Original CommunicationShrinking cardiovascular risk through bariatric surgery: application of Framingham risk score in gastric bypass
Section snippets
Material and methods
A retrospective review was undertaken of 101 consecutive patients, all having undergone laparoscopic Roux-en-Y gastric bypass by a single surgeon. Complete preoperative and 1-year postoperative data were available for 97 patients and are the basis of this report. The remaining 4 patients were living 1 year following surgery but had incomplete data sets and were excluded from further evaluation. All patients fulfilled the weight criteria recommended in the National Institutes of Health
Results
The demographic profile for patients in this study is similar to those reported in previous bariatric surgery series. The mean age of the study population was 42.5 ± 9.0 years and 89% of patients were female. The majority of patients (93%) were white; 6% were African American; and 1% was Asian. Preoperatively 17 (18%) patients were classified as smokers; postoperatively, all continued to smoke. The mean BMI decreased significantly from 46.9 ± 5.8 kg/m2 preoperatively to 28.7 ± 4.0 kg/m2 1-year
Discussion
The chief rationale for bariatric surgery from a health care perspective is the reduction in morbidity and mortality risk associated with morbid obesity. Thus, in this population the potential of bariatric surgery to reduce risk of CHD, the leading U.S. cause of death, is of paramount interest. Until recently studies have focused on bariatric surgery's impact on the major CHD risk factors. Assessment of bariatric surgery's impact on overall postoperative CHD risk reduction has been limited.
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Predictors of change in cardiovascular disease risk and events following gastric bypass: a 7-year prospective multicenter study
2021, Surgery for Obesity and Related DiseasesWeight loss following bariatric surgery decreases pericardial fat thickness lowering the risk of developing coronary artery disease
2021, Surgery for Obesity and Related DiseasesCitation Excerpt :Similarly, evidence has shown that inflammation plays a key role in CAD and other manifestations of atherosclerosis [16]. Recent studies have shown the impact of bariatric surgery on the major coronary heart disease (CHD) risk factors, and RYGB has proven to reduce 10-year coronary risk by more than half [17]. The FRS has provided clinically valuable scores for CAD risk prediction, especially in high-risk populations like the obese and morbidly obese [8].
Surgical management of obesity
2019, Metabolism: Clinical and ExperimentalSurgical Management of Obesity
2017, Practical Guide to Obesity Medicine