The Changes Of Visceral Protein After Roux-en-Y Gastric Bypass And Sleeve Gastrectomy Postoperative

ObjectiveExplore the level of Roux-en-Y gastric bypass and sleeve gastrectomy the visceralprotein before and after the change, and early prevention of nutrients damage caused bymalnutrition brought to the patient.MethodsSelect January2009-2012in January the First Affiliated Hospital of Jinan University,gastrointestinal surgery were treated10cases of obesity with type2diabetic patientshospitalized for laparoscopic gastric bypass surgery (LRYGB),10cases of obesity withtype2diabetesunderwent laparoscopic sleeve gastrectomy (LSG) and11patients withlaparoscopic gastric perforation repair follow-up data were analyzed. The subjects weredivided into three groups: obesity, type2diabetes mellitus the RYGB group of10cases,10cases of obesity, type2diabetes mellitus LSG group and11patients with laparoscopicgastric perforation repair the control group. Observed before and after1month,3months,6months and1year fasting serum albumin (ALB), serum prealbumin (PA), changes infasting serum transferrin (TRF), Statistical Test for statistical analysis.Results①All patients were successfully operated. The RYGB group LSG group and controlgroup were followed up to1year, surgical complications were not there.②fasting the ALB level: surgery no significant difference (p>0.05) in the first threegroups, the RYGB group in after January, March and before surgery, compared to thesame period in the LSG group, the difference was significant (p <0.05).③fasting level of PA: surgery three groups no significant difference (p>0.05) comparedto the the RYGB group in after January, March and preoperative control the same period,the LSG group, stomach repair, the difference was significant (p<0.05). LSG group, stomach repair the control group at all time points after surgery compared to nosignificant change.④fasting TRF fasting levels of PAlevel: the surgery three groups no significant difference(p>0.05), the difference was significant compared to the the RYGB group in after January,March and preoperative control the same period, the LSG group, stomach repair (p <0.05).The other two groups before and after surgery did not change significantly.⑤after6months to1year, the RYGB group of visceral protein levels returned to normallevels, with no significant difference (p>0.05) in the preoperative.Conclusions1.This study shows that after gastric bypass intake and absorption changes reduced theserum levels of human serum albumin, serum prealbumin visceral protein.2.Sleeve-shaped stomach resection of a1-year follow-up, no significant change in obesitywith type2diabetes in patients with visceral protein levels compared with thepreoperative.3.Gastric bypass surgery is a safe, mature weight loss surgery, after1-3months visceralprotein changes as the clinical prophylactic add nutrients to provide a clinical basis.