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Published in: Langenbeck's Archives of Surgery 5/2015

01-07-2015 | Original Article

Body mass index and ghrelin levels after laparoscopic Nissen fundoplication

Authors: Taner Yigit, Ali Kagan Coskun, Ali Harlak, Huseyin Sinan, Aytekin Unlu, Serkan Tapan, Emin Lapsekili, Orhan Kozak

Published in: Langenbeck's Archives of Surgery | Issue 5/2015

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Abstract

Purpose

The study aims to evaluate the changes between body mass index (BMI) and ghrelin levels after laparoscopic Nissen fundoplication (LNF).

Methods

Twenty-four consecutive patients with gastroesophageal reflux disease who were scheduled for LNF consented to participate in the study. The participants’ age, sex, preoperative (phase 0), postoperative 1st week (phase 1) and postoperative 4th week (phase 2) dysphagia scores, plasma ghrelin levels, and BMI were recorded.

Results

Compared to the preoperative level (phase 0), ghrelin was decreased in both phase 1 and phase 2. A strong correlation in the changes in the ghrelin values and BMI between phase 0 and phase 2 was detected. There was a strong, statistically significant difference in the changes in the BMI values between phase 1 and phase 2.

Conclusions

Total plication of the fundus impairs its ghrelin-secreting functions for up to 4 weeks and is accompanied by weight loss.
Literature
1.
go back to reference Broeders JA, Rijnhart-de Jong HG, Draaisma WA, Bredenoord AJ, Smout AJ, Gooszen HG (2009) Ten-year outcome of laparoscopic and conventional Nissen fundoplication: randomized clinical trial. Ann Surg 250:698–706PubMedCrossRef Broeders JA, Rijnhart-de Jong HG, Draaisma WA, Bredenoord AJ, Smout AJ, Gooszen HG (2009) Ten-year outcome of laparoscopic and conventional Nissen fundoplication: randomized clinical trial. Ann Surg 250:698–706PubMedCrossRef
2.
go back to reference Draaisma WA, Rijnhart-de Jong HG, Broeders IA, Smout AJ, Furnee EJ, Gooszen HG (2006) Five-year subjective and objective results of laparoscopic and conventional Nissen fundoplication: a randomized trial. Ann Surg 244:34–41PubMedCentralPubMedCrossRef Draaisma WA, Rijnhart-de Jong HG, Broeders IA, Smout AJ, Furnee EJ, Gooszen HG (2006) Five-year subjective and objective results of laparoscopic and conventional Nissen fundoplication: a randomized trial. Ann Surg 244:34–41PubMedCentralPubMedCrossRef
3.
go back to reference Date Y, Kojima M, Hosoda H, Sawaguchi A, Mondal MS, Suganuma T, Matsukura S, Kangawa K, Nakazato M (2000) Ghrelin, a novel growth hormone-releasing acylated peptide, is synthesized in a distinct endocrine cell type in the gastrointestinal tracts of rats and humans. Endocrinology 141:4255–4261PubMed Date Y, Kojima M, Hosoda H, Sawaguchi A, Mondal MS, Suganuma T, Matsukura S, Kangawa K, Nakazato M (2000) Ghrelin, a novel growth hormone-releasing acylated peptide, is synthesized in a distinct endocrine cell type in the gastrointestinal tracts of rats and humans. Endocrinology 141:4255–4261PubMed
4.
go back to reference Ariyasu H, Takaya K, Tagami T, Ogawa Y, Hosoda K, Akamizu T, Suda M, Koh T, Natsui K, Toyooka S, Shirakami G, Usui T, Shimatsu A, Doi K, Hosoda H, Kojima M, Kangawa K, Nakao K (2001) Stomach is a major source of circulating ghrelin, and feeding state determines plasma ghrelin-like immunoreactivity levels in humans. J Clin Endocrinol Metab 86:4753–4758PubMedCrossRef Ariyasu H, Takaya K, Tagami T, Ogawa Y, Hosoda K, Akamizu T, Suda M, Koh T, Natsui K, Toyooka S, Shirakami G, Usui T, Shimatsu A, Doi K, Hosoda H, Kojima M, Kangawa K, Nakao K (2001) Stomach is a major source of circulating ghrelin, and feeding state determines plasma ghrelin-like immunoreactivity levels in humans. J Clin Endocrinol Metab 86:4753–4758PubMedCrossRef
