Sleeve gastrectomy to aortic valve replacement: safe? |
| |
| Affiliation: | 1. Department of Surgery, Kaohsiung Medical University Hospital/Kaohsiung Medical University, Kaohsiung City, Taiwan;2. Division of Thoracic Surgery, Department of Surgery, Kaohsiung Medical University Hospital/Kaohsiung Medical University, Kaohsiung City, Taiwan;3. Weight Management Center, Kaohsiung Medical University Hospital/Kaohsiung Medical University, Kaohsiung City, Taiwan;4. Translational Research Center, Kaohsiung Medical University Hospital/Kaohsiung Medical University, Kaohsiung City, Taiwan;5. Department of Sports Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung City, Taiwan;1. Department of Bariatric Surgery and Bariatric Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar;2. Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar;3. College of Medicine, Qatar University, Doha, Qatar;4. Weill Cornell Medicine–Qatar, Doha, Qatar;5. School of Health and Education, University of Skovde, Skovde, Sweden;1. Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada;2. ICES, London, Ontario, Canada;3. Department of Surgery, McMaster University, Hamilton, Ontario, Canada;4. Department of Surgery, University of Toronto, Toronto, Ontario, Canada;1. Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania;2. Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania;3. Department of Surgery, Division of GI Metabolic and Bariatric Surgery, Weill Cornell Medicine, New York, New York;4. Department of Surgery, University of Montreal, Montreal, Canada;5. Department of Surgery, East Carolina University, Greenville, North Carolina;1. Bariatric and Metabolic Institute, Department of General Surgery, Cleveland Clinic, Cleveland, Ohio;2. Department of Surgery, Harvard Medical School, Mount Auburn Hospital, Cambridge, Massachusetts;3. Division of General and Bariatric Surgery, Department of Surgery, East Carolina University Brody School of Medicine, Greenville, North Carolina;4. Department of Surgery, University of California, Irvine Medical Center, Orange, California;5. Department of Surgery, University of Oklahoma School of Community Medicine, Tulsa, Oklahoma;6. Harold Hamm Diabetes Center, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma |
| |
| Abstract: | BackgroundBariatric surgery has favorable results on cardiac structure and function, but there is minimal research on its utility in the cardiac comorbid population.ObjectivesTo determine if laparoscopic sleeve gastrectomy (SG) is safe in patients with symptomatic aortic stenosis (AS).SettingCommunity hospital/bariatric center of excellence in Pennsylvania.MethodsRetrospective single center review of 18 patients with morbid obesity and clinically significant AS. All SGs were performed between June 2016 and June 2020. Outcomes including hospital length of stay, 30-day readmission, and 30-day mortality in the study population (n = 18) were compared with 100 patients without AS who underwent SG at the same institution during the same time.ResultsThere were no perioperative deaths. Mean hospital stay in the study group was 1.78 days compared with 1.3 days in the noncardiac group (P = .1154). Two of 18 patients (11.1%) required readmission within 30 days, both for clinically significant bleeding, compared with 2 of 100 noncardiac patients (2.0%) (P = .1097). Seventeen of 18 study patients went on to have definitive aortic valve replacement surgery.ConclusionSG appears safe in patients with clinically significant AS. Although the AS group did have a higher rate of complications, these were manageable and did not increase mortality or LOS. Further studies are required to determine if outcomes of definitive aortic valve replacement are improved after bariatric surgery. |
| |
| Keywords: | Laparoscopic sleeve gastrectomy Aortic stenosis Bariatric surgery |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
