Original articleLaparoscopic sleeve gastrectomy versus Roux-en-Y gastric bypass in cardiovascular risk reduction: A match control study
Section snippets
Methods
After institutional review board approval, we retrospectively reviewed our prospectively collected electronic database of patients who underwent either SG or RYGB from December 2010 to December 2015 at our institution. We included all patients who met the criteria for calculating the Framingham-body mass index 10-year risk score (FRS-BMI) and the ASCVD 10-year risk score, namely patients between 30 and 74 years of age without cardiovascular disease (CVD) at baseline examination. The FRS-BMI
Results
Of 1330 bariatric patients reviewed, 219 (16.4%) met the criteria for both the Framingham-BMI 10-year and ASCVD risk score calculation. Laparoscopic SG was the most prevalent surgery at 72.6% (N = 159) compared with RYGB at 27.4% (N = 60) of cases. Demographic characteristics of the 2 procedures before matching are reported in Table 1. Regarding the metabolic panel, both procedures were comparable in the preoperative setting, and the ASCVD 10-year and lifetime ASCVD risk scores and the FRS-BMI
Discussion
Bariatric surgery has demonstrated to be the most effective treatment for obesity, with most studies showing positive outcomes not only regarding weight loss but also resolution of severe co-morbidities, such as sleep apnea, type 2 diabetes, and CVD [8], [17], [18].
In recent years, several studies have tried to assess the metabolic effect of bariatric surgery, mostly after RYGB and its related weight loss and potential cardiovascular risk reduction [11].
Laparoscopic SG has become the preferred
Conclusion
SG and RYGB seem to be equally effective in improving cardiovascular risk and decreasing the estimated vascular/heart age at 12 months of follow-up.
Disclosures
The authors have no commercial associations that might be a conflict of interest in relation to this article.
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