Effects of MGB on Obesity-Related Co-Morbidities: Lipids, Hypertension, Non-Alcoholic Fatty Liver, etc.

Chapter

Abstract

Data on effects of MGB on obesity-related co-morbidities are scarce. The metabolic syndrome is responsible for a high mortality in morbidly obese patients. In all reports, the type 2 diabetes (T2D) remission rate after MGB was between 80 and 90% at 2 years, and stable at 10 years, outperforming sleeve gastrectomy. Hypertension and hyperlipemia decreased between 70 and 80%. Severe OSA no longer required CPAP in more than 90% of the patients. Joint pain decreased also mainly, but vitamin D deficiency must be screened and supplemented. There are until now no data on the efficiency of the MGB on non-alcoholic fatty liver disease, but a recent article showed that MGB resulted in greater weight loss, with a transitional deterioration of several liver parameters in the first postoperative year, which was not associated with weight loss. In summary, MGB results in great improvement in dangerous obesity-related co-morbidities, such as T2DM, hyperlipemia, hypertension and joint pain, but requires continuing surveillance.

Keywords

Mini-gastric bypass One anastomosis gastric bypass Co-morbidity Metabolic syndrome Obstructive sleep apnea NASH Joint pain Hyperlipemia Hypertension Type 2 diabetes 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Digestive and General SurgeryHôpital Européen Georges PompidouParisFrance
  2. 2.Société Française et Francophone de Chirurgie de l’ObésitéLyonFrance

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