title: Long-term virologic outcomes following bariatric surgery in patients with HIV.
abstract: 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.
authors.affiliation: Department of Family Medicine, Drexel University College of Medicine, Philadelphia, USA. Electronic address: zivichsj@gmail.com.
authors.forename: Steven
authors.initials: S
authors.lastname: Zivich
authors.affiliation: Division of Infectious Diseases & HIV Medicine, Department of Medicine, Drexel University College of Medicine, Philadelphia, USA. Electronic address: Margaret.Cauterucci@DrexelMed.edu.
authors.forename: Margaret
authors.initials: M
authors.lastname: Cauterucci
authors.affiliation: Division of Infectious Diseases & HIV Medicine, Department of Medicine, Drexel University College of Medicine, Philadelphia, USA. Electronic address: Sara.Allen@DrexelMed.edu.
authors.forename: Sara
authors.initials: S
authors.lastname: Allen
authors.affiliation: Bristol Myers Squibb, Lawrenceville, USA. Electronic address: mlvetter@yahoo.com.
authors.forename: Marion
authors.initials: M
authors.lastname: Vetter
authors.affiliation: Division of Infectious Diseases & HIV Medicine, Department of Medicine, Drexel University College of Medicine, Philadelphia, USA. Electronic address: Christopher.Vinnard@drexelmed.edu.
authors.forename: Christopher
authors.initials: C
authors.lastname: Vinnard
mesh_terms: D000328:Adult; D015992:Body Mass Index; D005260:Female; D005743:Gastrectomy; D015390:Gastric Bypass; D015658:HIV Infections / Q000601:surgery*; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery* / Q000821:virology; D016896:Treatment Outcome; D019562:Viral Load; D015431:Weight Loss
keywords: Antiretroviral therapy; Bariatric surgery; HIV; Obesity; Virologic failure