Publication:

Effect of laparoscopic sleeve gastrectomy on lipid profile of obese patients in complete nine month follow up

Background Obesity is very serious issue in world now days as it has become the global epidemic and major problem in the 21st century which influences many aspects of health.   Bariatric surgery has proven to be an effective treatment against obesity and its related co morbidities. Laparoscopic sleeve gastrectomy (LSG) has shown resolution of dyslipidemia in more than 85% of patients in one year. The aim of the study was to monitor the changes of lipid profile in selected parameters for nine months postoperatively.

Methods The material consist of 50 patient hospitalized in our department of Minimal Invasive Surgery from 2014 to 2015 who underwent LSG in order to treat morbid obesity. Remission of dyslipidemia was defined as return to normal value after Laparoscopic sleeve gastrectomy (LSG) without medication use.

Results Our study shows that LSG resolved or improved lipid profile in a majority of patients. The main obesity related metabolic risk factors of CVS involve low serum HDL cholesterol level with increased level of TG and LDL level. During initial first 6 month of after surgery significant change in lipid profile reported specially an increase of HDL cholesterol, decrease in TG level and LDL cholesterol.

Conclusions Nine month after operation improve metabolism and lipid profile was accompanied by decrease in Total Cholesterol, Triglyceride and LDL cholesterol and increase in HDL cholesterol change in significant way.