Erschienen in:
25.08.2020 | Brief Communication
Laparoscopic Sleeve Gastrectomy in Patients with Obesity and Ventricular Assist Devices: a Comprehensive Outcome Analysis
verfasst von:
Adrian daSilva-deAbreu, Kiran Garikapati, Bader Aldeen Alhafez, Sapna Desai, Clement Eiswirth, Selim Krim, Hamang Patel, Hector O. Ventura, Carl J. Lavie, Juan Francisco Loro-Ferrer, Stacy A. Mandras
Erschienen in:
Obesity Surgery
|
Ausgabe 2/2021
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Abstract
We analyzed in detail the outcomes of eight patients with ventricular assist devices (VADs) and obesity who underwent laparoscopic sleeve gastrectomy (LSG) at a single heart transplant (HT) center. This comprehensive analysis included body mass index (BMI) trends from VAD implantation to the time of LSG; BMI and percentage of excess BMI lost during follow-up; adverse outcomes; and changes in echocardiographic parameters, fasting lipids, unplanned hospitalizations, and functional status. We also identified the patients who achieved the following outcomes: listing for HT, HT, 50% excess BMI loss, and BMI < 35 kg/m2. Laparoscopic sleeve gastrectomy seems to be a reasonable and effective intervention to help patients with VADs and obesity to decrease excess BMI and become candidates for HT.