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- Title
Effectiveness of metabolic weight loss surgery on type-II diabetes, hypertension and lipid disturbances: Review of systemic analysis.
- Authors
Dawani, Surrendar; Dawani, Aruna; Ahmed, Hassan; Rasul, Shahid
- Abstract
Objective: To assess the effectiveness of metabolic weight loss surgery on excess weight loss, type-II diabetes, hypertension, and hyperlipidemia in morbidly obese adults, over a period of 5 years. Background: This is an observational study of 378 morbidly obese patients. All of them underwent laparoscopic sleeve gastrectomy and had greater than 50% weight loss of their excess weight with measurable improvement in co morbidities. Results: Most of the patients had a reduction of average 75.7% of excess weight. For type-II diabetes (HbA1c <6.5% without medication), almost 76.8 % have complete resolution while 85.4% showed improvement in their HbA1c. For hypertension (blood pressure <140/90mmHg without medication), complete remission rates were 63.4.% and improvement in up to 80.2%. For hyperlipidemia (according to NCEP ATP II guidelines), remission rates were 71.4% and improvement up to 96.9%. Remission of hyperlipidemia was defined as cholesterol less than 200 mg/dL without coronary artery disease, HDL greater than 40 mg/dL, LDL less than 100 mg/dL, and TG less than 150 mg/dL. Conclusion: Rarely bariatric surgery studies report long-term results. We have presented results over a period of 5 years (Ist January 2012 till 23rd December 2016) post sleeve gastrectomy. Sleeve gastrectomy shows long term benefits in outcomes for weight loss, type-II diabetes, hypertension, and hyperlipidemia control and remission. Although the other health issues which improved with good outcome were sleep apnea and mobility.
- Subjects
WEIGHT loss; OVERWEIGHT persons; DIABETES; HYPERLIPIDEMIA; SLEEP apnea syndromes
- Publication
Pakistan Journal of Surgery, 2018, Vol 34, Issue 1, p84
- ISSN
0258-8552
- Publication type
Article