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01-01-2016 | Metabolic surgery | Book chapter | Article

55. Glycaemic Control and Reduction of Cardiovascular Risk Following Bariatric Surgery

Authors: MB, BCh, BAO, BA Jessie A. Elliott, MBChB, MSC, MRCP, FRCPath, PhD Carel W. le Roux

Publisher: Springer International Publishing

Abstract

Obesity in combination with type 2 diabetes mellitus (T2DM) is associated with excess cardiovascular (CV) morbidity and mortality. Weight loss of more than 15 % has the potential to attenuate this phenomenon. Bariatric surgery effectively induces significant and sustained weight loss in morbidly obese patients with T2DM. In addition, bariatric surgery can produce improvements in, as well as remission of T2DM, hypertension, dyslipidemia, inflammation and renal impairment. Improvement in CV risk factors following bariatric surgery reduces the incidence of fatal and non-fatal CV events. This chapter will outline the differential effects of each of the current most common bariatric procedures on CV risk factors.

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