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Type: Artigo de periódico
Title: Control Of Hypertension After Roux-en-y Gastric Bypass Among Obese Diabetic Patients [controle Da Hipertensão Arterial Após Bypass Gástrico Em Y-de-roux Em Obesos Diabéticos]
Author: Cazzo E.
Gestic M.A.
Utrini M.P.
Machado R.R.
Pareja J.C.
Chaim E.A.
Abstract: Context - 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. Objective - To describe hypertension evolution after Roux-en-Y gastric bypass in patients with type 2 diabetes mellitus. Method - 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. Results - 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. Conclusion - Roux-en-Y gastric bypass was a safe and effective therapeutic tool to achieve hypertension resolution in patients who also had diabetes mellitus.
Editor: IBEPEGE - Inst. Bras. Estudos Pesquisas Gastroent.
Rights: aberto
Identifier DOI: 10.1590/S0004-28032014000100005
Date Issue: 2014
Appears in Collections:Unicamp - Artigos e Outros Documentos

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