In conclusion , this review highlights the benefits of bariatric surgery in reducing or eliminating risk factors for CVD .
It provides further evidence to support surgical treatment of obesity to achieve CVD risk reduction
Obesity is associated with increased risk for cardiovascular ( CV ) disease ( CVD ) and CV mortality .
Bariatric surgery has been shown to resolve or improve CVD risk factors , to varying degrees .
The objective of this systematic review was to determine the impact of bariatric surgery on CV risk factors and mortality .
A systematic review of the published research was performed to evaluate evidence regarding CV outcomes in morbidly obese bariatric patients .
Three-Year Follow-up of a Prospective Randomized Trial Comparing Laparoscopic Versus Open Gastric Bypass
Objective : To analyze long-term weight loss , changes in comorbidities and quality of life , and late complications after  laparoscopic and open gastric bypass .  Summary Background Data : Early results from our prospect i ve r and omized trial comparing the outcome of laparoscopic versus open gastric bypass demonstrated less postoperative pain , shorter length of hospital stay , fewer wound-related complications , and faster convalescence for patients who underwent laparoscopic gastric bypass .  Methods : Between May 1999 and March 2001 , 155 morbidly obese patients were enrolled in this prospect i ve trial , in which 79 patients were r and omized to laparoscopic gastric bypass and 76 to open gastric bypass .  Two patients in the laparoscopic group required conversion to open surgery ; their data were analyzed within the laparoscopic group on an intention-to-treat basis . The 2 groups were well matched for body mass index , age , and gender . Outcome evaluation included weight loss , changes in comorbidities and quality of life , and late complications . Results : The mean follow-up was 39 ± 8 months . There were no significant differences in the percent of excess body weight loss between the 2 groups at the 3-year follow-up ( 77 % for laparoscopic versus 67 % for open ) . The rate of improvement or resolution of comorbidities was similar between groups . Improvement in quality of life , measured by the Moorehead-Ardelt Quality of Life Question naire , was observed in both groups without significant differences between groups . Late complications were similar between groups except for the rate of incisional hernia , which was significantly greater after open gastric bypass ( 39 % versus 5 % , P < 0.01 ) , and the rate of cholecystectomy , which was greater after laparoscopic gastric bypass ( 28 % versus 5 % , P = 0.03 ) . Conclusions : In this r and omized trial with a 3-year follow-up , we found that laparoscopic gastric bypass was equally effective as open gastric bypass with respect to weight loss and improvement in comorbidities and quality of life . A major advantage at long-term follow-up for patients who underwent laparoscopic gastric bypass  was the reduction in the rate of incisional hernia
In conclusion , this review highlights the benefits of bariatric surgery in reducing or eliminating risk factors for CVD .
It provides further evidence to support surgical treatment of obesity to achieve CVD risk reduction
Obesity is associated with increased risk for cardiovascular ( CV ) disease ( CVD ) and CV mortality .
Bariatric surgery has been shown to resolve or improve CVD risk factors , to varying degrees .
The objective of this systematic review was to determine the impact of bariatric surgery on CV risk factors and mortality .
A systematic review of the published research was performed to evaluate evidence regarding CV outcomes in morbidly obese bariatric patients .