Improvement in Pulmonary Hypertension Following Metabolic and Bariatric Surgery: a Brief Review and Meta-analysis

被引：0

作者：

Kitaghenda, Fidele Kakule ^{[1
]}

Hidig, Sakarie Mustafe ^{[2
]}

机构：

[1] Xuzhou Med Univ, Dept Gastrointestinal Surg, Affiliated Hosp, Xuzhou 221002, Jiangsu, Peoples R China

[2] Zhejiang Univ, Affiliated Hosp 4, Sch Med, Div Hepatobiliary & Pancreat Surg,Dept Surg, Yiwu 322000, Zhejiang, Peoples R China

来源：

OBESITY SURGERY | 2024年 / 34卷 / 05期

关键词：

Pulmonary hypertension; Pulmonary high blood pressure; Pulmonary systolic pressure; Bariatric surgery; Obesity surgery; Metabolic surgery; Roux-en-Y gastric bypass; One anastomosis gastric bypass; Sleeve gastrectomy; Adjustable gastric band; Biliopancreatic diversion with duodenal switch; OBSTRUCTIVE SLEEP-APNEA; WEIGHT-LOSS; OBESITY; OUTCOMES; IMPACT; ASSOCIATION; REMISSION; MORTALITY; LEPTIN; JOINT;

D O I：

10.1007/s11695-024-07162-z

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We reviewed the available evidence on the outcome of metabolic and bariatric surgery (MBS) in patients with pulmonary hypertension (PH). Five studies examining 174 patients were included; the mean age was 54.5 +/- 9.27 years; the mean BMI before surgery and at the end of follow-up were 47.2 +/- 5.95 kg/m(2) and 37.4 +/- 2.51 kg/m(2), respectively. Furthermore, the results showed a significant decrease in the right ventricle systolic pressure (RVSP) after MBS with a mean difference of 10.11% (CI 95%: 3.52, 16.70, I-2 = 85.37%, p = < 0.001), at 16.5 +/-+/- 3.8 month follow-up with a morbidity rate of 26% and 0 mortality. Thirty-day postoperative complications included respiratory failure, pulmonary embolism, pulmonary edema, and anastomotic leak. There appears to be a significant improvement in PH with a decrease in medication requirements after MBS.

引用

页码：1866 / 1873

页数：8

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