ECE2024 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (383 abstracts)
Sleeve gastrectomy: a retrospective analysis of its efficacy in obesity treatment and metabolic improvement
Mirjana Kardum Pejić 1,2 , Nives Gojo Tomić 1 , Irena Martinis 1 , Domagoj Vergles 1 , Mirna Šporčić 1 , Martina Bituh 1 , Jelena Pugelnik 1 & Josip Pejić 1
1,2University Hospital Dubrava, Department of Endocrinology and Diabetology, Zagreb, Croatia
Introduction: Obesity is one of the fast growing diseases in the modern world. Over the years, bariatric surgery has proven its effectiveness in treating obesity, improving its associated comorbidities, and even potentially curing them. A body mass index (BMI) greater than 40 kg/m2 or a BMI greater than 35 kg/m2 with associated comorbidities is an indication for such surgery. Sleeve gastrectomy (SG) has emerged as a prominent and effective surgical intervention for the management of obesity and its associated comorbidities. The aim of study was to evaluate patients’ nutritional status before surgery and their post-operative metabolic improvements.
Results and discussion: Data for the study were gathered retroactively from BIA analysis and laboratory values for 50 patients (44 women and 6 men) who had SG at University Hospital Dubrava between 2019 and 2023. Before surgery type 2 diabetes was diagnosed in 19 patients, arterial hypertensio in 21, dyslipidaemia in 14 patients and thyroid diseases (hypothyreoidisam) in 13 patients. In the two controls after the procedure there was a statistically significant decrese total body mass, body mass indeks and fat mass. In most patients there was a significant reduction in arterial pressure. Regarding the biocemical parameters there was a statistically significant decrese in glycemia, HbA1c, (P<0,05), C-reactive protein while among the parameters of the lipid profile, there was a significant decrese only in HDL cholesterol, which was close to the limit of the reference value even before the operation, which is undesirable factor in the contex of cardiovascular diseases. Other lipid profile values are not statistically significant but show a decreasing trend.
Conclusions: The study confirmed SG to be efficient in treating obesity, controlling glycemia and arterial hypertension and reducing lipid profile.
Keywords: Sleeve Gastrectomy, Obesity, Type 2 Diabetes Mellitus, Body Mass Index, Arterial hypertension
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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