Weight reduction is requiring to hasten the burden of obesity and new hormones like GDF-15 and FGF-21 have role in reduce appetite and insufficient data in post bariatric surgery in morbid obesity. Weight reduction, Bariatric surgery Laparoscopic Roux-en-Y gastric bypass (RYGB) Laparoscopic sleeve gastrectomy (LSG) Growth Differentiation Factor 15 (GDF-15) Fibroblast growth factor 21 (FGF-21)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Morbid obesity patients in obesity clinic at King Chulalongkorn Memorial Hospital who has undergone bariatric surgery.
Exclusion criteria
Exclusion criteria: 1.Patients with congestive heart failure Newyork Heart Association 3-4 2.Patient with active cancer disease 3.Patient with severe illness/recent hospitalization before bariatric surgery 4.Severe malnutrition/ protein deprivation 5.Patients with severe psychiatric condition i.e., major depressive disorder, severe psychosis or 6.Binge eating disorder 7.Pregnancy and lactation 8.Unable or unwilling to return to follow up visits
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Plasma GDF-15 at post bariatric surgery 6 month at 6 months post bariatric surgery ELISA (pg/ml) | — |
Secondary
| Measure | Time frame |
|---|---|
| Plasma GDF-15 level after bariatric surgery at 1 and 3 month At 1 and 3 months post bariatric surgery ELISA (pg/ml),Plasma FGF-21 level after bariatric surgery at 1,3 and 6 month At 1,3 and 6 months post bariatric surgery ELISA (pg/ml),How differences in change in GDF-15 and FGF-21 between laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy At 1,3 and 6 months post bariatric surgery ELISA (pg/ml),How differences in change in GDF-15 and FGF-21 hormone levels between diabetic patients and non-diabetic patients. At 1,3 and 6 months post bariatric surgery ELISA (pg/ml),Relationship between the changes in GDF-15 hormone levels after a 6-month period following bariatric surgery and the occurrence of diabetic remission. At 1,3 and 6 months post bariatric surgery ELISA (pg/ml) | — |
Countries
Thailand
Contacts
King Chulalongkorn Memorial Hospital