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Changes in vitamin E concentration after surgery and anesthesia

J Zunić1, A Stavljenić-Rukavina, P Granić

  • 1Department of Anesthesiology and Intensive Care, County Hospital Karlovac, Croatia.

Collegium Antropologicum
|June 1, 1997
PubMed
Summary
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Post-cholecystectomy, vitamin E levels significantly decreased in female patients regardless of anesthesia type. This study tracked vitamin E and liver enzyme changes after halothane or isoflurane anesthesia.

Area of Science:

  • Anesthesiology and Perioperative Medicine
  • Clinical Biochemistry
  • Nutritional Science

Background:

  • Cholecystectomy is a common surgical procedure.
  • Anesthetic agents can potentially influence biochemical markers.
  • Vitamin E's role in cellular protection warrants investigation in surgical contexts.

Purpose of the Study:

  • To evaluate the impact of halothane versus isoflurane anesthesia on vitamin E concentrations in female patients undergoing cholecystectomy.
  • To assess changes in liver enzyme activities (ALT, AST, GGT) post-surgery in relation to anesthetic choice.

Main Methods:

  • Randomized study involving 32 female patients (age 30-60, ASA I) undergoing cholecystectomy.
  • Vitamin E levels measured pre-operatively and at 1, 5, 24 hours, and 4 days post-surgery.

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  • High-pressure liquid chromatography used for vitamin E determination; liver enzymes (ALT, AST, GGT) also analyzed.
  • Main Results:

    • A statistically significant decrease in vitamin E concentrations was observed at all measured time points post-surgery compared to pre-operative values (P < 0.05 to P < 0.01).
    • The lowest vitamin E levels occurred 24 hours post-operation, with slightly higher, though not statistically significant, levels in the isoflurane group.
    • No significant differences in liver enzyme activities (ALT, AST, GGT) were found between the anesthetic groups or over time.

    Conclusions:

    • Cholecystectomy under both halothane and isoflurane anesthesia leads to a significant reduction in circulating vitamin E levels.
    • The observed changes in vitamin E are time-dependent, with a nadir at 24 hours post-surgery.
    • Anesthetic choice (halothane vs. isoflurane) does not appear to significantly impact post-operative vitamin E levels or liver enzyme activity.