Weight loss surgery can help reduce metabolic syndrome in obes...( th groups but patients who underwent l...),Health

th groups, but patients who underwent laparoscopic gastric bypass lost significantly more weight (average 38.4 kilograms vs. 35.1 kilograms) and achieved a lower body mass index than patients who underwent laparoscopic vertical banded gastroplasty. In patients with the metabolic syndrome, the average weight loss one year after surgery was 38.2 kilograms, or 31.9 percent of their initial body weight. These patients had a substantial reduction in blood pressure and blood glucose, triglycerides and total cholesterol, resulting in a 95.6 percent resolution of the metabolic syndrome one year after surgery. The researchers also report that the metabolic syndrome was resolved in 95 percent of patients who underwent laparoscopic vertical banded gastroplasty and in 98.4 percent of patients who underwent laparoscopic gastric bypass surgery one year after the surgeries.

"The metabolic syndrome is prevalent in 52.2 percent of morbidly obese individuals enrolling in an obesity surgery program," the authors write. "Significant weight reduction one year after surgery markedly improved all aspects of the metabolic syndrome and resulted in a cure rate of 95.6 percent. Obesity surgery performed by laparoscopic surgery is recommended for obese patients with the metabolic syndrome."

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Contact: Wei-Jei Lee, M.D., Ph.D.
wjlee@km.eck.org.tw
JAMA and Archives Journals
18-Oct-2004

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