RT info:eu-repo/semantics/article
T1 Arterial hypertension in morbid obesity after bariatric surgery: Five years of follow-up, A before-and-after study
A1 Arias Rodríguez, María de los Ángeles
A1 Rodríguez Álvarez, Cristobalina
A1 González Dávila, Enrique Francisco
A1 Acosta Torrecilla, Alfonso
A1 Novo Muñoz, M. Mercedes
A1 Rodríguez Novo, Natalia
A2 Medicina Preventiva y Salud Pública
K1 Morbidly obese patients
K1 Bariatric surgery
K1 Arterial hypertension
K1 Weight loss
AB Background: Arterial hypertension (HTN) is common among morbidly obese patients undergoing bariatric surgery. The aim of this study is to analyse the prevalence and evolution of HTN and weight loss in patients suffering from morbid obesity before and after bariatric surgery, during a follow-up period of five years. Methods: A before-and-after study was carried out on severely obese patients undergoing Laparoscopic Roux-En-Y Gastric Bypass (LRYGB). Criteria for HTN diagnosis were current treatment with antihypertensive agents and/or systolic blood pressure (SBP) > 140 mmHg and/or diastolic (DBP) > 90 mmHg. HTN remission was defined as normalisation of blood pressure (BP) maintained after discontinuation of medical treatment, and HTN recurrence was considered when HTN diagnostic criteria reappeared after remission. Weight loss during the study period was evaluated for each patient, calculating excess weight loss percentage (% EWL) and BMI loss percentage (% BMIL) with reference to the baseline value. Results: A total of 273 patients were included in the study. HTN was present in 48.2%; 29.4% of hypertensive patients showed HTN remission two years after the surgical procedure, 30.3% of them had relapsed at five years.Conclusion: LRYGB in obese patients is associated with a remission of HTN, and no weight lossdifferences were observed between the group of patients showing HTN remission at two years andthe group who did not. However, differences were observed after the second follow-up year, with anincreased weight loss in the remission group, which could indicate that sustained weight loss favoursthe control of HTN.
SN 1660-4601
YR 2022
FD 2022
LK http://riull.ull.es/xmlui/handle/915/34821
UL http://riull.ull.es/xmlui/handle/915/34821
LA en
DS Repositorio institucional de la Universidad de La Laguna
RD 18-dic-2024