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Temporal effects of laparoscopic sleeve gastrectomy on adipokines, inflammation, and oxidative stress in patients with impaired glucose homeostasis / Jeffrey W. Stephens; Thinzar Min; Gareth Dunseath; Rachel Churm; Jonathan D. Barry; Sarah L. Prior

Surgery for Obesity and Related Diseases

Swansea University Author: Churm, Rachel

  • Accepted Manuscript under embargo until: 17th April 2020

Abstract

BackgroundBariatric surgery is an effective treatment for morbid obesity and metabolic dysfunction.ObjectivesThe aim of this work was to examine the early temporal effects of laparoscopic sleeve gastrectomy (LSG) on adipokines (adiponectin, leptin), inflammatory cytokines (interleukin-6, C-reactive...

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Published in: Surgery for Obesity and Related Diseases
ISSN: 15507289
Published: 2019
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa50669
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Abstract: BackgroundBariatric surgery is an effective treatment for morbid obesity and metabolic dysfunction.ObjectivesThe aim of this work was to examine the early temporal effects of laparoscopic sleeve gastrectomy (LSG) on adipokines (adiponectin, leptin), inflammatory cytokines (interleukin-6, C-reactive protein, interleukin-10), and global plasma measures of oxidative stress (thiobarbituric acid reactive substances and total antioxidant status) in a sample of 55 participants preoperatively, and 1 and 6 months postoperatively. The focus was on a sample of patients with impaired glucose tolerance and type 2 diabetes, which is associated with increased low-grade systemic inflammation and oxidative stress.SettingUniversity hospital, United Kingdom.MethodsThis was a prospective study comprising 55 participants with impaired glucose homeostasis and type 2 diabetes undergoing LSG (mean body mass index 50.4 kg/m2, mean glycated hemoglobin 7.4%). Serial measurements of the above markers were made preoperatively, 1 and 6 months postoperatively (43 had measurable cytokines and oxidative stress at 1- and 6-mo follow-up).ResultsWe observed a significant reduction in interleukin-6, C-reactive protein, leptin, and thiobarbituric acid reactive substances, along with an increase in adiponectin 6 months postoperatively.ConclusionsTo our knowledge the effects of LSG on inflammatory cytokines and plasma markers of oxidative stress have not been examined temporally in a sizeable sample of participants who have undergone LSG. This present study supports the role of LSG for the treatment of the proinflammatory and pro-oxidant status associated with obesity-related glucose dysregulation.
Keywords: Type 2 diabetes; Impaired glucose tolerance; Inflammation; Oxidative stress; Laparoscopic sleeve gastrectomy
College: Swansea University Medical School