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- Title
Evaluation of Lipoprotein Profile and Residual Risk Three Years After Bariatric Surgery.
- Authors
Arnáiz, Elena González; Ballesteros Pomar, María D.; Roza, Lucía González; de la Maza, Begoña Pintor; Bachiller, Beatriz Ramos; Cobo, Diana Ariadel; Fondo, Ana Urioste; Rodríguez, Isidoro Cano
- Abstract
Introduction: Obesity is a chronic disease associated with other comorbidities, including atherogenic dyslipidemia (AD). Bariatric surgery (BS) has shown to reduce cardiovascular risk (CVR) by achieving a significant weight reduction and improving the lipid profile. Different surgical techniques may have a different effect on the lipoprotein profile. Purpose: To evaluate the lipid profile at 3 years after BS according to the surgical technique used and to determine which variables predict variation in the lipid profile at 3 years after BS. Methods: Retrospective observational study of 206 patients who underwent BS between 2010 and 2019. We analyzed the variation of lipid parameters in the 3 years of follow-up according to the surgical technique, including a group analysis of patients according to whether they had dyslipidemia and whether they were treated or untreated and determined which variables predict variation in the lipid profile at 3 years after BS. Results: There was a significant increase in high-density lipoprotein cholesterol (HDL-c) with sleeve gastrectomy (SG) and a significant decrease in total cholesterol (TC), LDL-cholesterol (LDL-c), non-HDL, and LDL/non-HDL with biliopancreatic diversion (BPD). Variables predicting lipid profile variation were surgical technique and pre-surgery lipoprotein level. Conclusions: Malabsorptive techniques achieve a greater decrease in TC and LDL-c throughout follow-up and could also improve residual cardiovascular risk (non-HDL and LDL/non-HDL). The type of surgical technique and the presurgery lipid profile predict variation after 3 years of BS.
- Subjects
BARIATRIC surgery; HDL cholesterol; BILIOPANCREATIC diversion; CARDIOVASCULAR diseases risk factors; SLEEVE gastrectomy
- Publication
Obesity Surgery, 2021, Vol 31, Issue 9, p4033
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-021-05543-2