1. Laparoscopic Sleeve Gastrectomy in Patients with Obesity and Ventricular Assist Devices: a Comprehensive Outcome Analysis.
- Author
-
daSilva-deAbreu, Adrian, Garikapati, Kiran, Alhafez, Bader Aldeen, Desai, Sapna, Eiswirth, Clement, Krim, Selim, Patel, Hamang, Ventura, Hector O., Lavie, Carl J., Loro-Ferrer, Juan Francisco, and Mandras, Stacy A.
- Subjects
SLEEVE gastrectomy ,LAPAROSCOPIC surgery ,BODY mass index ,HEART assist devices ,HEART transplantation ,FUNCTIONAL status ,GASTRIC banding - Abstract
We analyzed in detail the outcomes of eight patients with ventricular assist devices (VADs) and obesity who underwent laparoscopic sleeve gastrectomy (LSG) at a single heart transplant (HT) center. This comprehensive analysis included body mass index (BMI) trends from VAD implantation to the time of LSG; BMI and percentage of excess BMI lost during follow-up; adverse outcomes; and changes in echocardiographic parameters, fasting lipids, unplanned hospitalizations, and functional status. We also identified the patients who achieved the following outcomes: listing for HT, HT, 50% excess BMI loss, and BMI < 35 kg/m
2 . Laparoscopic sleeve gastrectomy seems to be a reasonable and effective intervention to help patients with VADs and obesity to decrease excess BMI and become candidates for HT. [ABSTRACT FROM AUTHOR]- Published
- 2021
- Full Text
- View/download PDF