Comparison of Hemogram Parameters of Gastrectomy and Diet in Obesity Treatment

Abstract

We investigated -using hemogram parameters- whether inflammation is more likely to decrease with bariatric surgery or diet. Pre- and postoperative hemogram values of 41 patients who underwent sleeve gastrectomy were measured and hemogram values of 26 patients on diet were measured before and after diet in venous blood samples. Age, gender, size, weight, body mass index, lymphocyte percentage, neutrophil percentage, lymphocyte, neutrophil, white blood cells, hemoglobin, platelets, RDW (Red Cell Distribution Width), MPV (Mean platelet volume), neutrophil-lymphocyte ratio, platelet-lymphocyte ratio values were recorded. Twenty eight (%68.3) of the patients who underwent gastrectomy were female and 13 (%31.7) were male. Nine (%34.6) of the cases that were weakened by diet were women and 17 (%65.4) were men. There were significant differences in both groups in terms of preoperative / pre-diet and postoperative / post-diet weights (p = 0.00 / p = 0.03) and body mass index (p = 0.00 / p = 0.00). The group who had bariatric surgery was overweight before and after, and their body mass index was higher. Lymphocyte percentage, Neutrophil percentage, Hemoglobin, Platelets, RDW, MPV, Neutrophil-lymphocyte ratio, Platelet-lymphocyte ratio values were similar in patients who underwent gastrectomy and diet (Respectively p=0.40, p=0.06, p=0.42, p=0.08, p=0.46, p=0.58, p=0.35, p=0.39). Lymphocyte, neutrophil, white blood cell blood cells were higher in the bariatric surgery group, both preoperatively (Respectively p=0.01, p=0.00, p=0.00) and postoperatively (Respectively p=0.02, p=0.00, p=0.04), than those on diet. Surgery or diet was not superior to each other in obesity treatment. The benefits we expected were available in both groups. They lost enough weight and their body mass index decreased. The important thing here was to lose weight. It is possible to live healthier and minimize inflammation by fighting obesity.