Anthropometric measurements and evaluation of biochemical parameters of patients who had bariatric and metabolic surgery

The study was carried out to determine the change of anthropometric measurements and biochemical parameters after surgery compared to pre-surgery of individuals who had bariatric and metabolic surgery. The study was conducted with a toplam of 115 patients, 102 of whom underwent bariatric surgery and 13 patients who underwent metabolic surgery, at Aksaray University Training and Research Hospital between November 2017 and August 2020. The demographic characteristics, general health status, anthropometric measurements, and biochemical parameters of the individuals were recorded by the researcher by examining the Aksaray University Training and Research Hospital Information Management System and Post-surgery Patient Evaluation Form. 20.6% of the individuals participating in the study were male and 79.4% were female. The mean age of male patients who underwent bariatric surgery was 33.3±8.78 years, and 35±10.77 years in female patients. The mean age of male patients undergoing metabolic surgery was 64±1.41 years, and the mean age of female patients was 52.2±7.77 years. The average weight loss rate of male patients undergoing bariatric surgery was 24.2%±6.11 kg at the 3rd month after surgery compared to the pre-surgery period. The 6-month post-surgery weight loss rate was calculated as 32.4% ±6.77 kg on average compared to pre-surgery. The average weight loss rate of female patients undergoing bariatric surgery was 21.9%±5.09 kg at the 3rd month after surgery compared to pre-surgery and 6-month post-surgery weight loss rates were calculated as 30.6%±5.24 kg on average. For male and female patients who underwent bariatric surgery, it was determined that body weights decreased at 3 and 6 months after surgery compared to before surgery and also decreased at 6 months compared to 3 months after surgery (p<0.05). The average weight loss rate of male patients who underwent metabolic surgery was calculated as 24.8%±7.38 kg at the 6th month after surgery compared to pre-surgery. The average weight loss rate of female patients who underwent metabolic surgery was 6.8%±3.89 kg at the 3rd month after surgery compared to pre-surgery and the mean weight loss rates at the 6th month after surgery were calculated as 27.7%±7 kg. It was determined that the body weights of the female patients who underwent metabolic surgery decreased at the 3rd and 6th months after surgery compared to the pre-surgery period, and at the 6th month compared to the 3rd month after surgery (p<0.05). In male patients who underwent bariatric surgery, fasting plasma glucose levels did not change after surgery compared to pre-surgery (p>0.05), but for female patients who underwent both bariatric and metabolic surgery, fasting plasma glucose levels decreased at the 3rd and 6th months after surgery compared to pre-surgery (p>0.05). In this study, it was determined that the serum insulin levels of both male and female patients undergoing bariatric surgery and female patients undergoing metabolic surgery decreased at the 3rd and 6th months after surgery compared to pre-surgery (p<0.05). In conclusion, this study determined the anthropometric measurements and changes in biochemical parameters of patients undergoing bariatric and metabolic surgery and evaluated the complications that may occur after surgery, revealing the possible results of the surgical method in the treatment of obesity.