Laparoscopic sleeve gastrectomy was associated with significant early reductions in body weight, body mass index, and blood pressure at 3-6 months follow-up.
Observational (n=66)
No
Does laparoscopic sleeve gastrectomy improve left ventricular mechanics in patients with severe obesity?
Laparoscopic sleeve gastrectomy in patients with severe obesity is associated with early significant reductions in body weight and blood pressure at 3-6 months.
Aim: Obesity is associated with structural and functional cardiac abnormalities, including left ventricular hypertrophy, diastolic dysfunction, and subclinical myocardial impairment. Global longitudinal strain (GLS) is a sensitive marker for detecting early myocardial impairment before changes in left ventricular ejection fraction (LVEF) occur. This study aimed to evaluate the early effects of laparoscopic sleeve gastrectomy (LSG) on cardiac remodeling and myocardial mechanics using conventional and speckle-tracking echocardiography.Methods: This retrospective single-center study included 66 patients with severe obesity who underwent LSG. Clinical, metabolic, and echocardiographic parameters were evaluated before surgery and at a mean follow-up of approximately 3-6 months. Conventional and speckle-tracking echocardiography were used to assess left ventricular structure and myocardial mechanics. Preoperative and postoperative parameters were compared using paired-samples t-test.Results: The mean age was 36.9 ± 11.7 years, and 75.8% of patients were female. Following LSG, significant reductions were observed in body weight, body mass index, and blood pressure (all p
Akıllı et al. (Tue,) conducted a observational in Severe obesity (n=66). Laparoscopic sleeve gastrectomy (LSG) vs. Preoperative baseline was evaluated on Cardiac remodeling and myocardial mechanics. Laparoscopic sleeve gastrectomy was associated with significant early reductions in body weight, body mass index, and blood pressure at 3-6 months follow-up.