Metabolic and Bariatric Surgery: An Effective Treatment Option for Obesity and Cardiovascular Disease

• Published in: Progress in cardiovascular diseases Vol. 61; no. 2; pp. 253 - 269
• Main Authors: English, Wayne J., Williams, D. Brandon
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.07.2018
• Subjects: Bariatric surgery; Bariatric surgery complications; Bariatric surgery outcomes; Bariatric surgery safety; Cardiometabolic disease; Cardiovascular disease; Diabetes mellitus; Metabolic and bariatric surgery; Obesity; Cardiometabolic disease; CDC; HRQL; Appy; ILI; Cardiovascular disease; LV; mmHg; PVR; HDL-C; AHEAD; AACE; hs-CRP; ml; NSQIP; Obesity; MBSAQIP; T2D; CMS; Bariatric surgery outcomes; TKA; BPD/DS; CVD; Bariatric surgery safety; GERD; TOS; Bariatric surgery complications; CABG; mPAP; N/A; RYGB; NSAID; Bariatric surgery; L/min; LDL; ASMBS; STAMPEDE; ACA; BMI; ACC; Chole; Diabetes mellitus; cm; kg/m2; CO; NIH; TG; SOS; CPF; PH; AHA; ICU; Lap; NHANES; LRYGB; U.S; HF; Metabolic and bariatric surgery
• ISSN: 0033-0620; 1532-8643; 1873-1740
• DOI: 10.1016/j.pcad.2018.06.003

Obesity is a chronic and debilitating disease that has become a global epidemic. Especially severe in the Unites States, obesity currently affects almost 40% of the population. Obesity has a strong causal relationship with numerous serious comorbidities that impair quality of life, shorten life expectancy, and carry a major economic burden. Obesity has particular relevance to cardiologists because it contributes directly to several major cardiovascular diseases and, consequently, increases overall cardiovascular mortality. Multiple treatment options are available, but metabolic and bariatric surgery offers the most effective and durable treatment for obesity. Moreover, metabolic and bariatric operations alleviate and often completely eliminate numerous comorbidities, particularly type 2 diabetes and other cardiovascular risk factors, such as hypertension and dyslipidemia. With their low risk of complications and morbidity, metabolic and bariatric operations significantly improve quality of life and overall survival, particularly reducing death due to cardiovascular disease.