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Trend of Changes in Serum Albumin and Its Relation with Sex, Age, and BMI Following Laparoscopic Mini-gastric Bypass Surgery in Morbid Obese Cases

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A Correction to this article was published on 13 November 2017

This article has been updated

Abstract

Background

The aim of this study is to investigate the pattern of changes in serum albumin level after mini-gastric bypass (MGB) and its association with gender, age, and body mass index (BMI) of the patients.

Methods

This cohort study was conducted on 196 morbidly obese patients undergoing MGB followed for 1 year. The data on BMI, serum albumin level, demographic, anthropometric, biochemical variables and comorbidities were gathered before and after (3, 6, and 12 months) surgery. The trend of changes in BMI and serum albumin of the patients was investigated by repeated measures tests using general linear model (GLM) and generalized estimating equations (GEE) approaches.

Results

The mean age, baseline median BMI, and albumin of the patients were 41.34 ± 11.03 years, 44.54 kg/m2, and 4.00 g/dl, respectively. There was a chronologically significant trend of decline in BMI (P < 0.001). GEE demonstrated no chronologically significant trend in serum albumin (P = 0.278). The trend of changes in albumin was significantly associated only with age grouping and baseline serum albumin level (P = 0.017 and 0.001, respectively). This trend had fluctuations in patients older than 40 years with baseline serum albumin level of 3.50–3.90 g/dl. For patients with any age and baseline serum albumin level of 4.00–4.90 g/dl, this trend was stable in all periods of follow-up.

Conclusion

MGB is an effective technique to lose weight. The trend of changes in serum albumin level was affected by its baseline levels and age.

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Change history

  • 13 November 2017

    Due to a production error the bottom portion of Fig. 3 was missing in the version of this article originally published online.

References

  1. Institute for Health Metrics and Evaluation (IHME). GBD Compare Data Visualization. Seattle, WA: IHME, University of Washington, 2016. Available from http://vizhub.healthdata.org/gbd-compare. (Accessed [2016/10/20]).

  2. World Health Organization. Media Center: Obesity and overweight fact sheet 2016 [updated 2016/10/20]. Available from: http://www.who.int/mediacentre/factsheets/fs311/en/.

  3. Malekzadeh R, Mohamadnejad M, Merat S, et al. Obesity pandemic: an Iranian perspective. Arch Iranian Med. 2005;8(1):1–7.

    Google Scholar 

  4. Institute for Health Metrics and Evaluation (IHME). Overweight and Obesity Viz. Seattle, WA: IHME, University of Washington, 2014. Available from http://vizhub.healthdata.org/obesity. (Accessed [2016/10/20]).

  5. Abdulhakeem A. Bariatric surgery for obesity: a systematic review and meta-analysis. Ottawa: University of Ottawa; 2013.

    Google Scholar 

  6. Jennifer Michelle A. A study of clinical outcomes using serum albumin and percentage of weight loss following nutritional intervention in post-operative bariatric patients: East Tennessee State University; 2007.

    Google Scholar 

  7. Haruta H, Kasama K, Ohta M, et al. Long-term outcomes of bariatric and metabolic surgery in Japan: results of a multi-institutional survey. Obes Surg. 2016:1–9.

  8. Niazi M, Maleki AR, Talebpour M. Short-term outcomes of laparoscopic gastric plication in morbidly obese patients: importance of postoperative follow-up. Obes Surg. 2013;23(1):87–92.

    Article  PubMed  Google Scholar 

  9. Mahawar KK, Kumar P, Carr W, et al. Current status of mini-gastric bypass. Journal of minimal access surgery. 2016;

  10. Barzin M, Hosseinpanah F, Motamedi MA, et al. Bariatric surgery for morbid obesity: Tehran obesity treatment study (TOTS) rationale and study design. JMIR Research Protocols. 2016;5(1):e8.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Kular K, Manchanda N, Rutledge R. A 6-year experience with 1,054 mini-gastric bypasses—first study from Indian subcontinent. Obes Surg. 2014;24(9):1430–5.

    Article  CAS  PubMed  Google Scholar 

  12. Jammu GS, Sharma R. A 7-year clinical audit of 1107 cases comparing sleeve gastrectomy, Roux-En-Y gastric bypass, and mini-gastric bypass, to determine an effective and safe bariatric and metabolic procedure. Obes Surg. 2016;26(5):926–32.

    Article  PubMed  Google Scholar 

  13. Lee W-J, Ser K-H, Lee Y-C, Tsou J-J, Chen S-C, Chen J-C. Laparoscopic Roux-en-Y Vs. Mini-gastric bypass for the treatment of morbid obesity: a 10-year experience. Obes Surg 2012;22(12):1827-1834.

  14. Carbajo MA, Luque-de-León E, Jiménez JM, et al. Laparoscopic one-anastomosis gastric bypass: technique, results, and long-term follow-up in 1200 patients. Obes Surg. 2016:1–15.

