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Journal of Obesity
Volume 2010 (2010), Article ID 102341, 6 pages
http://dx.doi.org/10.1155/2010/102341
Research Article

Feasibility of Bariatric Surgery as a Strategy for Secondary Prevention in Cardiovascular Disease: A Report from the Swedish Obese Subjects Trial

1Department of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gröna Stråket 8, 413 45 Göteborg, Sweden
2Department of Surgery, The Sahlgrenska Academy, University of Gothenburg, SE-413 45 Göteborg, Sweden
3Department of Health Care, Regional Secretariat, Västra Götaland Region, SE-405 44 Göteborg, Sweden

Received 12 March 2010; Accepted 8 June 2010

Academic Editor: Marco Anselmino

Copyright © 2010 Lotta Delling et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aims. Evaluation of bariatric surgery as secondary prevention in obese patients with ischemic heart disease (IHD). Methods. Analysis of data from 4047 subjects in the Swedish Obese Subjects (SOSs) study. Thirty-five patients with IHD are treated with bariatric surgery ( 𝑛 = 2 1 ) or conventional treatment ( 𝑛 = 1 4 ). Mean follow-up is 10.8 years. Results. Bariatric surgery resulted in sustained weight loss during the study period. After 2 years, the surgery group displayed significant reductions in cardiovascular risk factors, relief from cardiorespiratory symptoms, increments in physical activity, and improved quality of life. After 10 years, recovery from hypertension, diabetes, physical inactivity, and depression was still more common in the surgery group. There were no signs of increased cardiovascular morbidity or mortality in the surgery group. Conclusion. Bariatric surgery appears to be a safe and feasible treatment to achieve long-term weight loss and improvement in cardiovascular risk factors, symptoms, and quality of life in obese subjects with IHD.