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Orthostatic Intolerance after Bariatric Surgery: a Systematic Review

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Abstract

Predisposing factors of new-onset orthostatic intolerance (OI) after bariatric surgery (BS) are unknown. The purpose of this study is to summarize current existing data on new-onset OI after BS. Materials and methods were considered for a search of articles that were published by the 30th of July 2020. A systematic review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and in line with the protocol agreed by all authors was conducted. Of the 604 initially identified articles, four studies were found to match the established criteria and were extracted for eligibility. 83.3% were female. Hypertension, type 2 diabetes mellitus, and obstructive sleep apnea syndrome were the most frequently reported comorbidities. Surgical intervention such as revision, conversion, or reversal was not documented in these studies. Awareness of this issue must be raised due to the possibility of reduced quality of life and the risk of syncope.

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Authors and Affiliations

  1. Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Rasool-e Akram Hospital, Iran University of Medical Sciences, Tehran, Iran

    Mohammad Kermansaravi

  2. Department of Obesity and Metabolic Surgery, Ospedale Evangelico Betania, Naples, Italy

    Sonja Chiappetta

  3. Department of Minimally Invasive Digestive Surgery, Antoine-Beclere Hospital, Assistance Publique-Hôpitaux de Paris, F-92140, Clamart, France

    Panagiotis Lainas

  4. Paris-Saclay University, F-91405, Orsay, France

    Panagiotis Lainas

  5. Department of Digestive Surgery, Félix Guyon University Hospital, 97400, Saint-Denis, La Réunion, France

    Radwan Kassir

  6. La Réunion University, UFR Santé, La Réunion, France

    Radwan Kassir

Authors
  1. Mohammad Kermansaravi
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  2. Sonja Chiappetta
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  3. Panagiotis Lainas
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  4. Radwan Kassir
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Correspondence to Radwan Kassir.

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Appendix. Search Strategy

Appendix. Search Strategy

Our search strategy was performed by utilizing the below words:

Summation of #1-8: #1 ((bariatric [MeSH Terms]) OR (bariatric [Title/Abstract])) AND (((((orthostatic[MeSH Terms]) OR (orthostatic [Title/Abstract])) OR (syncope [MeSH Terms])) OR (syncope [Title/Abstract])) OR (tilt test [Title/Abstract])), #2 ((Neurologic complication [Title/Abstract])) AND ((((((bariatric [MeSH Terms]) OR (bariatric [Title/Abstract])) OR (weight loss [MeSH Terms])) OR (weight loss [Title/Abstract])) OR (gastric bypass [Title/Abstract])) OR (sleeve gastrectomy [Title/Abstract])), #3 ((weight loss [MeSH Terms]) OR (weight loss [Title/Abstract])) AND (((((orthostatic [MeSH Terms]) OR (orthostatic [Title/Abstract])) OR (syncope [MeSH Terms])) OR (syncope [Title/Abstract])) OR (tilt test [Title/Abstract])), #4 ((Sleeve gastrectomy [Title/Abstract])) AND (((((orthostatic [MeSH Terms]) OR (orthostatic [Title/Abstract])) OR (syncope [MeSH Terms])) OR (syncope [Title/Abstract])) OR (tilt test [Title/Abstract])), #5 ((Metabolic surgery [Title/Abstract])) AND (((((orthostatic [MeSH Terms]) OR (orthostatic [Title/Abstract])) OR (syncope [MeSH Terms])) OR (syncope [Title/Abstract])) OR (tilt test [Title/Abstract])), #6 ((gastric bypass [MeSH Terms]) OR (gastric bypass [Title/Abstract])) AND (((((orthostatic [MeSH Terms]) OR (orthostatic [Title/Abstract])) OR (syncope [MeSH Terms])) OR (syncope [Title/Abstract])) OR (tilt test [Title/Abstract])), #7 ((body mass index [MeSH Terms]) OR (body mass index [Title/Abstract])) AND (((((orthostatic [MeSH Terms]) OR (orthostatic [Title/Abstract])) OR (syncope [MeSH Terms])) OR (syncope [Title/Abstract])) OR (tilt test [Title/Abstract])), #8 ((obesity [MeSH Terms]) OR (obesity [Title/Abstract])) AND (((((orthostatic [MeSH Terms]) OR (orthostatic [Title/Abstract])) OR (syncope [MeSH Terms])) OR (syncope [Title/Abstract])) OR (tilt test [Title/Abstract]))

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Kermansaravi, M., Chiappetta, S., Lainas, P. et al. Orthostatic Intolerance after Bariatric Surgery: a Systematic Review. OBES SURG 31, 2250–2254 (2021). https://doi.org/10.1007/s11695-021-05266-4

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  • DOI: https://doi.org/10.1007/s11695-021-05266-4

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