Metabolic Changes After Bariatric Surgery A Longitudinal Comparative Study

• To compare the outcome of Bariatric surgery in terms of metabolic changes among the study subjects. • To compare the outcome of Bariatric surgery in terms of attaining fertility. Material and methods: A longitudinal study was conducted at two tertiary care hospitals in the Department of Laparoscopic and Bariatric Surgery, Bangalore, for a period of 4 years from January 2012 to December 2015. A total of 290 study subjects who were admitted in the two tertiary care hospitals during the study period having comorbidities like dyslipidemia, diabetes hypertension, Polycystic Ovarian Syndrome (PCOS) on Ultrasonography (USG) and consented for bariatric surgery were included in the study. The patients who were not available for 12 months follow-up were excluded from the study. Results: Majority 40.3% were in the age group of 26-40 yrs of which 74.5% of the study subjects were females. The excess weight loss was recorded among 53.1% of the study subjects. Glycemic control was achieved in terms of resolution of FBS among 95.5% of them at 6th month and 100.0% at 12th month, PPBS among 86.5% at 6th month and 95.1% at 12th month and HbA1c among 74.5% at 6th month and 84.8% at 12th month. Dyslipidemia and hypertension also showed a significant reduction with 100% fertility rate. Conclusion: Excess weight loss, metabolic improvement in term of glycemic control, control of dyslipidemia, remission of hypertension was observed. Thus our study recommends bariatric surgery for achieving better metabolic control among obese individuals.