Resolution of systemic hypertension after laparoscopic gastric bypass

Abstract

Background: Hypertension is a well-recognized and treatable risk factor for coronary heart disease and is one of the most common comorbidities associated with obesity. The aim of this study was to characterize the clinical outcome of a cohort of patients with documented hypertension who underwent laparoscopic gastric bypass. Methods: Ninety-five obese patients with documented hypertension and being treated with antihypertensive medication(s) underwent laparoscopic gastric bypass. Main outcome measures included length of hypertensive condition, changes in systolic and diastolic blood pressures, and changes in antihypertensive medication(s) at follow-up. Results: There were 69 (72%) females with a mean preoperative body mass index of 47 kg/m2. The mean duration of hypertension was 73∈±∈70 months. The mean excess body weight loss at 12 months was 66%. The mean systolic blood pressure significantly decreased from 140∈±∈17 mmHg preoperatively to 120∈±∈18 mmHg at 12 months (p∈