBL) represents a novel endoscopic minimally invasive treatment option for obesity-associated type 2 diabetes (T2D), affecting body weight and metabolic control. Until now, the effects of DJBL on cardiovascular risk have never been investigated. METHODS:Between 2012 and 2...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-04324-2

    authors: Roehlen N,Laubner K,Bettinger D,Schwacha H,Hilger H,Koenig C,Grueninger D,Krebs A,Seufert J

    更新日期:2020-04-01 00:00:00

  • Does Bariatric Surgery Affect the Incidence of Breast Cancer Development? A Systematic Review.

    abstract::We reviewed the evidence for bariatric surgery reducing the risk of breast cancer. Data was extracted from multiple libraries, including PubMed, EMBASE, and Medline, to perform a systematic review. Abstracts were reviewed by two independent reviewers. Thirty-eight full-text articles were identified from 1171 abstracts...

    journal_title:Obesity surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s11695-017-2901-5

    authors: Winder AA,Kularatna M,MacCormick AD

    更新日期:2017-11-01 00:00:00

  • Prevalence and co-occurrence of upper and lower functional gastrointestinal symptoms in patients eligible for bariatric surgery.

    abstract:BACKGROUND:Obesity is considered as a risk factor for many functional digestive disorders. The aim of the present study was to evaluate the prevalence and the association of functional digestive symptoms affecting the upper and the lower digestive tract in patients eligible for bariatric surgery. METHODS:Before surger...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-011-0396-z

    authors: Fysekidis M,Bouchoucha M,Bihan H,Reach G,Benamouzig R,Catheline JM

    更新日期:2012-03-01 00:00:00

  • Assessment of Atrial Fibrillation and Ventricular Arrhythmia Risk after Bariatric Surgery by P Wave/QT Interval Dispersion.

    abstract:BACKGROUND:The association of obesity with atrial fibrillation (AF) and with ventricular arrhythmias is well documented. OBJECTIVE:The aim of this study was to investigate whether weight reduction by a laparoscopic sleeve gastrectomy has any effect on P wave dispersion (PWD), a predictor of AF, and corrected QT interv...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章

    doi:10.1007/s11695-017-2923-z

    authors: Yılmaz M,Altın C,Tekin A,Erol T,Arer İ,Nursal TZ,Törer N,Erol V,Müderrisoğlu H

    更新日期:2018-04-01 00:00:00

  • Quality of Life and Bariatric Surgery: Cross-Sectional Study and Analysis of Factors Influencing Outcome.

    abstract:PURPOSE:The aims of our study were to compare quality of life (QOL) in obese patients after bariatric surgery with that in controls seeking surgery and to investigate which factors are associated with QOL in the Moorehead-Ardelt Quality of Life Questionnaire II (MA II). MATERIALS AND METHODS:This was a cross-sectional...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-016-2220-2

    authors: Janik MR,Rogula T,Bielecka I,Kwiatkowski A,Paśnik K

    更新日期:2016-12-01 00:00:00

  • Rare Entities of Histopathological Findings in 755 Sleeve Gastrectomy Cases: a Synopsis of Preoperative Endoscopy Findings and Histological Evaluation of the Specimen.

    abstract:BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) is the most preferred technique in morbidly obese patients for weight loss. There is a controversy about the routine preoperative evaluation of the stomach and the routine microscopic examination of all LSG specimens. Our aim is to analyze the results of both preoperativ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-3014-x

    authors: Yardimci E,Bozkurt S,Baskoy L,Bektasoglu HK,Gecer MO,Yigman S,Akbulut H,Coskun H

    更新日期:2018-05-01 00:00:00

  • Decreased Levels of Circulating Cancer-Associated Protein Biomarkers Following Bariatric Surgery.

    abstract:BACKGROUND:Epidemiological studies have identified obesity as a major risk factor for cancer in humans, and trials have demonstrated a significant reduction in the incidence of cancer after bariatric surgery. The rapidity of weight loss after bariatric surgery provides an opportunity to identify the molecular changes a...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-016-2321-y

    authors: Farey JE,Fisher OM,Levert-Mignon AJ,Forner PM,Lord RV

    更新日期:2017-03-01 00:00:00

  • Impact of laparoscopic adjustable gastric banding on pregnancy, maternal weight, and neonatal health.

