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- Title
Adiponectin and leptin levels of patients after sleeve gastrectomy, Roux-en-Y gastric bypass, and single anastomosis sleeve ileal bypass surgeries.
- Authors
Hosseini, Seyed Vahid; Hosseini, Seyed Ali; Khazraei, Hajar; Lankarani, Kamran Bagheri
- Abstract
Background: Bariatric surgery is an appropriate treatment for obese patients with metabolic syndrome. Adipose tissue is an active endocrine tissue secreting leptin and adiponectin that affect body metabolism. Nowadays, a high incidence of metabolic syndrome with an increased risk of serious diseases has been detected in Shiraz. This study aimed to assess the levels of leptin and adiponectin as well as the adiponectin-to-leptin ratio in three different bariatric surgeries among obese patients in Shiraz. The results will play an important role in physicians' choice of surgery by distinguishing the effects of these three bariatric surgeries. Materials and Methods: The serum adiponectin and leptin levels were measured using enzyme-linked immunosorbent assay. Blood glucose, lipid profile, weight, and liver enzyme level were measured before and 7 months after surgery. Results: This clinical trial was conducted on 81 obese patients who underwent sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), and single anastomosis sleeve ileal (SASI) bypass surgeries. The results revealed a decrease in fasting blood sugar and triglyceride (TG) levels 7 months after the surgeries. In addition, decrease of body mass index (BMI) was more significantly in the SASI group (12.8 ± 3 4.95) compared to the Roux-en-Y gastric group (8.56 ± 4.61) (P = 0.026). Besides, a more significant improvement in liver function was observed in SG (P < 0.05). Furthermore, the results revealed a significant difference among the three groups regarding the increase in the adiponectin level (P = 0.039). Decrease in the leptin level and increase in the adiponectin level were more significant after the RYGB surgery compared to the SG group (P < 0.05). Conclusion: The three bariatric surgeries were effective in increasing the adiponectin level and decreasing the leptin levels. The surgeries also changed the metabolic risk factors including TGs, high-density lipoprotein, fasting blood glucose, and BMI.
- Subjects
IRAN; BARIATRIC surgery; STATISTICS; KRUSKAL-Wallis Test; SURGICAL anastomosis; ANALYSIS of variance; CONFIDENCE intervals; LEPTIN; GASTRECTOMY; TREATMENT effectiveness; T-test (Statistics); ADIPONECTIN; ENZYME-linked immunosorbent assay; DESCRIPTIVE statistics; GASTRIC bypass; DECISION making in clinical medicine; DATA analysis software; DATA analysis
- Publication
Journal of Research in Medical Sciences, 2023, Vol 28, Issue 5, p1
- ISSN
1735-1995
- Publication type
Article
- DOI
10.4103/jrms.jrms_77_21