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Evaluating the trace elements in preoperative and postoperative duration of hydatid surgery
Gurhan Sakman1, Cem K Parsak, Ismail S Koltas
1Department of General Surgery, Medical Faculty, Cukurova University School of Medicine, 01330 Balcali, Adana, Turkey. gursakman@yahoo.com
Saudi Medical Journal
|January 8, 2008
Summary
Serum zinc and magnesium levels were lower, while copper levels were higher in patients with cystic echinococcosis (CE) before surgery. Postoperative levels normalized, suggesting parasite-driven element changes.
Area of Science:
- Medical Parasitology
- Trace Element Metabolism
- Surgical Outcomes
Background:
- Cystic echinococcosis (CE) is a parasitic disease caused by Echinococcus granulosus.
- CE can affect various organs, primarily the liver, leading to potential metabolic disturbances.
- Alterations in serum trace element levels in CE patients are not well-characterized.
Purpose of the Study:
- To investigate the preoperative and postoperative serum levels of zinc, magnesium, and copper in patients with cystic echinococcosis.
- To compare these levels with a healthy control group.
- To assess the impact of surgical intervention on these trace element levels.
Main Methods:
- Serum samples from 85 CE patients and 40 healthy controls were analyzed.
- Measurements of zinc, magnesium, and copper were taken preoperatively and one year postoperatively in CE patients.
- Statistical comparison between patient groups and controls was performed.
Main Results:
- Preoperatively, CE patients exhibited lower serum zinc and magnesium levels and higher copper levels compared to controls.
- A correlation was observed between symptom duration and altered trace element levels (decreased zinc/magnesium, increased copper).
- One year after surgery, serum levels of these elements in CE patients normalized to levels comparable with the control group.
Conclusions:
- The parasite in cystic echinococcosis may increase the consumption of zinc and magnesium while increasing copper secretion.
- These findings suggest that serum trace element analysis could be a valuable tool for monitoring CE patients post-surgery.
- Evaluating trace element levels may complement radiological and serological methods in the follow-up of hydatid disease.