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Effect of Obesity Surgery on Macrophage Inhibitory Factor Levels

About Inflammatory Mediators After Gastric Restrictive Surgery

Weight Loss Surgery For Class 3 Obesity - Research Into Gastric Reduction Surgery

Effect of Obesity Surgery on Macrophage Inhibitory Factor Levels

Obesity is demonstrated to be associated with an enhanced inflammatory state, which is suggested to be a cause for the development of obesity-related morbidity. It was hypothesized that a decrease in body weight in morbid obese subjects would lead to a reduction of the inflammatory state in these subjects.

Study Method

Weight loss was achieved by gastric restrictive surgery in 27 morbidly obese patients. Preoperative as well as 3-, 6-, 12-, and 24-month postoperative plasma concentrations of inflammatory mediators macrophage inhibitory factor, plasminogen activator inhibitor-1, lipopolysaccharide binding protein, -1 acid glycoprotein, C-reactive protein, soluble TNF receptors 55 and 75, and leptin were measured.

Study Results

Macrophage inhibitory factor levels remained low normal for 6 months, during weight loss, after which they significantly increased to normal levels at 24 months postoperatively. The other inflammatory mediators remained elevated up to minimally 3 months postoperatively; thereafter they decreased significantly. Both TNF receptors remained elevated up to at least 12 months postoperatively to decrease significantly at 2 year postoperatively.

Conclusion

This study demonstrates that during weight loss, after gastric restrictive surgery, inflammatory mediators remain elevated for at least 3 months postoperatively, suggesting initially an ongoing inflammatory state. However, 2 year after surgery, the inflammatory mediators reach near normal values.

Authors:
F. M. H. van Dielen, W. A. Buurman, M. Hadfoune, J. Nijhuis and J. W. Greve. Department of General Surgery, Nutrition Research Institute Maastricht and University Hospital Maastricht, 6202 AZ Maastricht, The Netherlands

Source:
The Journal of Clinical Endocrinology & Metabolism Vol. 89, No. 8 4062-4068. Copyright 2004 by The Endocrine Society

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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2008 Bariatric-Surgery.Info - Terms - Contact - Information - Resources - Add URL