Impact of Restrictive (Sleeve Gastrectomy) vs Hybrid Bariatric Surgery (Roux-en-Y Gastric Bypass) on Lipid Profile
Background Few studies have evaluated the impact of hybrid versus purely restrictive bariatric surgery on lipid profile, with the results being contradictory. The effect of laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) on lipid profile was compared. Methods...
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| Veröffentlicht in: | Obesity surgery 2012-08, Vol.22 (8), p.1268-1275 |
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| creator | Benaiges, D. Flores-Le-Roux, J. A. Pedro-Botet, J. Ramon, J. M. Parri, A. Villatoro, M. Carrera, M. J. Pera, M. Sagarra, E. Grande, L. Goday, A. |
| description | Background
Few studies have evaluated the impact of hybrid versus purely restrictive bariatric surgery on lipid profile, with the results being contradictory. The effect of laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) on lipid profile was compared.
Methods
A nonrandomized prospective cohort study was conducted on severely obese patients undergoing bariatric surgery. Indication for the type of surgical procedure was based on clinical criteria. Patients on lipid-lowering drugs and those that could not be matched for age, sex, and body mass index were excluded. Finally, 51 patients who underwent LSG and 51 undergoing LRYGB completed this study.
Results
During the first year post-surgery, no differences in percentage of excess weight loss and triglyceride reduction were found between groups. After LRYGR, low-density lipoprotein (LDL) cholesterol concentrations fell significantly (125.9 ± 29.3 to 100.3 ± 26.4 mg/dl,
p
|
| doi_str_mv | 10.1007/s11695-012-0662-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1024478754</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1024478754</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-721115e31c58cda142f16d606e1e3b9dee010c37533a635273c63b94481c43d73</originalsourceid><addsrcrecordid>eNp1kUFv1DAQhS0EokvhB3BBlrhsDwaP7TjeI62grbQSqIUDp8jrTFCqJA52UpF_zywpCCFxGmnme88zfoy9BPkGpCzfZgC7K4QEJaS1SrhHbAOldEIa5R6zjdxZKdxO6RP2LOc7KRVYpZ6yE6UKY3ShNixd96MPE48Nv8E8pTZM7T3y7W2HSPXSUw_DFPvljN9nfrUcUlvzc59af4T57Zy-YVr49ibOPwQO4uuqodH5Mvqcz3gc-L4dSfUpxabt8Dl70vgu44uHesq-fHj_-eJK7D9eXl-824ugSzWJUgFAgRpC4ULtwagGbG2lRUB92NWIEiShhdbe0i2lDpb6xjgIRtelPmXb1XdM8ftMx1V9mwN2nR8wzrkCqYwpXVkYQl__g97FOQ203S9KSeWgIApWKqSYc8KmGlPb-7QQVB0DqdZAKgqkOgZSOdK8enCeDz3WfxS_EyBArUCm0UB_-ffT_3P9CQEZk5s</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1024202815</pqid></control><display><type>article</type><title>Impact of Restrictive (Sleeve Gastrectomy) vs Hybrid Bariatric Surgery (Roux-en-Y Gastric Bypass) on Lipid Profile</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Benaiges, D. ; Flores-Le-Roux, J. A. ; Pedro-Botet, J. ; Ramon, J. M. ; Parri, A. ; Villatoro, M. ; Carrera, M. J. ; Pera, M. ; Sagarra, E. ; Grande, L. ; Goday, A.</creator><creatorcontrib>Benaiges, D. ; Flores-Le-Roux, J. A. ; Pedro-Botet, J. ; Ramon, J. M. ; Parri, A. ; Villatoro, M. ; Carrera, M. J. ; Pera, M. ; Sagarra, E. ; Grande, L. ; Goday, A. ; Obemar Group ; On behalf the Obemar Group</creatorcontrib><description>Background
Few studies have evaluated the impact of hybrid versus purely restrictive bariatric surgery on lipid profile, with the results being contradictory. The effect of laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) on lipid profile was compared.
Methods
A nonrandomized prospective cohort study was conducted on severely obese patients undergoing bariatric surgery. Indication for the type of surgical procedure was based on clinical criteria. Patients on lipid-lowering drugs and those that could not be matched for age, sex, and body mass index were excluded. Finally, 51 patients who underwent LSG and 51 undergoing LRYGB completed this study.
