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 .
Long-long limb Roux-en-Y gastric bypass is more efficacious in treatment of type 2 diabetes and lipid disorders in super-obese patients.
BACKGROUND Super-obese patients can achieve adequate weight loss with long limb Roux-en-Y gastric bypass ( RYGB ) . These patients , however , might need longer intestinal limbs to control co-morbidities such as type 2 diabetes , lipid disorders , hypertension , sleep apnea , and gastroesophageal reflux disorder . METHODS A total of 105 patients with a body mass index of > or = 50 kg/m(2 ) were r and omly divided into 2 similar groups regarding sex , age , and number of co-morbidities . All underwent laparoscopic Roux-en-Y gastric bypass .  In group 1 , the length of the biliary limb was 50 cm and the length of the Roux limb was 150 cm . In group 2 , the length of the biliary limb was 100 cm and the length of the Roux limb was 250 cm . RESULTS The follow-up for both group was 48 months . Diabetes was controlled in 58 % of group 1 and in 93 % of group 2 ( P < 0.05 ) . Lipid disorders improved in 57 % of group 1 and in 70 % of group 2 ( P < 0.05 ) . No statistical difference was found in the control or improvement of hypertension , sleep apnea , or gastroesophageal reflux disorder . The excess weight loss was faster in group 1 but was similar in both groups at 48 months ( 70 % in group 1 and 74 % in group 2 ) , with no statistical difference . CONCLUSION Patients with longer biliary and Roux limbs achieved greater type 2 diabetes control , greater lipid disorder improvement , and showed a trend toward faster excess weight loss
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 .