    abstract:BACKGROUND:Laparoscopic adjustable gastric banding (LAGB) is a proven method for weight reduction. Less is known about pregnancies in patients after LAGB. METHODS:Information was gathered, through database and survey, on women who underwent LAGB at NYU Medical Center between 2001 and 2008 then became pregnant. RESULT...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-010-0265-1

    authors: Carelli AM,Ren CJ,Youn HA,Friedman EB,Finger AE,Lok BH,Kurian MS,Fielding GA

    更新日期:2011-10-01 00:00:00

  • Five Years, Two Surgeons, and over 500 Bariatric Procedures: What Have We Learned?

    abstract:BACKGROUND:Bariatric surgery has become an increasingly popular method for weight loss and mitigation of co-morbidities in the obese population. Like any field, there is a desire to standardize and accelerate the postoperative period while maintaining safe outcomes. METHODS:All laparoscopic sleeve gastrectomies (LSG) ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-2873-5

    authors: Shea B,Boyan W Jr,Botta J,Ali S,Fenig Y,Paulin E,Binenbaum S,Borao F

    更新日期:2017-10-01 00:00:00

  • Surgical treatment of morbid obesity by adjustable gastric band: the case for a conservative strategy in the case of failure - a 9-year series.

    abstract:BACKGROUND:Lapaparoscopic adjustable gastric banding (LAGB) has become a widespread method to treat morbid obesity. Long-term complications and failures require a strategy for reoperation. METHODS:1,180 patients have been operated on from April 1995 to December 2003. 151 had reoperation for complications (12.7%) exclu...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/0960892041719545

    authors: Dargent J

    更新日期:2004-08-01 00:00:00

  • Laparoscopic adjustable gastric banding versus open vertical banded gastroplasty: a prospective randomized trial.

    abstract:BACKGROUND:Laparoscopic adjustable gastric banding (LAGB) and open vertical banded gastroplasty (VBG) are treatment modalities for morbid obesity. However, few prospective randomized clinical trials (RCT) have been performed to compare both operations. METHODS:100 patients (50 per group) were included in the study. Po...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1381/096089205774512456

    authors: van Dielen FM,Soeters PB,de Brauw LM,Greve JW

    更新日期:2005-10-01 00:00:00

  • Sleep quality and duration before and after bariatric surgery.

    abstract:BACKGROUND:Shortened sleep duration causes hormonal and metabolic changes that favor fat accumulation and weight gain. Obesity, in turn, may reduce sleep quality and contribute to sleep loss. The purpose of this study was to evaluate the sleep durations of individuals with morbid obesity, compared to their nonobese cou...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-011-0541-8

    authors: Toor P,Kim K,Buffington CK

    更新日期:2012-06-01 00:00:00

  • Analysis of cost outliers after gastric bypass surgery: what can we learn?

    abstract:BACKGROUND:A clinical pathway for gastric bypass surgery (GBS) implemented at our institution in 1999 resulted in reduced costs and decreased variability in patient care. However, a reanalysis of GBS hospital costs identified a 16% incidence of "cost outliers". We hypothesized that analysis of clinical variables would ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089203321136557

    authors: Cooney RN,Haluck RS,Ku J,Bass T,MacLeod J,Brunner H,Miller CA

    更新日期:2003-02-01 00:00:00

  • Laparoscopic adjustable gastric banding in a morbidly obese patient with situs inversus totalis.

    abstract::Laparoscopic adjustable gastric banding is a commonly performed bariatric operation worldwide. The presence of an anatomical variation like situs inversus demands preoperative assessment and preparedness on the part of the surgeon. We report a laparoscopic gastric banding performed on a morbidly obese patient with sit...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-008-9546-3

    authors: Matar ZS

    更新日期:2008-12-01 00:00:00

  • Laparoscopic gastric banding in adolescents.

    abstract:BACKGROUND:Adolescent obesity has undesirable short- and long-term effects. Laparoscopic adjustable gastric banding has been considered a procedure of choice for adolescent morbid obesity. We retrospectively evaluated our single-team banding experience in the adolescent population. METHODS:We reviewed the medical and ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089206778663823

    authors: Yitzhak A,Mizrahi S,Avinoach E

    更新日期:2006-10-01 00:00:00

  • A Clinical Study of Protein Sparing Modified Fast (PSMF) Administered Preoperatively to Morbidly Obese Patients: comparison of PSMF with natural food products to originally prepared PSMF.

    abstract::Morbidly obese patients are generally in a malnutritional state with an extremely high operative risk. In order to reduce the operative risk, surgeons should make every effort before the operation. A protein sparing modified fast (PSMF) may exhibit its high effectiveness when taken at least for 2 weeks preoperatively....

