Does Gastrectomy Or Diet Reduce Inflammation More In The Treatment Of Obesity?

INTRODUCTION: We investigated -using hemogram parameters- whether inflammation is more likely to decrease with bariatric surgery or diet.
METHODS: Pre-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.
RESULTS: 28 (%68.3) of the patients who underwent gastrectomy were female and 13 (%31.7) were male. 9 (%34.6) of the cases that were weakened by diet were women and 17 (%65.4) were men. Pre-operative/pre-diet and post operative / post diet weights of both groups were similar (p= 0.18/p=0.20). The body mass index of both groups before the operation and before the diet / after the operation and after the diet was similar (p= 0.11/p=0.33). Lymphocyte percentage, Neutrophil percentage, Lymphocyte, Neutrophil, White blood cells, Hemoglobin, Platelets, RDW, MPV, Neutrophil-lymphocyte ratio, Platelet-lymphocyte ratio values were similar in patients who underwent gastrectomy and diet (Respectively p=0.82, p=0.13, p=0.98, p=0.11, p=0.12, p=0.41, p=0.41, p=0.92, p=0.95, p=0.47, p=0.53).
DISCUSSION AND CONCLUSION: 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.