Results
During the first year post-surgery, no differences in percentage of excess weight loss and triglyceride reduction were found between groups. After LRYGR, low-density lipoprotein (LDL) cholesterol concentrations fell significantly (125.9 ± 29.3 to 100.3 ± 26.4 mg/dl,
p
< 0.001), whereas no significant changes were observed in the LSG group (118.6 ± 30.7 to 114.6 ± 33.5 mg/dl,
p
= 0.220). High-density lipoprotein (HDL) cholesterol increase was significantly greater after LSG (15.4 ± 13.1 mg/dl) compared with LRYGB (9.4 ± 14.0 mg/dl,
p
= 0.032). Factors independently associated with LDL cholesterol reduction were higher baseline total cholesterol and undergoing LRYGB. A greater increase in HDL cholesterol was associated with LSG, older age, and baseline HDL cholesterol.
Conclusions
LRYGB produces an overall improvement in lipid profile, with a clear benefit in all lipid fractions. Although LSG does not alter LDL cholesterol levels, its effect on HDL cholesterol is comparable to or greater than that obtained with malabsorptive techniques.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-012-0662-8</identifier><identifier>PMID: 22544352</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Adult ; Body Mass Index ; Cholesterol ; Clinical Research ; Cohort Studies ; Dyslipidemias - blood ; Dyslipidemias - physiopathology ; Dyslipidemias - surgery ; Female ; Follow-Up Studies ; Gastric Bypass - methods ; Gastrointestinal surgery ; Gastroplasty - methods ; Humans ; Impact analysis ; Lipoproteins, HDL - blood ; Lipoproteins, LDL - blood ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Obesity ; Obesity, Morbid - blood ; Obesity, Morbid - physiopathology ; Obesity, Morbid - surgery ; Postoperative Period ; Prospective Studies ; Surgery ; Surgical techniques ; Treatment Outcome ; Triglycerides ; Weight Loss</subject><ispartof>Obesity surgery, 2012-08, Vol.22 (8), p.1268-1275</ispartof><rights>Springer Science + Business Media, LLC 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-721115e31c58cda142f16d606e1e3b9dee010c37533a635273c63b94481c43d73</citedby><cites>FETCH-LOGICAL-c372t-721115e31c58cda142f16d606e1e3b9dee010c37533a635273c63b94481c43d73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-012-0662-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-012-0662-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22544352$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Benaiges, D.</creatorcontrib><creatorcontrib>Flores-Le-Roux, J. A.</creatorcontrib><creatorcontrib>Pedro-Botet, J.</creatorcontrib><creatorcontrib>Ramon, J. M.</creatorcontrib><creatorcontrib>Parri, A.</creatorcontrib><creatorcontrib>Villatoro, M.</creatorcontrib><creatorcontrib>Carrera, M. J.</creatorcontrib><creatorcontrib>Pera, M.</creatorcontrib><creatorcontrib>Sagarra, E.</creatorcontrib><creatorcontrib>Grande, L.</creatorcontrib><creatorcontrib>Goday, A.</creatorcontrib><creatorcontrib>Obemar Group</creatorcontrib><creatorcontrib>On behalf the Obemar Group</creatorcontrib><title>Impact of Restrictive (Sleeve Gastrectomy) vs Hybrid Bariatric Surgery (Roux-en-Y Gastric Bypass) on Lipid Profile</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background
Few studies have evaluated the impact of hybrid versus purely restrictive bariatric surgery on lipid profile, with the results being contradictory. The effect of laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) on lipid profile was compared.
Methods
A nonrandomized prospective cohort study was conducted on severely obese patients undergoing bariatric surgery. Indication for the type of surgical procedure was based on clinical criteria. Patients on lipid-lowering drugs and those that could not be matched for age, sex, and body mass index were excluded. Finally, 51 patients who underwent LSG and 51 undergoing LRYGB completed this study.
Results
During the first year post-surgery, no differences in percentage of excess weight loss and triglyceride reduction were found between groups. After LRYGR, low-density lipoprotein (LDL) cholesterol concentrations fell significantly (125.9 ± 29.3 to 100.3 ± 26.4 mg/dl,
p
< 0.001), whereas no significant changes were observed in the LSG group (118.6 ± 30.7 to 114.6 ± 33.5 mg/dl,
p
= 0.220). High-density lipoprotein (HDL) cholesterol increase was significantly greater after LSG (15.4 ± 13.1 mg/dl) compared with LRYGB (9.4 ± 14.0 mg/dl,
p
= 0.032). Factors independently associated with LDL cholesterol reduction were higher baseline total cholesterol and undergoing LRYGB. A greater increase in HDL cholesterol was associated with LSG, older age, and baseline HDL cholesterol.