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089292765560510

    authors: Kawamura I I,Chen CC,Yamazaki K,Miyazawa Y,Isono K

    更新日期:1992-02-01 00:00:00

  • The Role of Bariatric Surgery in Abdominal Organ Transplantation-the Next Big Challenge?

    abstract::Obesity is linked to inferior transplant outcome. Bariatric surgery (BS) is an established treatment of morbid obesity. We provide an overview on BS in the field of kidney (KT) and liver transplantation (LT). In end-stage renal disease (ESRD) and KT patients, BS seems safe and feasible. Complication rates were slightl...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-017-2854-8

    authors: Dziodzio T,Biebl M,Öllinger R,Pratschke J,Denecke C

    更新日期:2017-10-01 00:00:00

  • Gastric carcinoid tumor--incidental finding on endoscopy prior to bariatric surgery.

    abstract::A 32-year-old female patient with morbid obesity (body mass index 44.4) was submitted to upper digestive endoscopy performed routinely as a preoperative procedure in bariatric surgery. The examination identified multiple small polypoid lesions in the upper portion of the gastric body, some with small ulcerations. Anat...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9342-5

    authors: Moretto M,Mottin CC,Padoin AV,Júnior SP,Barrios C

    更新日期:2008-06-01 00:00:00

  • Impact of Resection Volume/Stapler Firings-Ratio on Perioperative Complications and Weight Loss After Laparoscopic Sleeve Gastrectomy.

    abstract:BACKGROUND:Major postoperative morbidity after laparoscopic sleeve gastrectomy (LSG) is often related to staple line leaks (SLL). Of note, a recent study suggested a central role of the absolute numbers of stapler firings as a predictive factor for postoperative morbidity due to SLL. In addition, a larger gastric remna...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04870-0

    authors: Penna AD,Lange J,Archid R,Hönes F,Königsrainer A,Quante M

    更新日期:2021-01-01 00:00:00

  • Can a Bariatric Surgery Program Succeed Without Close Patient Proximity? The Experience in a Military Medical Center.

    abstract::Many centers advocate close patient follow-up and a multidisciplinary approach as necessary ingredients for the success of a bariatric surgery program. The military medical environment is not suitable for these conditions. Many patients are referred from great distances to the large regional medical centers, thereby p...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089294765558449

    authors: Shikora SA,Abrahamian GA,Gaines CE

    更新日期:1994-08-01 00:00:00

  • Perforator-sparing abdominoplasty technique in the presence of bilateral subcostal scars after gastric bypass.

    abstract:BACKGROUND:The number of patients after gastric bypass being referred to plastic surgery units for secondary plastic surgery procedures is increasing. The characteristic abdominal deformity includes a draping apron of panniculus, occasionally associated with previous transverse surgical scars in the upper abdomen. Ofte...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9007-4

    authors: Rieger UM,Aschwanden M,Schmid D,Kalbermatten DF,Pierer G,Haug M

    更新日期:2007-01-01 00:00:00

  • Psychiatric symptoms among prospective bariatric surgery patients: rates of prevalence and their relation to social desirability, pursuit of surgery, and follow-up attendance.

    abstract:BACKGROUND:There is a very limited empirical literature regarding the psychiatric status of prospective bariatric patients and no studies that examine potential social desirability effects on self-presentation for this patient population. METHODS:The Psychiatric Diagnostic Screening Questionnaire (PDSQ) was utilized t...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/0960892053923815

    authors: Rosik CH

    更新日期:2005-05-01 00:00:00

  • Baseline Pro-inflammatory Diet Is Inversely Associated with Change in Weight and Body Fat 6 Months Following-up to Bariatric Surgery.

    abstract:OBJECTIVE:To evaluate whether the baseline Dietary Inflammatory Index (DII®) was associated with weight loss and body composition change after bariatric surgery. METHODOLOGY:This longitudinal study included 132 women with obesity (BMI ≥ 35 kg/m2, 43.0 ± 9.7 years), followed up for 6 months after bariatric surgery. The...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3530-3

    authors: Andrade PA,Hermsdorff HHM,Leite JIA,Shivappa N,Hébert JR,Henriques HKF,de Oliveira Barbosa Rosa C

    更新日期:2019-02-01 00:00:00