PLoS Med: metabolic surgery helps to treat hypertension
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September 17, 2020 / BIOON / - - metabolic surgery, such as gastric bypass grafting and gastric sleeve surgery, not only effectively treat type 2 diabetes and obesity, but also benefit obese patients with high blood pressure, according to a new study led by Erik Stenberg of erebro University, and can reduce the risk of heart attack, stroke and death. The results were published in the recent journal PLoS Medicine.
Hypertension, especially when combined with morbid obesity, is the leading cause of death and disability worldwide. Metabolic surgery has been shown to reduce the risk of many diseases commonly associated with obesity, such as type 2 diabetes, high cholesterol and sleep apnea, but it is not clear whether surgery is also effective in treating hypertension. To assess whether metabolic surgery is beneficial for obese and hypertensive patients, the researchers compared two groups of people with these diseases: one group had metabolic surgery, while the control group did not. Individuals in these groups were matched by age, gender, and location, and the researchers took into account other factors, such as other health conditions and educational levels. The metabolic surgery group had a lower risk of "major adverse cardiovascular events" such as stroke, heart attack or cardiac arrest, and a lower risk of death from any cause. Overall, 3.2% of the surgical group had severe adverse cardiovascular events, compared with 4.5% in the control group.
This new study shows that metabolic surgery is effective in treating hypertension in individuals with BMI ≥ 35kg / m2. Metabolic surgery may not be a global solution for the prevalence of obesity, but because these related diseases cause so many deaths and diseases around the world, it should be considered as an effective choice for the treatment of obese and hypertensive patients.
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