Comparative Study between the Effects of Laparoscopic Sleeve Gastrectomy and Diet on Parameters of Atherogenic Dyslipidemia in Morbidly Obese Patients

Introduction: Obesity is now considered to be the second leading cause of preventable death behind cigarette smoking. Hyperlipidemia is defined as elevated levels of any or all lipids and/or lipoproteins in the blood. A variety of risk factors have been found to be associated with hyperlipidemia like cholesterol rich food, overweight, alcohol abuse, diabetes and stress. Sleeve gastrectomy offers a practical solution for treatment of hyperlipidemia over diet.Methods: 40 patients were selectively chosen and and equally divided into two groups (sleeve group) and (diet group) with comparative study between both of them on parameters of atherogenic hyperlipidemia.Results: 40 cases of hyperlipidemia were included in the study in the period between December 2013 and January 2015 with follow-up for 6 months up to July 2015. During the study period 20 cases of sleeve gastrectomy were done at Kasr Al-Aini Hospital and another 20 cases underwent a diet regimen at National Nutrition Institute at the same time period with marked improvement in lipid profile in the sleeve group rather than diet group.Conclusion: A number of positive effects of sleeve gas-trectomy in expense of diet regime were demonstrated, re-garding body weight reduction and the improved metabolism of lipids in the sleeve group in the form of marked improvement in total cholesterol, triglycerides and high density lipoprotein without marked changes in low density lipoprotein in both groups.