Long-term virologic outcomes following bariatric surgery in patients with HIV. Issue 6 (November 2015)

• Record Type: Journal Article
• Authors: Zivich, Steven; Cauterucci, Margaret; Allen, Sara; Vetter, Marion; Vinnard, Christopher
• Is Part Of: Obesity research & clinical practice. Volume 9:Issue 6(2015:Nov./Dec.)
• Page Start: 633
• Page End: 635
• Publication Date: 2015-11
• Subjects: HIV -- Antiretroviral therapy -- Obesity -- Bariatric surgery -- Virologic failure; Obesity -- Research -- Periodicals; Obesity -- Treatment -- Periodicals; Obesity -- Periodicals; Obésité -- Recherche -- Périodiques; Obésité -- Traitement -- Périodiques; Obesity -- Research; Obesity -- Treatment; Electronic journals; Periodicals; 616.398
• DOI: 10.1016/j.orcp.2015.09.002
• Languages: English
• ISSNs: 1871-403X

Abstract

Summary: The management of morbid obesity and its metabolic complications among HIV-infected patients requires a multi-disciplinary approach, with surgical interventions as one option. We sought to assess the long-term durability of ART among HIV-infected patients undergoing bariatric procedures for the management of morbid obesity. During the study period, 7 patients underwent a bariatric surgery procedure for the management of morbid obesity: 3 patients underwent sleeve gastrectomy, 2 patients underwent laparoscopic banding, and 2 patients underwent Roux-en-Y gastric bypass surgery. Overall, the proportion of undetectable HIV viral load levels did not change after the bariatric procedures, although 2 patients did require temporary cessation of medications due to procedure-related complications. Sleeve gastrectomy and Roux-en-Y gastric bypass were safe and effective among morbidly obese HIV-infected patients in our clinic population.