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- Title
Improvement of Coronary Calcium Scores After Bariatric Surgery in People with Severe Obesity.
- Authors
Salman, Ahmed Abdallah; Matter, Mohamed; Fayad, Nabil Ibrahim; Shehata, Mohamed S. Abd Elaziz; Al-Fattah, Mohamed Abd; Elkaseer, Mohamed Hassan; Borham, Marwan Mansour; Balamoun, Hany A.; Sultan, Ahmed Abd El Aal; Mikhail, Hani Maurice Sabri; Omar, Haitham S. E.; Milad, Nader; Tourky, Mohamed Sabry; Elias, Abd Al-Kareem; Mostafa, Amir; Samir, Ahmad; Hussein, Amr Mahmoud; Shaaban, Hossam El-Din; Ali, Hazem Abd Allah; Salman, Mohamed Abdalla
- Abstract
Background: Obesity is an independent risk factor for cardiovascular diseases. Coronary artery calcium (CAC) is a direct measure of coronary atherosclerosis. The study investigated the effect of bariatric surgery on CAC scores in people with severe obesity subjected to laparoscopic sleeve gastrectomy (LSG). Methods: This prospective study included 129 people with severe obesity in two groups; the LSG group (n=74) subjected to surgery and the diet group (n=55), managed by a diet regimen and lifestyle modification. Cardiovascular risk was assessed by Framingham risk score (FRS) and coronary calcium score (CCS) measured by computed tomography initially and after 3 years. Results: The two groups had a comparable CAD risk before treatment according to FRS or CCS. After treatment, CCS improved significantly in the LSG group (p=0.008) but not in the diet group (p=0.149). There was no correlation between FRS and CCS (r=0.005, p=0.952). Treatment resulted in significant weight reduction and improved fasting blood glucose and lipid profile in the two groups. The change of weight, blood glucose, and HDL, and remission of diabetes mellitus (DM) were significantly higher in the LSG group compared to the diet group. Conclusion: LSG may reduce the risk of developing future cardiovascular comorbidities evidenced by reducing CAC scores. Significant weight reduction and improvement of cardiovascular risk factors may recommend LSG as a cardioprotective procedure in people with severe obesity.
- Subjects
BARIATRIC surgery; CORONARY artery calcification; WEIGHT loss; DISEASE risk factors; CARDIOVASCULAR diseases risk factors; CAROTID intima-media thickness; GASTRIC bypass
- Publication
Obesity Surgery, 2022, Vol 32, Issue 2, p472
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-021-05801-3