Turk Kardiyol Dern Ars. Ahead of Print: TKDA-95994 | DOI: 10.5543/tkda.2018.95994
Short term effects of sleeve gastrectomy on weight loss and diastolic function in obese patients
Mustafa Aytek Şimşek1
, Ayça Türer Cabbar1
, Olcay Özveren1
, Sinan Aydın2
, Öge Taşçılar1
, Muzaffer Değertekin11
Yeditepe University School of Medicine2
Fatih Sultan Mehmet Training and Research Hospital
Bariatric surgery is shown to improve cardiac structure and function in obese patients. In our study we examined the short term effects of sleeve gastrectomy on body measurements and diastolic function
41 consecutive obese patients planned to undergo sleeve gastrectomy were included. Baseline body and echocardiographic measurements and their follow up counterparts as well as total and excessive weight loss percentages were recorded. Primary outcome was to find out the effect of sleeve gastrectomy on weight loss and diastolic function in short term.
Mean age was 42.85±11.47, 21 (51.1%) patients were female. Mean BMI was 44.86 ± 5.62 kg/m²/ Mean follow up was 91.24±44.48 days. Participants showed statistically significant weight loss (26.64±10.95 kg) and decrease in BMI (8.84±3.93 kg/m²) and BSA (0.27±0.12 m²). Significant increase in E velocity and mitral annular e velocity and significant decrease in A velocity, E/e ratio, left ventricle mass (LVM) and left atrial volume (LAV) were found. No significant correlations between amount of body measurement changes and changes in echocardiographic parameters were observed except excessive weight loss percentage (EWL%) was moderately correlated with change in left atrial volume.
Sleeve gastrectomy caused significant decrease in body weight and improved diastolic function parameters in short term. No significant relationship was found between amount of weight loss and change in echocardiographic measurements.
Keywords: Obesity, Sleeve gastrectomy, Diastolic function
Obesity, Sleeve gastrectomy, Daistolic function
How to cite this article
Corresponding Author: Mustafa Aytek Şimşek, Türkiye