Laparoscopic Sleeve Gastrectomy in Patients with Obesity and Ventricular Assist Devices: a Comprehensive Outcome Analysis

• Published in: Obesity surgery Vol. 31; no. 2; pp. 884 - 890
• Main 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.
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.02.2021; Springer Nature B.V
• Subjects: Body Mass Index; Brief Communication; Gastrectomy; Humans; Laparoscopy; Medicine; Medicine & Public Health; Obesity; Obesity - surgery; Obesity, Morbid - surgery; Retrospective Studies; Surgery; Treatment Outcome; Weight Loss; Heart failure; Bariatric surgery; End-stage heart failure; Ventricular assist devices; Laparoscopic sleeve gastrectomy; Heart-assist devices; Sleeve gastrectomy
• ISSN: 0960-8923; 1708-0428
• DOI: 10.1007/s11695-020-04948-9

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/m 2 . 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.