دورية أكاديمية
أعرض في EDS

Effect of Bariatric Surgery on the Cardiovascular System in Obese Cases with Pulmonary Hypertension.

التفاصيل البيبلوغرافية
العنوان: Effect of Bariatric Surgery on the Cardiovascular System in Obese Cases with Pulmonary Hypertension.
المؤلفون: Salman AA; Internal Medicine Department, Faculty of medicine, Cairo University, Giza, 11311, Egypt. awea844@gmail.com., Salman MA; General Surgery Department, Faculty of medicine, Cairo University, Giza, Egypt., Shaaban HE; National Hepatology and Tropical Medicine Research Institute, Cairo, Egypt., Abdelsalam A; General Surgery Department, Faculty of medicine, Cairo University, Giza, Egypt., Tourky M; General Surgery Department, Omm Elmisrien General Hospital, Cairo, Egypt., Lotfy SM; Chest diseases Department, Faculty of Human Medicine, Zagazig University, Zagazig, Egypt., Omar HSE; General Surgery Department, Faculty of medicine, Cairo University, Giza, Egypt., Mostafa MS; General Surgery Department, Faculty of medicine, Cairo University, Giza, Egypt., Nafea MA; General surgery Department, Faculty of medicine, Al Azhar University, Cairo, Egypt., Sultan AAEA; General surgery Department, Faculty of medicine, Al Azhar University, Cairo, Egypt., Elshafey MH; General surgery Department, Faculty of medicine, Al Azhar University, Cairo, Egypt., Salem A; General surgery Department, Faculty of medicine, Al Azhar University, Cairo, Egypt., Abdelaty WR; General surgery Department, Faculty of medicine, Al Azhar University, Cairo, Egypt., Khaliel OO; General surgery Department, Faculty of medicine, Al Azhar University, Cairo, Egypt., Mikhail HMS; General Surgery Department, Faculty of medicine, Cairo University, Giza, Egypt.
المصدر: Obesity surgery [Obes Surg] 2021 Feb; Vol. 31 (2), pp. 523-530. Date of Electronic Publication: 2020 Jul 16.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 9106714 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1708-0428 (Electronic) Linking ISSN: 09608923 NLM ISO Abbreviation: Obes Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2006- : New York : Springer Science + Business Media
Original Publication: Oxford, OX, UK : Rapid Communications of Oxford, [1991-
مواضيع طبية MeSH: Bariatric Surgery* , Cardiovascular System* , Hypertension, Pulmonary* , Laparoscopy* , Obesity, Morbid*/surgery, Gastrectomy ; Humans ; Obesity/complications ; Obesity/surgery ; Prospective Studies ; Retrospective Studies ; Treatment Outcome
مستخلص: Introduction and Aim: Recently, the incidence of obesity has been rising exponentially. Clinical studies have demonstrated that different subtypes of pulmonary hypertension (PH) are linked to obesity. The current work mainly aims to assess the impact of laparoscopic sleeve gastrectomy (LSG) on PH in a cohort of obese cases.
Patients and Methods: The present prospective work included 37 obese cases with PH for whom LSG was done. Only cases with PH and presurgical right ventricular systolic pressure (RVSP) ≥ 35 mmHg using Doppler echocardiogram were enrolled. Fifteen months later, patients were reassessed regarding new weight and BMI in addition to changes in RVSP.
Results: At the end of follow-up, the average BMI improved from 45.8 + 3.9 to 33.8 + 2.5 Kg/m 2 (p value < 0.001). Improved right ventricular (RV) size compared to baseline echo was observed in 20 patients. RV size decreased from 2.68 + 0.44 cm to 2.34 + 0.36 cm (p value < 0.001). Notable decrease of PH to less than 30 mmHg occurred in 33 patients. Mean RVSP decreased from 39.62 + 2.1 to 31.81 + 3.1 mmHg (p value < 0.001). LSG significantly decreased the requirements for PH drugs and supplemental oxygen therapy.
Conclusion: The current work suggests that LSG-induced weight loss may result in a considerable decrease in pulmonary pressures as well as RV size with a concurrent resolution of other metabolic comorbidities.
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فهرسة مساهمة: Keywords: Laparoscopic sleeve gastrectomy; Obese; Pulmonary hypertension
تواريخ الأحداث: Date Created: 20200718 Date Completed: 20210419 Latest Revision: 20210614
رمز التحديث: 20240829
DOI: 10.1007/s11695-020-04852-2
PMID: 32676842
قاعدة البيانات: MEDLINE
الوصف
تدمد:1708-0428
DOI:10.1007/s11695-020-04852-2