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Title: Laparoscopic sleeve gastrectomy in patients with obesity and ventricular assist devices: a comprehensive outcome analysis
Authors: 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 
Mandras, Stacy A.
UNESCO Clasification: 320501 Cardiología
320502 Endocrinología
3213 Cirugía
Keywords: Bariatric Surgery
End-Stage Heart Failure
Heart Failure
Heart-Assist Devices
Laparoscopic Sleeve Gastrectomy, et al
Issue Date: 2021
Journal: Obesity Surgery 
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/m2. 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.
ISSN: 0960-8923
DOI: 10.1007/s11695-020-04948-9
Source: Obesity Surgery [ISSN 0960-8923], v. 31(2), p. 884-890, (Febrero 2021)
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