Conclusions
LRYGB produces an overall improvement in lipid profile, with a clear benefit in all lipid fractions. Although LSG does not alter LDL cholesterol levels, its effect on HDL cholesterol is comparable to or greater than that obtained with malabsorptive techniques.</description><subject>Adult</subject><subject>Body Mass Index</subject><subject>Cholesterol</subject><subject>Clinical Research</subject><subject>Cohort Studies</subject><subject>Dyslipidemias - blood</subject><subject>Dyslipidemias - physiopathology</subject><subject>Dyslipidemias - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastric Bypass - methods</subject><subject>Gastrointestinal surgery</subject><subject>Gastroplasty - methods</subject><subject>Humans</subject><subject>Impact analysis</subject><subject>Lipoproteins, HDL - blood</subject><subject>Lipoproteins, LDL - blood</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity, Morbid - blood</subject><subject>Obesity, Morbid - physiopathology</subject><subject>Obesity, Morbid - surgery</subject><subject>Postoperative Period</subject><subject>Prospective Studies</subject><subject>Surgery</subject><subject>Surgical techniques</subject><subject>Treatment Outcome</subject><subject>Triglycerides</subject><subject>Weight Loss</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kUFv1DAQhS0EokvhB3BBlrhsDwaP7TjeI62grbQSqIUDp8jrTFCqJA52UpF_zywpCCFxGmnme88zfoy9BPkGpCzfZgC7K4QEJaS1SrhHbAOldEIa5R6zjdxZKdxO6RP2LOc7KRVYpZ6yE6UKY3ShNixd96MPE48Nv8E8pTZM7T3y7W2HSPXSUw_DFPvljN9nfrUcUlvzc59af4T57Zy-YVr49ibOPwQO4uuqodH5Mvqcz3gc-L4dSfUpxabt8Dl70vgu44uHesq-fHj_-eJK7D9eXl-824ugSzWJUgFAgRpC4ULtwagGbG2lRUB92NWIEiShhdbe0i2lDpb6xjgIRtelPmXb1XdM8ftMx1V9mwN2nR8wzrkCqYwpXVkYQl__g97FOQ203S9KSeWgIApWKqSYc8KmGlPb-7QQVB0DqdZAKgqkOgZSOdK8enCeDz3WfxS_EyBArUCm0UB_-ffT_3P9CQEZk5s</recordid><startdate>20120801</startdate><enddate>20120801</enddate><creator>Benaiges, D.</creator><creator>Flores-Le-Roux, J. A.</creator><creator>Pedro-Botet, J.</creator><creator>Ramon, J. M.</creator><creator>Parri, A.</creator><creator>Villatoro, M.</creator><creator>Carrera, M. J.</creator><creator>Pera, M.</creator><creator>Sagarra, E.</creator><creator>Grande, L.</creator><creator>Goday, A.</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20120801</creationdate><title>Impact of Restrictive (Sleeve Gastrectomy) vs Hybrid Bariatric Surgery (Roux-en-Y Gastric Bypass) on Lipid Profile</title><author>Benaiges, D. ; Flores-Le-Roux, J. A. ; Pedro-Botet, J. ; Ramon, J. M. ; Parri, A. ; Villatoro, M. ; Carrera, M. J. ; Pera, M. ; Sagarra, E. ; Grande, L. ; Goday, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-721115e31c58cda142f16d606e1e3b9dee010c37533a635273c63b94481c43d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Body Mass Index</topic><topic>Cholesterol</topic><topic>Clinical Research</topic><topic>Cohort Studies</topic><topic>Dyslipidemias - blood</topic><topic>Dyslipidemias - physiopathology</topic><topic>Dyslipidemias - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastric Bypass - methods</topic><topic>Gastrointestinal surgery</topic><topic>Gastroplasty - methods</topic><topic>Humans</topic><topic>Impact analysis</topic><topic>Lipoproteins, HDL - blood</topic><topic>Lipoproteins, LDL - blood</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity, Morbid - blood</topic><topic>Obesity, Morbid - physiopathology</topic><topic>Obesity, Morbid - surgery</topic><topic>Postoperative Period</topic><topic>Prospective Studies</topic><topic>Surgery</topic><topic>Surgical techniques</topic><topic>Treatment Outcome</topic><topic>Triglycerides</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Benaiges, D.</creatorcontrib><creatorcontrib>Flores-Le-Roux, J. A.</creatorcontrib><creatorcontrib>Pedro-Botet, J.</creatorcontrib><creatorcontrib>Ramon, J. M.