• Clinics · Jan 2024

    Patients who received sleeve gastrectomy have lower plasma osteopontin levels than those who did not.

    • Doğan Öztürk, KocaArzu OrAOUniversity of Health Sciences, Dr. Abdurrahman Yurtaslan Ankara Onkoloji Education and Research Hospital, Department of Endocrinology and Metabolism, Ankara, Turkey., Müge Keskin, Bülent Öztürk, OğuzEsra FıratEFUniversity of Health Sciences, Ankara City Hospital, Department of Medical Biochemistry, Ankara, Turkey., Turan Turhan, and Hakan Buluş.
    • University of Health Sciences, Ankara Atatürk Sanatoryum Education and Research Hospital, Department of General Surgery, Ankara, Turkey. Electronic address: drdoganozturk@hotmail.com.
    • Clinics (Sao Paulo). 2024 Jan 1; 79: 100352100352.

    BackgroundThe aim of this study was to compare metabolic parameters, plasma Osteopontin (OPN) and Hepatocyte Growth Factor (HGF) levels between Sleeve Gastrectomy (SG) patients in their 6th post-operation month and healthy control patients.MethodsHeight, weight, Body Mass Index (BMI) and laboratory parameters of 58 SG patients aged 18‒65 years (Group 1) and 46 healthy control patients (Group 2) were compared. In addition, preoperative and postoperative sixth-month BMI and laboratory parameters of the patients in Group 1 were compared.ResultsThe mean age and gender distributions of the groups were similar (p > 0.05). Mean BMI was 28.9 kg/m2 in Group 1 and 27 kg/m2 in Group 2 (p < 0.01). While plasma HGF levels were similar between both groups, plasma OPN levels were higher in Group 2 (p < 0.001). Fasting plasma glucose, total cholesterol, triglyceride, fasting plasma insulin and insulin resistance values were higher in Group 1, while alanine aminotransferase and aspartate aminotransferase levels were higher in Group 2 (p < 0.05). There was a strong correlation between plasma HGF and OPN levels in Group 1, but not in Group 2 (Rho = 0.805, p < 0.001).ConclusionOPN and HGF are promising biomarkers that can be used to better understand and detect problems related to obesity. The fact that patients in the early post-SG period had lower plasma OPN and similar plasma HGF compared to non-surgical patients of similar age and gender with higher BMI may be another favorable and previously unknown metabolic effect of SG.Copyright © 2024 HCFMUSP. Published by Elsevier España, S.L.U. All rights reserved.

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