ABSTRACT
BACKGROUND: The beneficial effects in lipid profiles after obesity surgery might be associated with the decrease in cardiovascular risk. However, direct comparison between different surgical techniques has not been extensively performed. METHODS: In the present study we compare 20 obese women submitted to laparoscopic Roux en Y gastric bypass (RYGB) with 20 women submitted to sleeve gastrectomy (SG). Twenty control women matched for age and baseline cardiovascular risk were also included. Both patients and controls were followed up for 1 year after surgery or conventional treatment with diet and exercise, respectively. Lipid profiles were measured at baseline, 6 and 12 months later. Carotid intima-media thickness was measured by ultrasonography at baseline and at the end of the study. RESULTS: Women submitted to bariatric surgery showed a decrease in total cholesterol, triglycerides, oxidized-LDL and ApoB, and an increase in HDL and ApoA concentrations that occurred regardless of the surgical procedure. LDL concentrations, however, decreased only after RYGB whereas Lp(a) showed no changes. We did not observe any correlation between the changes in serum lipid concentrations and those in carotid intima-media thickness. CONCLUSIONS: Sleeve gastrectomy and gastric bypass induce a similar beneficial effect on serum lipids in women with high cardiovascular risk 1 year after surgery.
Subject(s)
Gastrectomy/methods , Gastric Bypass , Gastroplasty/methods , Obesity, Morbid/blood , Obesity, Morbid/surgery , Adult , Apolipoproteins A/blood , Apolipoproteins B/blood , Caloric Restriction , Cardiovascular Diseases/diagnostic imaging , Cardiovascular Diseases/prevention & control , Carotid Arteries/diagnostic imaging , Carotid Intima-Media Thickness , Case-Control Studies , Exercise , Female , Follow-Up Studies , Humans , Lipoproteins, HDL/blood , Lipoproteins, LDL/blood , Middle Aged , Obesity, Morbid/diet therapy , Obesity, Morbid/pathology , Risk , Triglycerides/blood , UltrasonographyABSTRACT
We report on 26-year-old woman with a right adrenal tumour 10cm in diameter who was treated by laparoscopic resection. The patient was asymptomatic and she has passed medical history of a suprarenal tumour and she was operated in her country 6 years before and six months later there was evidence of recurrence. Any medical treatment was given at this time. We don't have any medical report of this event. A subsequent computed tomography (CT) of the abdomen confirmed a 10x8cm homogenous mass in the suprarenal right spaceLaparoscopic complete excision of the mass was performed. The postoperative period was uneventful, and the patient was discharged on the third postoperative day. Histology was consistent with an adrenal ganglioneuroma. Three years later, there is not evidence of recurrence on abdominal CT scan
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