The Impact of Obesity Surgery on Metabolic and Hormonal Changes in Iraqi Children
DOI:
https://doi.org/10.51699/ijhsms.v2i10.2665Keywords:
Obesity, HbA1c changes, Laparoscopic sleeve gastrectomy (LSG)Abstract
Background: Obesity is associated with a significant risk of comorbidities, which affect the metabolism of patients with obesity.
Aim: This study was assessed changes of metabolic and hormonal for Iraqi children with obesity after post-operative.
Patients and methods: Our study was conducted assessment the outcomes of obesity surgery on Iraqi children and its impact on metabolic and hormonal changes across 88 cases of both male and female genders. The study used the SPSS program to analyse databases collected from different hospitals in Iraq between June 16th, 2022, and September 25th, 2023. Preoperative clinical, demographic outcomes were modelled for patients aged between 3 to 13 years with BMIs ranging from 35 to 40.8. We assessed the preoperative baseline characteristics, including comorbidities, age, and sex, among obese patients undergoing Laparoscopic sleeve gastrectomy (LSG).
Results and discussion: Our clinical outcomes indicated a higher incidence of obesity among males (58%) compared to females (42%). Preoperative findings revealed that 28 patients (31.8%) had hyperlipidemia, 20 (22.7%) had metabolic syndrome, and 15 (17.0%) had Type 2 diabetes. With regards to medical testing, the study analysed the pre-and post-operative test results of patients who underwent Laparoscopic sleeve gastrectomy (LSG). The findings indicate that preoperative Hemoglobin levels were (12.5 ± 2), which increased to (13.3 ± 1.8) post-operatively. Iron profile levels were recorded at (45.82 ± 20.1) and (51.4 ± 33.71) pre-and post-operatively, respectively. Vitamin B12 levels were (165 ± 55) prior to surgery and (175 ± 162) post-operatively. In the postoperative stage, it was observed that TSH levels decreased to (3.9 ± 2.65) in comparison to the pre-operative stage, where they had risen. Additionally, T4 levels were higher in the pre-operative stage (14.2± 3.3) compared to the post-operative stage (14.3± 2.5). Finally, PTH levels were (65.4± 18.89) in the pre-operative stage and (78.1± 43.8) in the post-operative stage. The HBA1C levels in males were 6.1 before surgery and 5.4 after surgery, while the levels in females were 5.9 before surgery and 5.27 after surgery.
Conclusions: Our study indicates the efficiency of Laparoscopic sleeve gastrectomy (LSG), where HbA1c levels dropped for both males and females after surgery when compared to respective levels before surgery.
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