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Obesity Surgery
Published in: Obesity Surgery 7/2021

01-07-2021 | Obesity | Original Contributions

Evaluation of Myocardial Function Following SADI-S

Authors: Adriana Ruano-Campos, Alejandro Cruz-Utrilla, Leyre López-Antoñanzas, Maria Luaces, Leopoldo Pérez de Isla, Miguel Ángel Rubio Herrera, Antonio Torres García, Andrés Sánchez-Pernaute

Published in: Obesity Surgery | Issue 7/2021

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Abstract

Purpose

The aim of this study was to compare myocardial mechanics using global longitudinal strain (GLS) before and after single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S).

Materials and Methods

A total of 21 obese patients undergoing SADI-S were prospectively included. Transthoracic echocardiography was performed before and after the procedure, and left ventricle (LV) and right ventricle (RV) strain was assessed by two-dimensional speckle-tracking imaging (2DST).

Results

Mean time between pre-procedural and post-procedural echocardiograms was 9.2 ± 3.3 months. Postoperatively, %total weight loss (%TWL) was 33.0 ± 1.7 and % excess weight loss (%EWL) was 75.5 ± 3.6. Body mass index (BMI) significantly decreased after surgery (45.6 ± 1.2 vs 29.6 ± 1.0; p < 0.001). Postoperatively, LV GLS experienced a significant improvement (−19.8% ± 0.5 vs −22.2% ± 0.4; p < 0.001). Regarding other relevant functional parameters, RV free-wall strain was equally recovered (−19.1% ± 0.7 vs −21.0% ± 0.8; p 0.047).

Conclusions

This study demonstrates important and favourable changes in cardiac deformation parameters after performing SADI-S. Malabsorptive bariatric techniques such as SADI-S induce significant weight loss, leading to an improvement in subclinical myocardial function in patients with obesity.
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Metadata
Title
Evaluation of Myocardial Function Following SADI-S
Authors
Adriana Ruano-Campos
Alejandro Cruz-Utrilla
Leyre López-Antoñanzas
Maria Luaces
Leopoldo Pérez de Isla
Miguel Ángel Rubio Herrera
Antonio Torres García
Andrés Sánchez-Pernaute
Publication date
01-07-2021
Publisher
Springer US
Published in
Obesity Surgery / Issue 7/2021
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-021-05349-2

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