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Biliary Pancreatic Diversion and Laparoscopic Adjustable Gastric Banding in Morbid Obesity: Their Long-term Effects on Metabolic Syndrome and on Cardiovascular Parameters by Antonio E Pontiroli; Marco Laneri; Annamaria Veronelli; Francesca Frigè; Giancarlo Micheletto; Franco Folli; Gianfranco Adami; Nicola Scopinaro is a Medicine article available to read on EtoBox.

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## Background Bariatric surgery is able to improve glucose and lipid metabolism, and cardiovascular function in morbid obesity. Aim of this study was to compare the long-term effects of malabsorptive (biliary pancreatic diversion, BPD), and restrictive (laparoscopic gastric banding, LAGB) procedures on metabolic and cardiovascular parameters, as well as on metabolic syndrome in morbidly obese patients. ## Methods 170 patients studied between 1989 and 2001 were called back after a mean period of 65 months. 138 patients undergoing BPD (n = 23) or LAGB (n = 78), and control patients (refusing surgery and treated with diet, n = 37) were analysed for body mass index (BMI), blood glucose, cholesterol, and triglycerides, blood pressure, heart rate, and ECG indexes (QTc, Cornell voltage-duration product, and rate-pressure-product). ## Results After a mean 65 months period, surgery was more effective than diet on all items under evaluation; diabetes, hypertension, and metabolic syndrome disappeared more in surgery than in control patients, and new cases appeared only in controls. BPD was more effective than LAGB on BMI, on almost all cardiovascular parameters, and on cholesterol, not on tri

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Author

Antonio E Pontiroli; Marco Laneri; Annamaria Veronelli; Francesca Frigè; Giancarlo Micheletto; Franco Folli; Gianfranco Adami; Nicola Scopinaro

Publisher

BioMed Central; Springer (Biomed Central Ltd.); London: BioMed Central, 2002-; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc. (ISSN 1475-2840)

Published

2009

Language

EN

Field

Medicine (Health Sciences)