IBC-Oxford University2023_BJSOral_9Calcitonin as a satiety inducer; normalizes in one year after LSG in morbidly obese patients.

Abstract

Abstract Laparoscopic Sleeve Gastrectomy (LSG) is the commonest bariatric procedure done worldwide for morbid obesity. LSG benefits extend beyond it being just a restrictive procedure. Hormonal effects after LSG are well documented in literature. Calcitonin has been ascribed to induction of satiety in mammals. We studied calcium homeostasis in patients(N=21) suffering with morbid obesity who underwent LSG and compared them with non-obese candidates (N=15) who were age and sex matched. Blood samples were collected from patients on day before LSG (day-0), day-180, and day-360 after LSG. Blood sample was collected from non-obese group for comparison. We found that there was no significant difference of calcium in the patients compared to non-obese candidates. We observed that mean serum vitamin D increased on day-180 (M=55.33nM, SD=34.72, p=0.059) and day-360 (M=58.24nM, SD=36.19, p=0.038) from values on day-0 (M=29.48nM, SD=21.03, p=0.423) compared to non-obese candidates (M=35.4nM, SD=22.36). Decrease in mean parathyroid hormone (PTH) on day-180 (M=4.19pM, SD=1.8, p=0.83) and on day-360 (M=4.9pM, SD=2, p=0.31) from day-0 (M=6.19pM, SD=3.53, p=0.06) was observed, compared to non-obese candidates (M=4.31pM, SD=1.2). However, normalization of mean calcitonin was noted on day-180 (M=0.4pM, SD=0.8, p=0.22) and day-360 (M=0.8pM, SD=1.1, p=0.74) from day-0 (M=0.34pM, SD=0.4, p=0.02) compared to non-obese candidates (M=0.7pM, SD=0.41). Results of this study showed normalization of calcitonin, which may have role in satiety after LSG. Larger study is recommended to ascertain the trend of calcitonin after LSG.