Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/201341
Type: Artigo de periódico
Title: Control Of Hypertension After Roux-en-y Gastric Bypass Among Obese Diabetic Patients.
Author: Cazzo, Everton
Gestic, Martinho Antonio
Utrini, Murillo Pimentel
Machado, Ricardo Rossetto
Pareja, José Carlos
Chaim, Elinton Adami
Abstract: Hypertension is a common disorder in general practice and has a widely known association with type 2 diabetes mellitus. Low adhesion to clinical treatment may lead to poor results. Obesity surgery can bring early and relevant resolution rates of both morbidities. To describe hypertension evolution after Roux-en-Y gastric bypass in patients with type 2 diabetes mellitus. Descriptive observational study designed as a historical cohort of 90 subjects with hypertension and diabetes who underwent Roux-en-Y gastric bypass and were evaluated before and after surgery. It was observed a hypertension resolution rate of 85.6% along with markedly decrease in anti-hypertensive usage. Mean resolution time was 3.2 months. Resolution was associated with homeostasis model assessment - insulin resistance, preoperative fasting insulin, anti-hypertensive usage, hypertension time, body mass index and percentage of weight loss. Resolution of hypertension was not statistically associated with diabetes remission within this sample. Roux-en-Y gastric bypass was a safe and effective therapeutic tool to achieve hypertension resolution in patients who also had diabetes mellitus.
Subject: Adult
Diabetes Mellitus, Type 2
Female
Gastric Bypass
Humans
Hypertension
Longitudinal Studies
Male
Middle Aged
Obesity
Retrospective Studies
Severity Of Illness Index
Treatment Outcome
Young Adult
Rights: aberto
Identifier DOI: 
Address: http://www.ncbi.nlm.nih.gov/pubmed/24760059
Date Issue: -1-Uns- -1
Appears in Collections:Unicamp - Artigos e Outros Documentos

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