Laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for 5-year hypertension remission in obese patients: a systematic review and meta-analysis
Por:
Climent, E, Goday, A, Pedro-Botet, J, Sola, I, Oliveras, A, Ramon, JM, Flores-Le Roux, JA, Checa, MA, Benaiges, D
Publicada:
1 feb 2020
Resumen:
Controversial results exist on mid-term effects of Roux-en-Y gastric bypass and sleeve gastrectomy on hypertension remission. The aim of the present systematic review was to study 5-year hypertension remission after both procedures. One-year hypertension remission and SBP and DBP pressure change at 1 and 5 years after both surgical techniques were also evaluated. We searched MEDLINE, EMBASE and The Cochrane Central Register of Controlled Trials (CENTRAL). Thirty-two articles were included (six randomized controlled trials, 18 cohort and eight case-control studies). The proportion of patients with hypertension remission was greater for those treated with gastric bypass compared with sleeve gastrectomy at 5 years (RR = 1.26, 95% CI = 1.07-1.48) and 1 year (RR = 1.14, 95% CI = 1.06-1.21). Gastric bypass and sleeve gastrectomy did not differ in terms of SBP or DBP change. Patients treated with gastric bypass present a higher hypertension remission rate at 1 and 5 years.
Filiaciones:
Climent, E:
Hosp del Mar, Dept Endocrinol & Nutr, Barcelona, Spain
Univ Autonoma Barcelona, Dept Med, Barcelona, Spain
Goday, A:
Hosp del Mar, Dept Endocrinol & Nutr, Barcelona, Spain
Univ Autonoma Barcelona, Dept Med, Barcelona, Spain
Inst Hosp Del Mar Invest Med IMIM, Barcelona, Spain
Inst Salud Carlos III, CiberOBN, Avda Monforte Lemos, Madrid, Spain
Pedro-Botet, J:
Hosp del Mar, Dept Endocrinol & Nutr, Barcelona, Spain
Univ Autonoma Barcelona, Dept Med, Barcelona, Spain
Inst Hosp Del Mar Invest Med IMIM, Barcelona, Spain
Sola, I:
Iberoamer Cochrane Ctr, Biomed Res Inst St Pau IIB St Pau, Barcelona, Spain
CIBER Epidemiol & Salud Publ, Avda Monforte Lemos, Madrid, Spain
Oliveras, A:
Hosp del Mar, Nephrol Dept, Hypertens Unit, Barcelona, Spain
Hosp del Mar, Dept Nephrol, Barcelona, Spain
Ramon, JM:
Inst Hosp Del Mar Invest Med IMIM, Barcelona, Spain
Hosp del Mar, Dept Gen Surg, Barcelona, Spain
Flores-Le Roux, JA:
Hosp del Mar, Dept Endocrinol & Nutr, Barcelona, Spain
Univ Autonoma Barcelona, Dept Med, Barcelona, Spain
Inst Hosp Del Mar Invest Med IMIM, Barcelona, Spain
Checa, MA:
Hosp del Mar, Dept Obstet & Gynecol, Barcelona, Spain
Univ Autonoma Barcelona, Dept Pediat Obstet & Ginecol & Publ Hlth, Campus Univ Mar, Barcelona, Spain
Grp Recerca Infertilitat Barcelona GRI BCN, SGR527, Barcelona, Spain
Benaiges, D:
Hosp del Mar, Dept Endocrinol & Nutr, Barcelona, Spain
Univ Autonoma Barcelona, Dept Med, Barcelona, Spain
Inst Hosp Del Mar Invest Med IMIM, Barcelona, Spain
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