Impact of different bariatric techniques on the lipid profile in obeses

Authors

  • Susana Gutt Italian Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina
  • María Soledad Saez Italian Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina
  • Axel Beskow Italian Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina
  • Ana Jesica Tamaroff Italian Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina
  • María Mercedes Gutiérrez Italian Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina
  • María Victoria Lorenzón Italian Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina
  • Patricia Sorroche Italian Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina

DOI:

https://doi.org/10.47196/diab.v52i3.127

Keywords:

bariatric surgery, triglycerides, obesity, hdl-cholesterol

Abstract

Introduction: obesity is a chronic disease of epidemic characteristics determined among other variables by the interaction of genetic and environmental factors. In patients with obesity an atherogenic phenotype is present.

Bariatric surgery (BS) is an effective therapeutic alternative for the reduction of cardiovascular risk while improving the lipid profile.

Objectives: to compare the differences in the lipid profile before and after submitting patients to two different bariatric surgery techniques with follow-up to the year of the intervention.

Materials and methods: in the present study were included all patients undergoing BS in 2015 (n=138) at the Hospital Italiano de Buenos Aires.

Results: the reduction of total cholesterol, triglycerides and LDL levels as well as the increase in HDL one year after the intervention were statistically significant and no differences were found when comparing the deltas of each variable of the lipid profile between two different surgical techniques.

Conclusions: BS can be an effective treatment in obese patients with dyslipidemia who do not respond to pharmacological therapy given that significant changes are observed in the lipid profile.

Author Biographies

Susana Gutt, Italian Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina

Medical Specialist in Nutrition; Head of the Nutrition Section of the Medical Clinic Service

María Soledad Saez, Italian Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina

Biochemist

Axel Beskow, Italian Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina

Surgeon; Chief of the Bariatric Surgery Section, General Surgery Service, Italian Hospital of Buenos Aires

Ana Jesica Tamaroff, Italian Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina

Medical Specialist in Nutrition, associated with the Nutrition Section of the Medical Clinic Service, Italian Hospital of Buenos Aires

María Mercedes Gutiérrez, Italian Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina

Medical Specialist in Nutrition, Nutrition Section of the Medical Clinic Service, Italian Hospital of Buenos Aires

María Victoria Lorenzón, Italian Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina

Biochemist, Central Laboratory, Italian Hospital of Buenos Aires

Patricia Sorroche, Italian Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina

Biochemist; Chief of the Proteins and Lipids Section of the Central Laboratory, Italian Hospital of Buenos Aires

References

Braguinsky J, y col. Obesidad: saberes y conflictos. Un tratado de obesidad. ACINDES 2007.

Bhatt DL, Steg G, Miller M, et al. Cardiovascular risk reduction with icosapent ethyl for hypertriglyceridemia. N Engl J Med 2019; 380:11-22.

Busetto L, Dicker D, Azran C, et al. Practical recommendations of the obesity management task force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management. Obes Facts 2017;10(6):597-632.

Aills L, Blankenship J, Buffington C, et al. ASMBS Allied Health Nutritional Guidelines for the Surgical Weight Loss Patient. Surg Obes Relat Dis 2008 Sep-Oct; 4 (5 Suppl):S73-108.

Pampillón N, Reynoso C, Solimano M, Sánchez M, Ackerman M, y col Actualización del Consenso Argentino de Nutrición en Cirugía Bariátrica. Revista Actualización en Nutrición marzo 2016; Vol. 17 Nº 1: 19-32.

Badellino KO, Wolfe ML, Reilly MP, Rader DJ. Endothelial lipase is increased in vivo by inflammation in humans. Circulation 2008; 117:678-685.

Grundy S, Stone NJ, Bailey AL, et al. 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol 2018 Nov 3; pii: S0735-1097(18)39033-8. Doi: 10.1016/j.jacc.2018.11.002.

Published

2023-01-10

How to Cite

Gutt, S., Saez, M. S., Beskow, A., Tamaroff, A. J., Gutiérrez, M. M., Lorenzón, M. V., & Sorroche, P. (2023). Impact of different bariatric techniques on the lipid profile in obeses. Journal of the Argentine Society of Diabetes, 52(3 (2018), 71–74. https://doi.org/10.47196/diab.v52i3.127

Most read articles by the same author(s)

1 2 > >>