The Comparison of the Preoperative and Postoperative Neutrophil to Lymphocyte Ratio for Early Prediction of Complications in Transit Bipartition Surgery

Abstract

Abstract Aim: Metabolic surgery is a newly applied and effective treatment method in type 2 diabetes all over the world. For this reason, blood parameters have come to the fore more frequently in the last decade to predict possible complications early. Our aim is to evaluate the neutrophil/lymphocyte ratio (NLR), which is a convenient and cheaper parameter for early diagnosis of complications in Transit Bipartition (TB-SG) surgery, which is the last modality in diabetes surgery. Methods: In our study, we retrospectively evaluated diabetic patients who underwent TB-SG in the metabolic surgery clinic between May 2019 and March 2021 and their surgical results. NLR parameter values of the patients were examined on the 1st and 3rd postoperative days. Results: 21 female and 19 male participants were included in our study. The mean age of the patients was 42.7 years and their body mass index (BMI) was 46.4 kg/m2. The mean hospital stay of the patients was 3.4 days (2.3−6.7 days) (p < 0.05). In the logistic regression study applied, it was shown that the NLR value showed a significant direct ratio with the complications and a correlation was determined. Conclusions: In the new metabolic surgery method such as TB-SG, NLR was found to be a useful and appropriate parameter in detecting possible complications in the postoperative period.