PMID- 38196045 OWN - NLM STAT- MEDLINE DCOM- 20240126 LR - 20240206 IS - 1708-0428 (Electronic) IS - 0960-8923 (Print) IS - 0960-8923 (Linking) VI - 34 IP - 2 DP - 2024 Feb TI - Effect of Sleeve Gastrectomy Versus One Anastomosis Gastric Bypass on Postoperative Renal Function and the Urinary Monocyte Chemoattractant Protein-1 (MCP-1) Level. PG - 610-617 LID - 10.1007/s11695-023-07033-z [doi] AB - INTRODUCTION: Bariatric surgery has been the most effective treatment modality for morbid obesity that reduces associated comorbidities and improves quality of life. This study aims at evaluating and comparing the impact of two types of bariatric surgery-laparoscopic sleeve gastrectomy (LSG) and one anastomosis gastric bypass (OAGB)-on renal functions and urinary monocyte chemoattractant protein-1 (MPC-1) levels in morbidly obese patients 3 months after surgery. METHODS: This is a prospective study of 40 morbidly obese patients who underwent bariatric surgery. Two types of bariatric surgery were done-laparoscopic sleeve gastrectomy (LSG) (26 patients) and laparoscopic one anastomosis gastric bypass (OAGB) (14 patients). The outcomes of the two procedures were compared in terms of renal function parameters and the level of urinary MCP-1. RESULTS: There were no statistically significant differences in the mean postoperative urinary MCP-1 (73.53 +/- 21.25, 75.43 +/- 26.17, P > 0.5), microalbuminuria (8.83 +/- 6.26, 10.02 +/- 8.6, P > 0.05), urinary creatinine (109.21 +/- 43.22, 99.19 +/- 48.65, P > 0.05), MCP1/Cr ratio (0.78 +/- 0.36, 1.01 +/- 0.70, P > 0.05), eGFR (100.32 +/- 9.54, 104.39 +/- 9.54, P > 0.05) in the cases who had either LSG operation or OAGB operation. CONCLUSION: Bariatric surgery improves all indicators of kidney malfunction and reduces the level of urinary MCP-1. Both laparoscopic sleeve gastrectomy (LSG) and laparoscopic one anastomosis gastric bypass (OAGB) cause similar improvement of the renal function and reduction of urinary MCP-1 level. CI - (c) 2024. The Author(s). FAU - Elmamlook, Shimaa Monir AU - Elmamlook SM AD - Ministry of Health, Aga Central Hospital, Aga, Egypt. FAU - Sabry, Alaa Abd El-Aziz AU - Sabry AAE AD - Faculty of Medicine, Mansoura University, Jeehan Street, Mansoura, Dakahlia, Egypt. FAU - Elrefai, Mohamad AU - Elrefai M AUID- ORCID: 0000-0001-9785-9302 AD - Gastrointestinal Surgical Center, Department of Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt. mohelrefai@mans.edu.eg. AD - Clinical Sciences Department, Fakeeh College for Medical Sciences, Jeddah, Saudi Arabia. mohelrefai@mans.edu.eg. FAU - Eldeen, Ahmed Bahie AU - Eldeen AB AD - Faculty of Medicine, Mansoura University, Jeehan Street, Mansoura, Dakahlia, Egypt. LA - eng PT - Journal Article DEP - 20240109 PL - United States TA - Obes Surg JT - Obesity surgery JID - 9106714 RN - 0 (Chemokine CCL2) SB - IM MH - Humans MH - *Gastric Bypass/methods MH - *Obesity, Morbid/surgery MH - Prospective Studies MH - Quality of Life MH - Chemokine CCL2 MH - Treatment Outcome MH - Gastrectomy/methods MH - Kidney MH - Retrospective Studies MH - *Laparoscopy/methods PMC - PMC10810916 OTO - NOTNLM OT - Bariatric Surgery OT - Renal Function OT - Urinary MCP-1 COIS- The authors declare no competing interests. EDAT- 2024/01/10 06:42 MHDA- 2024/01/26 06:43 PMCR- 2024/01/09 CRDT- 2024/01/10 00:11 PHST- 2023/05/23 00:00 [received] PHST- 2023/12/26 00:00 [accepted] PHST- 2023/11/07 00:00 [revised] PHST- 2024/01/26 06:43 [medline] PHST- 2024/01/10 06:42 [pubmed] PHST- 2024/01/10 00:11 [entrez] PHST- 2024/01/09 00:00 [pmc-release] AID - 10.1007/s11695-023-07033-z [pii] AID - 7033 [pii] AID - 10.1007/s11695-023-07033-z [doi] PST - ppublish SO - Obes Surg. 2024 Feb;34(2):610-617. doi: 10.1007/s11695-023-07033-z. Epub 2024 Jan 9.