Surgery for Obesity and Weight-Related Diseases Changes the Inflammatory Profile in Women with Severe Obesity: a Randomized Controlled Clinical Trial.

INTRODUCTION/PURPOSE: Obesity increases significantly every year worldwide. Since 1980, the prevalence of individuals with obesity has practically doubled. Obesity plays an important role in the pathophysiology of diseases that arise from a complex interaction of nutritional, genetic, and metabolic factors, characterizing a chronic inflammatory state. This study aimed to verify the systemic inflammatory response through the analysis of IGF-1, IL-23, and resistin levels and the lipid profile in severely obese women undergoing surgery for obesity and weight-related diseases. MATERIALS AND METHODS: This randomized controlled clinical trial includes female patients clinically diagnosed with severe obesity with an indication for bariatric surgery. RESULTS: In the initial evaluation, no significant difference was observed between the control (CG) and bariatric surgery (BSG) groups. The weight, BMI, systolic and diastolic blood pressures, total cholesterol, LDL, HDL, total non-HDL cholesterol, and glucose in BSG patients showed a significant change after surgery. Pre- and post-surgery levels of resistin, IGF-1, and IL-23 showed a significant difference in the BSG group, but only IL-23 was changed after 6 months in the CG. CONCLUSION: The results of this study confirmed that weight loss induced by surgery for obesity and weight-related diseases improved the lipid profile and reduced the chronic inflammatory status in women with severe obesity.

Colecistectomia por minilaparotomia / Cholecystectomy by minilaparotomy

Os autores apresentam 78 pacientes de colecistite cronica calculosa submetidos a colecistectomia por minilaparotomia.A idade variou de 15 a 90 anos sendo que 69 eram do sexo feminino e 9 do sexo masculino.O comprimento da incisao na pele variou de 3,0 a 6,0cm.O procedimento resultou em grande reducao da morbidade.Complicacaoes pos-operatorias ocorreram em quatro pacientes sendo a mais comum a infeccao da ferida operatoria.Este procedimento apresenta vantagens quando comparado a colecistectomia convencional e so deve ser realizado por cirurgiao experiente.