  15. Coupaye M, Puchaux K, Bogard C, et al. Nutritional consequences of adjustable gastric banding and gastric bypass: a 1-year prospective study. Obes Surg. 2009;19(1):56–65.

    Article  PubMed  Google Scholar 

  16. Schouten R, Wiryasaputra DC, Van Dielen FM, et al. Long-term results of bariatric restrictive procedures: a prospective study. Obes Surg. 2010;20(12):1617–26.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Deitel M, Gawdat K, Melissas J. Reporting weight loss 2007. Obes Surg. 2007;17(5):565–8.

    Article  PubMed  Google Scholar 

  18. Fitzmaurice G, Laird N, Ware J. Marginal models: generalized estimating equations (GEE). In: Balding D, Cressie N, Fisher N, Johnstone I, Kadane J, Molenberghs G, et al., editors. Applied longitudinal analysis. Hoboken: John Wiley & Sons, Inc.; 1962. p. 291–324.

    Google Scholar 

  19. Chakhtoura G, Zinzindohoué F, Ghanem Y, et al. Primary results of laparoscopic mini-gastric bypass in a French obesity-surgery specialized university hospital. Obes Surg. 2008;18(9):1130–3.

    Article  PubMed  Google Scholar 

  20. Bruzzi M, Rau C, Voron T, et al. Single anastomosis or mini-gastric bypass: long-term results and quality of life after a 5-year follow-up. Surg Obes Relat Dis. 2015;11(2):321–6.

    Article  PubMed  Google Scholar 

  21. Manning S, Carter NC, Pucci A, et al. Age-and sex-specific effects on weight loss outcomes in a comparison of sleeve gastrectomy and Roux-en-Y gastric bypass: a retrospective cohort study. BMC obesity. 2014;1(1):1.

    Article  Google Scholar 

  22. Bloomston M, Zervos EE, Camps MA, et al. Outcome following bariatric surgery in super versus morbidly obese patients: does weight matter? Obes Surg. 1997;7(5):414–9.

    Article  CAS  PubMed  Google Scholar 

  23. Jiang D, Renquist KE, Mason EE, et al. Weight loss curve analysis. Obes Surg. 1991;1(4):373–80.

    Article  CAS  PubMed  Google Scholar 

  24. De Luca M, Manno E, Musella M, et al. Mini-gastric bypass/one anastomosis gastric bypass. In: Bariatric and metabolic surgery: Springer; 2017. p. 69–77.

  25. Kular K, Manchanda N, Rutledge R. Analysis of the five-year outcomes of sleeve gastrectomy and mini gastric bypass: a report from the Indian sub-continent. Obes Surg. 2014;24(10):1724–8.

    Article  CAS  PubMed  Google Scholar 

  26. Pazouki A, Karbalaei Esmaeili S. Excessive weight loss following laparoscopic gastric mini bypass or Roux-en-Y gastric bypass surgery. International Journal of Clinical Medicine. 2016;7:445–9.

    Article  Google Scholar 

  27. Plamper A, Lingohr P, Nadal J, et al. Comparison of mini-gastric bypass with sleeve gastrectomy in a mainly super-obese patient group: first results. Surg Endosc. 2016:1–7.

  28. Padwal RS, Rueda-Clausen CF, Sharma AM, et al. Weight loss and outcomes in wait-listed, medically managed, and surgically treated patients enrolled in a population-based bariatric program: prospective cohort study. Med Care. 2014;52(3):208–15.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Shahrekord University of Medical Sciences, Sharekord, Iran

    Mehrdad Karimi

  2. Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Room 255, Central Building, Hemmat Expway, Tehran, Iran

    Mehrdad Karimi, Ali Kabir & Abdolreza Pazouki

  3. Faculty of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Masoumeh Nejatifar

  4. Center of Excellence for Minimally Invasive Surgery Training, Iran University of Medical Sciences, Tehran, Iran

    Abdolreza Pazouki

  5. Center of Excellence of European Branch of International Federation for Surgery of Obesity, Tehran, Iran

    Abdolreza Pazouki

Authors
  1. Mehrdad Karimi
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  2. Ali Kabir
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  3. Masoumeh Nejatifar
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  4. Abdolreza Pazouki
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Corresponding author

Correspondence to Ali Kabir.

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Ethical Approval Statement

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent Statement

Informed consent was obtained from all individual participants included in the study.

Conflict of Interest

The authors declare that they have no conflict of interest.

Additional information

The original version of this article was revised: due to a production error the bottom portion of Fig. 3 was missing.

A correction to this article is available online at https://doi.org/10.1007/s11695-017-3013-y.

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Karimi, M., Kabir, A., Nejatifar, M. et al. Trend of Changes in Serum Albumin and Its Relation with Sex, Age, and BMI Following Laparoscopic Mini-gastric Bypass Surgery in Morbid Obese Cases. OBES SURG 28, 671–680 (2018). https://doi.org/10.1007/s11695-017-2912-2

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  • DOI: https://doi.org/10.1007/s11695-017-2912-2

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