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Obes Surg ; 23(8): 1252-61, 2013 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-23475776

RESUMEN

BACKGROUND: Due to the association between the quantity of adipose tissue and concentrations of interleukin-6 (IL-6) and tumor necrosis factor (TNF-α), this work aimed to assess the effects of Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) procedures on serum IL-6 and TNF-α concentrations. METHODS: This study evaluated serum IL-6 and TNF-α levels, as well as routine anthropometric and biochemical values, before and 1 year post-bariatric surgery. Fifty percent of patients (n = 24) underwent RYGB, and 50 % (n = 24) underwent SG. Prior to bariatric surgery, IL-6 and TNF-α mRNA expression levels in subcutaneous adipose tissue (SAT) and visceral adipose tissue (VAT) were investigated in obese women. RESULTS: There was a significant reduction (p < 0.05) in all anthropometric and routine biochemical measurements in patients in the RYGB and SG groups 1 year post-surgery. The serum concentrations of IL-6 and TNF-α were reduced following surgery in both groups (p < 0.05). No differences in the relative expression levels of IL-6 and TNF-α were found between SAT and VAT prior to bariatric surgery. CONCLUSIONS: RYGB and SG procedures demonstrated a similar impact on adipokine levels in women 1 year post-surgery. Both techniques may improve the course of chronic diseases and the state of inflammation associated with obesity.


Asunto(s)
Derivación Gástrica , Gastroplastia , Interleucina-6/metabolismo , Obesidad Mórbida/metabolismo , Obesidad Mórbida/cirugía , Factor de Necrosis Tumoral alfa/metabolismo , Adulto , Índice de Masa Corporal , Brasil/epidemiología , Femenino , Regulación de la Expresión Génica , Humanos , Inflamación/metabolismo , Periodo Posoperatorio , Estudios Prospectivos , Resultado del Tratamiento , Pérdida de Peso
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