Obesity Surgery

, Volume 23, Issue 6, pp 764–769

Change in Levels of C-Reactive Protein (CRP) and Serum Cortisol in Morbidly Obese Patients After Laparoscopic Sleeve Gastrectomy

Authors

    • Bariatric Surgery Unit, Department of SurgeryGeneral University Hospital Elche
    • University Miguel Hernandez. Elche
  • Inmaculada Oller
    • Bariatric Surgery Unit, Department of SurgeryGeneral University Hospital Elche
  • Isabel Galindo
    • Bariatric Surgery Unit, Department of SurgeryGeneral University Hospital Elche
  • Carolina Llavero
    • Department of Surgical NurseryHospital de Sureste
  • Antonio Arroyo
    • Bariatric Surgery Unit, Department of SurgeryGeneral University Hospital Elche
    • University Miguel Hernandez. Elche
  • Alicia Calero
    • Bariatric Surgery Unit, Department of SurgeryGeneral University Hospital Elche
    • University Miguel Hernandez. Elche
  • María Diez
    • Bariatric Surgery Unit, Department of SurgeryGeneral University Hospital Elche
  • Lorea Zubiaga
    • Bariatric Surgery Unit, Department of SurgeryGeneral University Hospital Elche
  • Rafael Calpena
    • Bariatric Surgery Unit, Department of SurgeryGeneral University Hospital Elche
    • University Miguel Hernandez. Elche
Clinical Research

DOI: 10.1007/s11695-013-0865-7

Cite this article as:
Ruiz-Tovar, J., Oller, I., Galindo, I. et al. OBES SURG (2013) 23: 764. doi:10.1007/s11695-013-0865-7

Abstract

Background

C-Reactive protein (CRP) has been associated with the macro- and microvascular effects of hypertension and diabetes mellitus. Referring to serum cortisol, it has been proposed to contribute to the pathogenesis of metabolic syndrome, and it has been demonstrated that weight loss normalizes cortisol levels and improves insulin resistance. The aims of this study were to analyze CRP and cortisol levels pre- and postoperatively in morbidly obese patients undergoing a laparoscopic sleeve gastrectomy and to correlate them with weight loss and parameters associated with cardiovascular risk.

Methods

A prospective study of all the morbidly obese patients undergoing laparoscopic sleeve gastrectomy as bariatric procedure between October 2007 and May 2011 was performed.

Results

A total of 40 patients were included in the study. CRP levels decreased significantly 12 months after surgery (median reduction of 8.9 mg/l; p = 0.001). Serum cortisol levels decreased significantly 6 months after surgery (median reduction of 34.9 μg/dl; p = 0.001). CRP values reached the normal range (<5 mg/l) 1 year after surgery. Referring to cortisol, a significant association was observed with the cardiovascular risk predictor (triglyceride/high-density lipoprotein cholesterol ratio) from the 6th month after surgery onward (Pearson correlation coefficient, 0.559; p = 0.008).

Conclusion

CRP levels are increased preoperatively and in the postoperative course up to 1 year after surgery. Serum cortisol levels remain elevated until the 6th month after surgery. From this moment onward, serum cortisol is associated with the cardiovascular risk predictor reflecting the cardiovascular risk decreasement during the weight loss.

Keywords

Sleeve gastrectomyCortisolC-Reactive protein

Copyright information

© Springer Science+Business Media New York 2013