5.
go back to reference Tomasetto C, Wendling C, Rio MC, Poitras P (2001) Identification of cDNA encoding motilin related peptide/ghrelin precursor from dog fundus. Peptides 22:2055–2059PubMedCrossRef Tomasetto C, Wendling C, Rio MC, Poitras P (2001) Identification of cDNA encoding motilin related peptide/ghrelin precursor from dog fundus. Peptides 22:2055–2059PubMedCrossRef
6.
go back to reference Sakata I, Nakamura K, Yamazaki M, Matsubara M, Hayashi Y, Kangawa K, Sakai T (2002) Ghrelin-producing cells exist as two types of cells, closed- and opened-type cells, in the rat gastrointestinal tract. Peptides 23:531–536PubMedCrossRef Sakata I, Nakamura K, Yamazaki M, Matsubara M, Hayashi Y, Kangawa K, Sakai T (2002) Ghrelin-producing cells exist as two types of cells, closed- and opened-type cells, in the rat gastrointestinal tract. Peptides 23:531–536PubMedCrossRef
7.
go back to reference Wren AM, Small CJ, Ward HL, Murphy KG, Dakin CL, Taheri S, Kennedy AR, Roberts GH, Morgan DG, Ghatei MA, Bloom SR (2000) The novel hypothalamic peptide ghrelin stimulates food intake and growth hormone secretion. Endocrinology 141:4325–4328PubMedCrossRef Wren AM, Small CJ, Ward HL, Murphy KG, Dakin CL, Taheri S, Kennedy AR, Roberts GH, Morgan DG, Ghatei MA, Bloom SR (2000) The novel hypothalamic peptide ghrelin stimulates food intake and growth hormone secretion. Endocrinology 141:4325–4328PubMedCrossRef
8.
go back to reference Cummings DE, Purnell JQ, Frayo RS, Schmidova K, Wisse BE, Weigle DS (2001) A preprandial rise in plasma ghrelin levels suggests a role in meal initiation in humans. Diabetes 50:1714–1719PubMedCrossRef Cummings DE, Purnell JQ, Frayo RS, Schmidova K, Wisse BE, Weigle DS (2001) A preprandial rise in plasma ghrelin levels suggests a role in meal initiation in humans. Diabetes 50:1714–1719PubMedCrossRef
9.
go back to reference Miyazaki Y, Takiguchi S, Seki Y, Kasama K, Takahashi T, Kurokawa Y, Yamasaki M, Miyata H, Nakajima K, Mori M, Doki Y (2013) Clinical significance of ghrelin expression in the gastric mucosa of morbidly obese patients. World J Surg 37:2883–2890PubMedCrossRef Miyazaki Y, Takiguchi S, Seki Y, Kasama K, Takahashi T, Kurokawa Y, Yamasaki M, Miyata H, Nakajima K, Mori M, Doki Y (2013) Clinical significance of ghrelin expression in the gastric mucosa of morbidly obese patients. World J Surg 37:2883–2890PubMedCrossRef
10.
go back to reference Cummings DE, Weigle DS, Frayo RS, Breen PA, Ma KM, Dellinger EP, Purnell JQ (2002) Plasma ghrelin levels after diet-induced weight loss or gastric bypass surgery. N Engl J Med 346:1623–1630PubMedCrossRef Cummings DE, Weigle DS, Frayo RS, Breen PA, Ma KM, Dellinger EP, Purnell JQ (2002) Plasma ghrelin levels after diet-induced weight loss or gastric bypass surgery. N Engl J Med 346:1623–1630PubMedCrossRef
11.
go back to reference Havel PJ (2001) Peripheral signals conveying metabolic information to the brain: short-term and long-term regulation of food intake and energy homeostasis. Exp Biol Med (Maywood) 226:963–977 Havel PJ (2001) Peripheral signals conveying metabolic information to the brain: short-term and long-term regulation of food intake and energy homeostasis. Exp Biol Med (Maywood) 226:963–977
12.
go back to reference Abbott CR, Monteiro M, Small CJ, Sajedi A, Smith KL, Parkinson JR, Ghatei MA, Bloom SR (2005) The inhibitory effects of peripheral administration of peptide YY3-36 and glucagon-like peptide-1 on food intake are attenuated by ablation of the vagal-brainstem-hypothalamic pathway. Brain Res 1044:127–131PubMedCrossRef Abbott CR, Monteiro M, Small CJ, Sajedi A, Smith KL, Parkinson JR, Ghatei MA, Bloom SR (2005) The inhibitory effects of peripheral administration of peptide YY3-36 and glucagon-like peptide-1 on food intake are attenuated by ablation of the vagal-brainstem-hypothalamic pathway. Brain Res 1044:127–131PubMedCrossRef
