indicators of wt gain.ppt
Download as PPT, PDF0 likes9 views
This document discusses predicting weight gain after bariatric surgery. It notes that while laparoscopic sleeve gastrectomy (LSG) has become a commonly used bariatric surgery, weight regain is common after LSG, with rates of regain ranging from 30-64% within 2 years postoperatively. The document examines various biochemical parameters and indexes like cholesterol, CRP, systemic inflammatory index (SII), and prognostic nutritional index (PNI) that can help predict postsurgical weight regain, with high SII and low PNI indicating increased risk of regain. A scoring system is provided using levels of SII and PNI to predict weight gain prognosis after LSG.
indicators of wt gain.ppt
- 1. Monday, January 23, 2023 1 Predicting gaining weight after bariatric surgery PROFESSOR DR. HIWA OMER AHMED GENERAL AND BARIATRIC SURGERY University of Sulaimani-College of Medicine Kurdistan-Iraq
- 2. Monday, January 23, 2023 2 Obesity and bariatric surgery In recent years, obesity has been recognized as a global epidemic and is now becoming a worldwide health burden. Bariatric and metabolic surgery has provided satisfactory long-term efficacy in weight loss, reducing cardiovascular risks and obesity-related co-morbidities. Due to the advantages of good weight loss effect and technically easy operation, laparoscopic sleeve gastrectomy (LSG) has now become the most frequently used bariatric surgery type worldwide
- 3. Monday, January 23, 2023 3 Regaining weight However, the high rate of weight regain after LSG is a great challenge. Typically, weight regain usually starts between 18 and 24 months postoperatively and the rate of weight regain after 2 years ranges from 30% to 64%
- 4. Monday, January 23, 2023 4 Biochemical parameters Λ cholesterol Λ CRP Λ SII V PNI
- 5. Monday, January 23, 2023 5 Systemic inflammatory index SII Calculated from 1. Neutrophil 2. Lymphocytes 3. Platelets As following = platelets X Neutrophil/ Lymphocytes When high it is indicated weight gain
- 6. Monday, January 23, 2023 6 Prognostic nutritional index PNI Calculated from 1. Lymphocytes 2. Serum albumin in grams As following = albumin in grams + 5+ Lymphocytes When low it is indicated weight gain
- 7. Monday, January 23, 2023 7 Scoring 0 ^ SII, v PNI 1 ^SII< ^PNI V SII, V PNI 2 V SII, ^ PNI Low SII ≤ 390×109 cells/L high SII > 390×109 cells/L low PNI value (≤52.0) high PNI value (>52.0)