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Vol. 100. Issue 7.
Pages 459-460 (July 2022)
Vol. 100. Issue 7.
Pages 459-460 (July 2022)
Letter to the Editor
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Comment on: “Vertical gastrectomy as a surgical technique in bariatric surgery: Analysis of safety and effectiveness results”
Comentario a: «Gastrectomía vertical como técnica quirúrgica en cirugía bariátrica: análisis de resultados de seguridad y efectividad»
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Luisa Fernanda Hurtado Quirosa, Laura Cristina Carreño Mancillab, Lesmer Alirio Galindo Ruizc, Gonzalo Andrés Domínguez-Alvaradod,
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gdominguez@unab.edu.co

Corresponding author.
a Universidad Industrial de Santander, Bucaramanga, Santander, Colombia
b Universidad Autónoma de Bucaramanga, Bucaramanga, Santander, Colombia
c Hospital Internacional de Colombia, Floridablanca, Santander, Colombia
d Universidad Autónoma de Bucaramanga, Grupo de innovación e investigación Quirúrgica (GIIQ), Floridablanca, Santander, Colombia
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Joseba Castro Vázquez, Fátima Saravia Barahona, Carlos Loureiro González, Saioa Leturio Fernández, Marta García Fernández, Ana Moro Delgado, Julen Barrenetxea Asua, Javier Ortiz Lacorzana, Ismael Díez del Val
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Dear Editor,

We have read with great interest the article recently published by Castro Vásquez et al.1 on “Vertical gastrectomy as a surgical technique in bariatric surgery: analysis of safety and effectiveness results”, an observational follow-up study of a cohort, whose objective was to evaluate the safety and effectiveness results of vertical gastrectomy as a bariatric technique, whose findings conclude that it is a safe technique in patients with a body mass index <45 and effective when weight loss is achieved in the short-medium term. Therefore, we would like to add a few comments on the importance of conducting this type of study in Colombia and present our experience.

Bariatric surgery (BS) is currently an effective treatment for obesity when other measures have failed, given that it induces and maintains weight loss, as well as being a procedure endorsed and approved by the National Institutes of Health (NIH).2,3

It is important to emphasise that obesity is a public health problem and generates a high risk of developing metabolic syndrome (MS); in Latin America it has a prevalence of 15% in people over 20 years of age, while in developed countries there is an estimated prevalence of around 33%.4 In Colombia there are no updated data, however, the prevalence of MS in women is estimated to be 19% and in men 9%.5

Therefore, it is important to consider that weight reduction generates satisfactory direct effects on the remission of MS, which concludes in the efficacy of BC not only for obesity, but also for patients with MS. However, there are currently few studies evaluating the prevalence of MS in patients treated with BS.6

We are currently conducting studies in our institution where we estimate a 66% prevalence of MS in patients who will be treated with BS, with a decrease of up to 60% after one year of the procedure.

We conclude on the importance of performing BS, as it allows us to achieve adequate weight loss and a direct reduction in related comorbidities, which may be reflected in achievements such as reduced cardiovascular risk in the short and long term, in addition to a significant improvement in quality of life and reduced costs to the health system.7,8

We thank the authors for this evidence and consider the need for multiple multicentre studies to demonstrate the satisfactory results of this procedure and its safety.

References
[1]
J. Castro Vázquez, F. Saravia Barahona, C. Loureiro González, S. Leturio Fernández, M. García Fernández, A. Moro Delgado, et al.
Gastrectomía vertical como técnica quirúrgica en cirugía bariátrica: análisis de resultados de seguridad y efectividad.
[2]
V.L. Gloy, M. Briel, D.L. Bhatt, S.R. Kashyap, P.R. Schauer, G. Mingrone, et al.
Bariatric surgery versus non-surgical treatment for obesity: a systematic review and meta-analysis of randomised controlled trials.
BMJ, 5934 (2013), pp. 1-16
[3]
Gastrointestinal surgery for severe obesity: National Institutes of Health Consensus Development Conference Statement.
Am J Clin Nutr, 55 (1992),
[4]
M.F. Herrera, A. Valencia, R. Cohen.
Bariatric/metabolic surgery in Latin America.
Am J Gastroenterol, 114 (2019), pp. 852-853
[5]
M.P. Barrera, A.E. Pinilla, É Cortés, G. Mora, M.N. Rodríguez.
Síndrome metabólico: Una mirada interdisciplinaria.
Rev Colomb Cardiol, 15 (2008), pp. 111-126
[6]
V. Guerreiro, J.S. Neves, D. Salazar, M.J. Ferreira, S.C. Oliveira, P. Souteiro, et al.
Long-Term weight loss and metabolic syndrome remission after bariatric surgery: the effect of sex, age, metabolic parameters and surgical technique-a 4-year follow-up study.
Obes Facts, 12 (2019), pp. 639-652
[7]
A.S. Gami, B.J. Witt, D.E. Howard, P.J. Erwin, L.A. Gami, V.K. Somers, et al.
Metabolic syndrome and risk of incident cardiovascular events and death. A systematic review and meta-analysis of longitudinal studies.
J Am Coll Cardiol, 49 (2007), pp. 403-414
[8]
E. Lechea, M. Popescu, D. Dimulescu, D. Godoroja, C. Copaescu.
The impact of bariatric surgery on diabetes and other cardiovascular risk factors.
Chirurgia (Bucur), 114 (2019), pp. 725-731

Please cite this article as: Hurtado Quiros LF, Carreño Mancilla LC, Galindo Ruiz LA, Domínguez-Alvarado GA. Comentario a: «Gastrectomía vertical como técnica quirúrgica en cirugía bariátrica: análisis de resultados de seguridad y efectividad». Cir Esp. 2022;100:459–460.

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