The Evaluation of Serum Endocan, Interleukin-6, and CRP Levels Following Sleeve Gastrectomy.

Autor:	Turkmen Sariyildiz G; Operating Room Services, Vocational School of Health Services, Atilim University, Ankara, Turkey.; Department of General Surgery, Medicana International Ankara Hospital, Ankara, Turkey., Cicek Demir C; Department of Endocrinology, Internal Medicine, Faculty of Medicine, Atilim University, Ankara, Turkey., Demir ME; Department of Nephrology, Internal Medicine, Faculty of Medicine, Atilim University, Ankara, Turkey.; Department of Nephrology, Medicana International Ankara Hospital, Ankara, Turkey., Arslan Aİ; Department of Medical Microbiology, Faculty of Medicine, Atilim University, Ankara, Turkey., Banli O; Department of General Surgery, Ankara Obesity Surgery Clinic, Ankara, Turkey., Dursun AD; Department of Physiology, Faculty of Medicine, Atilim University, Ankara, Turkey.
Jazyk:	angličtina
Zdroj:	International journal of general medicine [Int J Gen Med] 2023 Oct 19; Vol. 16, pp. 4737-4744. Date of Electronic Publication: 2023 Oct 19 (Print Publication: 2023).
DOI:	10.2147/IJGM.S436213
Abstrakt:	Background: The excessive accumulation of fat tissue in obesity is the source of chronic low-level inflammation and causes future dysmetabolic and cardiovascular disorders. Removal of this excessive fat tissue with the aid of bariatric surgery (BS) techniques, such as sleeve gastrectomy, may reverse adverse inflammatory outcomes. The aim of this study is to investigate the impact of sleeve gastrectomy on inflammatory markers, specifically endocan, IL-6, and CRP, in individuals with obesity. Methods: Thirty-two patients with class 3 obesity and class 2 obesity + comorbidities were enrolled in the study. Clinical characteristics including age, comorbidity, body mass index (BMI), waist, and hip circumferences of the participants were noted before and 3 months after sleeve gastrectomy. Blood samples were collected during those periods to assess biochemical features such as serum endocan, interleukin-6 (IL-6), C-reactive peptide, fasting insulin, glycosylated hemoglobin A1c levels, and lipid panel. A statistical package program was used for the analysis of those parameters, and p<0.05 was accepted as significant at a 95.0% confidence interval. Results: BMI reduced from 43.55±6.78 to 36.16±6.14 kg/m2 within 3 months following BS (p<0.001). Preoperative serum endocan, IL-6, and CRP levels were correlated with BMI, and in line with BMI reduction, their serum levels decreased after BS (p<0.05). HOMA-IR also reduced after BS, and both in the pre and post-BS periods correlated with BMI, IL-6, endocan, and CRP levels (p<0.05). The mean total body weight loss was 20.4% within 3 months post-BS. Conclusion: BS techniques are effective in weight loss and reversing the inflammatory processes caused by obesity. Serum endocan, IL-6, and CRP levels are promising markers for describing obesity-related inflammation and objectively checking the alleviation of inflammation following BS. Competing Interests: The authors report no conflicts of interest in this work. (© 2023 Turkmen Sariyildiz et al.)
Databáze:	MEDLINE
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