13.
go back to reference Tymitz K, Engel A, McDonough S, Hendy MP, Kerlakian G (2011) Changes in ghrelin levels following bariatric surgery: review of the literature. Obes Surg 21:125–130PubMedCrossRef Tymitz K, Engel A, McDonough S, Hendy MP, Kerlakian G (2011) Changes in ghrelin levels following bariatric surgery: review of the literature. Obes Surg 21:125–130PubMedCrossRef
14.
go back to reference Frühbeck G, Diez-Caballero A, Gil MJ, Montero I, Gómez-Ambrosi J, Salvador J, Cienfuegos JA (2004) The decrease in ghrelin concentrations following bariatric surgery depends on the functional integrity of the fundus. Obes Surg 14:606–612PubMedCrossRef Frühbeck G, Diez-Caballero A, Gil MJ, Montero I, Gómez-Ambrosi J, Salvador J, Cienfuegos JA (2004) The decrease in ghrelin concentrations following bariatric surgery depends on the functional integrity of the fundus. Obes Surg 14:606–612PubMedCrossRef
15.
go back to reference Frühbeck G, Diez-Caballero A, Gil MJ (2004) Letter to the editor: fundus functionality and ghrelin concentrations after bariatric surgery. N Engl J Med 350:308–309PubMedCrossRef Frühbeck G, Diez-Caballero A, Gil MJ (2004) Letter to the editor: fundus functionality and ghrelin concentrations after bariatric surgery. N Engl J Med 350:308–309PubMedCrossRef
16.
go back to reference Ivano FH, Silva Lde M, Seniski GG, Menacho AM, Chigueira MA, Barros R (2013) Comparison of ghrelin plasma levels between pre and postoperative period in patients submitted to gastric plication associated with fundoplication. Arq Bras Cir Dig 26(1):8–12PubMedCrossRef Ivano FH, Silva Lde M, Seniski GG, Menacho AM, Chigueira MA, Barros R (2013) Comparison of ghrelin plasma levels between pre and postoperative period in patients submitted to gastric plication associated with fundoplication. Arq Bras Cir Dig 26(1):8–12PubMedCrossRef
17.
go back to reference Lundell LR, Myers JC, Jamieson GG (1994) Delayed gastric emptying and its relationship to symptoms of “gas float” after antireflux surgery. Eur J Surg 160:161–166PubMed Lundell LR, Myers JC, Jamieson GG (1994) Delayed gastric emptying and its relationship to symptoms of “gas float” after antireflux surgery. Eur J Surg 160:161–166PubMed
18.
go back to reference Luostarinen M, Isolauri J, Laitinen J, Koskinen M, Keyriläinen O, Markkula H, Lehtinen E, Uusitalo A (1993) Fate of Nissen fundoplication after 20 years. A clinical, endoscopical, and functional analysis. Gut 34:1015–1020PubMedCentralPubMedCrossRef Luostarinen M, Isolauri J, Laitinen J, Koskinen M, Keyriläinen O, Markkula H, Lehtinen E, Uusitalo A (1993) Fate of Nissen fundoplication after 20 years. A clinical, endoscopical, and functional analysis. Gut 34:1015–1020PubMedCentralPubMedCrossRef
19.
go back to reference Vu MK, Straathof JW, v d Schaar PJ, Arndt JW, Ringers J, Lamers CB, Masclee AA (1999) Motor and sensory function of proximal stomach in reflux disease and after laparoscopic Nissen fundoplication. Am J Gastroenterol 94:1481–1489PubMedCrossRef Vu MK, Straathof JW, v d Schaar PJ, Arndt JW, Ringers J, Lamers CB, Masclee AA (1999) Motor and sensory function of proximal stomach in reflux disease and after laparoscopic Nissen fundoplication. Am J Gastroenterol 94:1481–1489PubMedCrossRef
Metadata
Title
Body mass index and ghrelin levels after laparoscopic Nissen fundoplication
Authors
Taner Yigit
Ali Kagan Coskun
Ali Harlak
Huseyin Sinan
Aytekin Unlu
Serkan Tapan
Emin Lapsekili
Orhan Kozak
Publication date
01-07-2015
Publisher
Springer Berlin Heidelberg
Published in
Langenbeck's Archives of Surgery / Issue 5/2015
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-015-1315-x

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