Question: Which bariatric surgery technique has the best effect for sustained reductions in systolic and diastolic blood pressure?
Question
Which bariatric surgery technique has the best effect for sustained reductions in systolic and diastolic blood pressure?
A. Gastric banding
B. Biliopancreatic diversion with duodenal switch (BPD/DS)
C. Roux-en-Y gastric bypass
D. Duodenal-jejunal bypass liner (DJBL)
Answer
A recent review evaluating the impact of metabolic surgery on hypertension found that Roux-en-Y gastric bypass, the most commonly performed bariatric procedure, had the most significant and sustained effect on reducing both systolic and diastolic blood pressure.
Although other techniques, such as gastric banding, BPD/DS, and DJBL, demonstrated effectiveness compared with nonsurgical management, the differences were not statistically significant. This finding is consistent with another review showing that Roux-en-Y gastric bypass improves hypertension in approximately 70% of patients.
Correct answer: C
Roux-en-Y gastric bypass.