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Is High Blood Pressure a complication of obesity surgery? 

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High and very high health risk due to obesity may be treated with the above regimen plus obesity surgery.
Other factors such as lipotoxicity and endothelial and vascular dysfunction may accompany and/or exacerbate increased blood pressure as obesity is sustained.
Bariatric surgery represents an effective strategy for blood pressure control in a broad population of patients with obesity and hypertension.
Blood pressure reductions that occur after bariatric surgery and substantial weight loss depend on the blood pressure status of patients before surgery: normotensive patients and hypertensive patients taking antihypertensive medications show small postsurgical pressure reductions, while patients with elevated blood pressure before surgery show notable postsurgical pressure drops.
We conclude that the elevated blood pressure common in a high percentage of massively obese patients is primarily volume-dependent.

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