</creatorcontrib><creatorcontrib>Parri, A.</creatorcontrib><creatorcontrib>Villatoro, M.</creatorcontrib><creatorcontrib>Carrera, M. J.</creatorcontrib><creatorcontrib>Pera, M.</creatorcontrib><creatorcontrib>Sagarra, E.</creatorcontrib><creatorcontrib>Grande, L.</creatorcontrib><creatorcontrib>Goday, A.</creatorcontrib><creatorcontrib>Obemar Group</creatorcontrib><creatorcontrib>On behalf the Obemar Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Benaiges, D.</au><au>Flores-Le-Roux, J. A.</au><au>Pedro-Botet, J.</au><au>Ramon, J. M.</au><au>Parri, A.</au><au>Villatoro, M.</au><au>Carrera, M. J.</au><au>Pera, M.</au><au>Sagarra, E.</au><au>Grande, L.</au><au>Goday, A.</au><aucorp>Obemar Group</aucorp><aucorp>On behalf the Obemar Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of Restrictive (Sleeve Gastrectomy) vs Hybrid Bariatric Surgery (Roux-en-Y Gastric Bypass) on Lipid Profile</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2012-08-01</date><risdate>2012</risdate><volume>22</volume><issue>8</issue><spage>1268</spage><epage>1275</epage><pages>1268-1275</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Background
Few studies have evaluated the impact of hybrid versus purely restrictive bariatric surgery on lipid profile, with the results being contradictory. The effect of laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) on lipid profile was compared.
Methods
A nonrandomized prospective cohort study was conducted on severely obese patients undergoing bariatric surgery. Indication for the type of surgical procedure was based on clinical criteria. Patients on lipid-lowering drugs and those that could not be matched for age, sex, and body mass index were excluded. Finally, 51 patients who underwent LSG and 51 undergoing LRYGB completed this study.
Results
During the first year post-surgery, no differences in percentage of excess weight loss and triglyceride reduction were found between groups. After LRYGR, low-density lipoprotein (LDL) cholesterol concentrations fell significantly (125.9 ± 29.3 to 100.3 ± 26.4 mg/dl,
p
< 0.001), whereas no significant changes were observed in the LSG group (118.6 ± 30.7 to 114.6 ± 33.5 mg/dl,
p
= 0.220). High-density lipoprotein (HDL) cholesterol increase was significantly greater after LSG (15.4 ± 13.1 mg/dl) compared with LRYGB (9.4 ± 14.0 mg/dl,
p
= 0.032). Factors independently associated with LDL cholesterol reduction were higher baseline total cholesterol and undergoing LRYGB. A greater increase in HDL cholesterol was associated with LSG, older age, and baseline HDL cholesterol.
Conclusions
LRYGB produces an overall improvement in lipid profile, with a clear benefit in all lipid fractions. Although LSG does not alter LDL cholesterol levels, its effect on HDL cholesterol is comparable to or greater than that obtained with malabsorptive techniques.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>22544352</pmid><doi>10.1007/s11695-012-0662-8</doi><tpages>8</tpages></addata></record> |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Body Mass Index Cholesterol Clinical Research Cohort Studies Dyslipidemias - blood Dyslipidemias - physiopathology Dyslipidemias - surgery Female Follow-Up Studies Gastric Bypass - methods Gastrointestinal surgery Gastroplasty - methods Humans Impact analysis Lipoproteins, HDL - blood Lipoproteins, LDL - blood Male Medicine Medicine & Public Health Middle Aged Obesity Obesity, Morbid - blood Obesity, Morbid - physiopathology Obesity, Morbid - surgery Postoperative Period Prospective Studies Surgery Surgical techniques Treatment Outcome Triglycerides Weight Loss |
| title | Impact of Restrictive (Sleeve Gastrectomy) vs Hybrid Bariatric Surgery (Roux-en-Y Gastric Bypass) on Lipid Profile |
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