Variations in echocardiography after bariatric surgery. Biliopancreatic diversion vs vertical gastrectomy
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.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2020 |
|---|---|
| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:34 |
|---|---|
| Enthalten in: |
Nutricion hospitalaria - 34(2020), 3 vom: 13. Juli, Seite 474-482 |
| Sprache: |
Spanisch |
|---|
| Weiterer Titel: |
Variaciones de la ecocardiografía tras la cirugía bariátrica. Derivación biliopancreática vs. gastrectomía vertical |
|---|
| Beteiligte Personen: |
Prieto Recio, Juan Ramón [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Cirugía bariátrica. Pérdida de peso. Ecocardiografía. |
|---|
| Anmerkungen: |
Date Completed 28.05.2021 Date Revised 15.04.2022 published: Print Citation Status MEDLINE |
|---|
| doi: |
10.20960/nh.02907 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM308706889 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM308706889 | ||
| 003 | DE-627 | ||
| 005 | 20231225132315.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2020 xx |||||o 00| ||spa c | ||
| 024 | 7 | |a 10.20960/nh.02907 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1028.xml |
| 035 | |a (DE-627)NLM308706889 | ||
| 035 | |a (NLM)32285677 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a spa | ||
| 100 | 1 | |a Prieto Recio, Juan Ramón |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Variations in echocardiography after bariatric surgery. Biliopancreatic diversion vs vertical gastrectomy |
| 246 | 3 | 3 | |a Variaciones de la ecocardiografía tras la cirugía bariátrica. Derivación biliopancreática vs. gastrectomía vertical |
| 264 | 1 | |c 2020 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 28.05.2021 | ||
| 500 | |a Date Revised 15.04.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a 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 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Cirugía bariátrica. Pérdida de peso. Ecocardiografía. | |
| 700 | 1 | |a Alonso Fernández, José Ignacio |e verfasserin |4 aut | |
| 700 | 1 | |a Fierro Lorenzo, Inmaculada |e verfasserin |4 aut | |
| 700 | 1 | |a Rico Feijoo, Jesús |e verfasserin |4 aut | |
| 700 | 1 | |a Tejero-Pintor, Francisco J |e verfasserin |4 aut | |
| 700 | 1 | |a Pacheco Sánchez, David |e verfasserin |4 aut | |
| 700 | 1 | |a de Luis Román, Daniel A |e verfasserin |4 aut | |
| 700 | 1 | |a Aldecoa Álvarez-Santullano, César |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Nutricion hospitalaria |d 1996 |g 34(2020), 3 vom: 13. Juli, Seite 474-482 |w (DE-627)NLM012943444 |x 1699-5198 |7 nnns |
| 773 | 1 | 8 | |g volume:34 |g year:2020 |g number:3 |g day:13 |g month:07 |g pages:474-482 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.20960/nh.02907 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 34 |j 2020 |e 3 |b 13 |c 07 |h 474-482 | ||