Key result
Sleeve gastrectomy led to significant short-term weight loss and improved diastolic function parameters, with no correlation between weight loss and echocardiographic changes.
Why the study?
Does sleeve gastrectomy improve diastolic function in obese patients?
Observational (n=41)
Does sleeve gastrectomy improve diastolic function in obese patients?
Sleeve gastrectomy significantly improves echocardiographic parameters of diastolic function in the short term, independent of the absolute amount of weight lost.
Answers are grounded in this paper and cite their sources.
May support short-term diastolic benefits after sleeve gastrectomy independent of weight lost; hypothesis-generating and requires RCTs before practice change.
diac structure and function in obese patients. This study was an examination of the short-term effects of sleeve gastrectomy on body measurements and diastolic function. METHODS: A total of 41 consecutive obese patients who were scheduled to undergo a sleeve gastrectomy procedure were included in the study. Baseline body and echocardiographic measurements and the follow-up counterpart data, including total and excess weight loss percentages, were recorded. RESULTS: The mean age of the patients was 42.85+-11.47 years. Of the total, 21 (51.1%) patients were female. The mean body mass index (BMI) was 44.86+-5.62 kg/m². The mean duration of follow-up was 91.24+-44.48 days. The participants demonstrated statistically significant weight loss (26.64+-10.95 kg), as well as a decrease in BMI (8.84+-3.93 kg/m²) and body surface area (0.27+-0.12 m²). A significant increase in E velocity and mitral annular e velocity were observed, as well as a significant decrease in A velocity, E/e ratio, left ventricle mass, and left atrial volume (LAV). No significant correlations between the body measurement changes and changes in echocardiographic parameters were observed, with the exception that the excessive weight loss percentage was moderately correlated with a change in LAV. CONCLUSION: Sleeve gastrectomy led to a significant decrease in body weight and improved diastolic function parameters in the short-term. No significant relationship was found between the amount of weight loss and change in echocardiographic measurements.
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Mustafa Aytek Şimşek (2018) conducted an observational in Obesity (n=41). Sleeve gastrectomy vs. Baseline (pre-operative) was evaluated on Weight loss and diastolic function parameters. Sleeve gastrectomy led to significant short-term weight loss and improved diastolic function parameters, with no correlation between weight loss and echocardiographic changes.
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