The Body Weight, Blood Pressure, and Biochemical Parameters of the Patients After Obesity Surgery

Abstract

The objective of this study is to observe whether the patients' loss weight is long term after bariatric surgery, as well as evaluating the blood pressure and certain chemical parameters. This retrospective study was carried out based on the files of 70 patients, who underwent laparoscopic sleeve gastrectomy (LSG) operation between January 2013 and December 2017. Paired sample t test and Wilcoxon tests were used for comparison of patients' weight, blood pressure, and other parameters related to obesity within at least 6 months after LSG. While the body mass index (BMI) average of patients before bariatric surgery was 45.82 ± 4.73 kg/m 2 , it was reduced to 27.33 ± 2.98 kg/m 2 within approximately 3 years after the operation (p < 0.01). It was confirmed that there was a significant remission in hypertension, diabetes mellitus, hyperlipidemia, serum insulin, HbA1C, and HOMA-IR parameters of patients after bariatric surgery (p < 0.05). Additionally, it was also detected that the antihypertensive and antidiabetic drug usage dosage of patients was either minimized or discontinued after bariatric surgery. In our study, it was detected that the weight loss of patients after LSG was satisfactory and that blood pressure, including certain biochemical parameters related to obesity, was on remission. Therefore, it is thought that LSG in the early period is a reliable operation, which ensures the weight loss, provided that the patients accommodate themselves to the changes in their lifestyles.

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“…and dyslipidemia (mean 71% improvement) 15 . In a study with 70 patients followed up after bariatric surgery, Kocaöz et al found that the patients developed a significant decrease in systolic BP, diastolic BP, FBG, HbA1c, fasting insulin, HOMA-IR, total-C, LDL-C and triglyceride levels, while a significant increase in HDL-C levels 16 . In a study by Son et al, 40 patients undergoing sleeve gastrectomy were divided into 3 groups (the group with HT, the group with type 2 DM and the group without a chronic disease), and revealed a significant decrease in systolic BP, diastolic BP, FBG, HbA1c, total-C, LDL-C and triglyceride levels, while a significant increase in HDL-C levels were detected in the postoperative controls of the patients 17 .…”