دورية أكاديمية
أعرض في EDS

Changes of Carotid Intima-Media Thickness After Sleeve Gastrectomy in High Cardiovascular Risk Patients: a Prospective Study.

التفاصيل البيبلوغرافية
العنوان: Changes of Carotid Intima-Media Thickness After Sleeve Gastrectomy in High Cardiovascular Risk Patients: a Prospective Study.
المؤلفون: Salman MA; General Surgery Department, Faculty of Medicine, Cairo University, Cairo, Egypt., Salman AA; Internal Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt. awea844@gmail.com., El Sherbiny M; Internal Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt., Elkholy S; Internal Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt., Youssef A; Internal Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt., Labib S; Internal Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt., El-Din MT; General Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Monazea KA; General Surgery Department, Al-Azhar Faculty of Medicine for Boys - Assiut, Al-Azhar University, Assiut, Egypt., Tourky MS; Great Western Hospitals NHS Foundation Trust, Swindon, UK., Mikhail HMS; General Surgery Department, Faculty of Medicine, Cairo University, Cairo, Egypt., Maurice KK; General Surgery Department, Faculty of Medicine, Cairo University, Cairo, Egypt., Abdallah A; General Surgery Department, Faculty of Medicine, Cairo University, Cairo, Egypt., Mostafa MS; General Surgery Department, Faculty of Medicine, Cairo University, Cairo, Egypt., Hussein AM; General Surgery Department, Faculty of Medicine, Cairo University, Cairo, Egypt., Abdelsalam AM; General Surgery Department, Faculty of Medicine, Cairo University, Cairo, Egypt., Allah NA; Anatomy and Embryology Department, Faculty of Medicine, Menoufia University, Shibin Al Kawm, Egypt., Ismaeel Saadawy AM; Radiology Department, Faculty of medicine, Ain-Shams University, Cairo, Egypt., Shaaban HE; Gastroenterology Department, National Hepatology and Tropical Medicine Research Institute, Cairo, Egypt., Sarhan MD; General Surgery Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
المصدر: Obesity surgery [Obes Surg] 2021 Aug; Vol. 31 (8), pp. 3541-3547. Date of Electronic Publication: 2021 Apr 12.
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: Cardiovascular Diseases*/etiology , Laparoscopy* , Obesity, Morbid*/surgery, Carotid Intima-Media Thickness ; Egypt ; Gastrectomy ; Heart Disease Risk Factors ; Humans ; Prospective Studies ; Risk Factors
مستخلص: Purpose: There are insufficient data showing the impact of laparoscopic sleeve gastrectomy (LSG) on carotid intima-media thickness (CIMT). Therefore, in the current work, we investigated the improvement of metabolic syndrome and CIMT in patients with obesity after LSG.
Methods: This study involved 120 consecutively selected Egyptian patients with a high cardiovascular risk who underwent LSG and were followed up for 12 months.
Results: CIMT declined from 0.95 ± 0.17 mm to 0.83 ± 0.12 (p < 0.001) after 12 months. In addition, the mean fasting blood glucose and fasting inulin level dropped significantly from 153.3 ± 63.6 to 108.8 ± 33.8 mg/dl and from 23.1 ± 7.1 mU/ml to 14.1 ± 6.4 respectively (p < 0.001). Furthermore, glycated hemoglobin (HbA1c) declined from 7.02 ± 1.7 to 5.5 ± 0.96 (p < 0.001). At the end of the follow-up period, metabolic parameters such as HOMA-IR, C-reactive protein (CRP), fibrinogen, total cholesterol, LDL cholesterol, triglycerides, AST, and ALT decreased significantly from their respective baselines (p value < 0.001). Moreover, the reduction in CIMT showed a strong positive correlation with the degree of weight loss at 6 months and 12 months of follow-up.
Conclusion: LSG led to a substantial decrease in CIMT. Moreover, it significantly impacted cardiovascular risk factors such as obesity, hypertension, insulin resistance, lipid profile, and inflammatory markers.
(© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
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فهرسة مساهمة: Keywords: Bariatric surgery; Carotid intima-media thickness; Laparoscopic sleeve gastrectomy; Metabolic syndrome
تواريخ الأحداث: Date Created: 20210412 Date Completed: 20210720 Latest Revision: 20211222
رمز التحديث: 20221213
DOI: 10.1007/s11695-021-05419-5
PMID: 33844173
قاعدة البيانات: MEDLINE
الوصف
تدمد:1708-0428
DOI:10.1007/s11695-021-05419-5