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Gastric bypass surgery restores meal stimulation of the anorexigenic gut hormones glucagon-like peptide-1 and peptide YY independently of caloric restriction.

Publication ,  Journal Article
Evans, S; Pamuklar, Z; Rosko, J; Mahaney, P; Jiang, N; Park, C; Torquati, A
Published in: Surg Endosc
April 2012

BACKGROUND: The effects of gastric bypass surgery on the secretion of the anorexigenic gut-derived hormones glucagon-like peptide-1 (GLP-1) and peptide YY (PYY), independent of caloric restriction and due to different dietary macronutrients, is not well characterized. This study examines the effects of a mixed-nutrient or high-fat liquid meal on the postprandial stimulation of GLP-1 and PYY following gastric bypass or equivalent hypocaloric diet. METHODS: Total PYY and active GLP-1 were measured fasting and at multiple points after standardized mixed-nutrient and high-fat liquid meals in two matched groups of obese subjects. The meal stimulation tests were performed before and 14.6 ± 3.3 days after gastric bypass (GBP, n = 10) and before and after a 7-day hypocaloric liquid diet matching the post-GBP diet (control, n = 10). RESULTS: Mixed-nutrient and high-fat postprandial GLP-1 levels increased following GBP (mixed-nutrient peak: 85.0 ± 28.6-323 ± 51 pg/ml, P < 0.01; high-fat peak: 81.8 ± 9.6-278 ± 49 pg/ml, P < 0.01), but not after diet (mixed-nutrient peak: 104.4 ± 9.4-114.9 ± 15.8 pg/ml, P = NS; high-fat peak: 118.1 ± 16.4-104.4 ± 10.8 pg/ml, P = NS). The postprandial PYY response also increased after GBP but not diet, though the increase in peak PYY did not reach statistical significance (GBP mixed-nutrient peak: 134.8 ± 26.0-220.7 ± 52.9 pg/ml, P = 0.09; GBP high-fat peak: 142.1 ± 34.6-197.9 ± 12.7 pg/ml, P = 0.07; diet mixed-nutrient peak: 99.8 ± 8.0-101.1 ± 13.3 pg/ml, P = NS; diet high-fat peak: 105.0 ± 8.8-103.1 ± 11.8 pg/ml, P = NS). The postprandial GLP-1 response was not affected by the macronutrient content of the meal. However, following GBP the mixed-nutrient PYY total area under the curve (AUC(0-120)) was significantly greater than the high-fat PYY AUC(0-120) (22,081 ± 5,662 pg/ml min vs. 18,711 ± 1,811 pg/ml min, P = 0.04). CONCLUSIONS: Following GBP there is an increase in the postprandial stimulation of PYY and GLP-1 that is independent of caloric restriction. The phenomenon of "bariatric surgery-induced anorexia" may be linked to the increased levels after GBP.

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Published In

Surg Endosc

DOI

EISSN

1432-2218

Publication Date

April 2012

Volume

26

Issue

4

Start / End Page

1086 / 1094

Location

Germany

Related Subject Headings

  • Young Adult
  • Weight Loss
  • Surgery
  • Prospective Studies
  • Postprandial Period
  • Peptide YY
  • Obesity, Morbid
  • Middle Aged
  • Male
  • Humans
 

Citation

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MLA
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Evans, S., Pamuklar, Z., Rosko, J., Mahaney, P., Jiang, N., Park, C., & Torquati, A. (2012). Gastric bypass surgery restores meal stimulation of the anorexigenic gut hormones glucagon-like peptide-1 and peptide YY independently of caloric restriction. Surg Endosc, 26(4), 1086–1094. https://doi.org/10.1007/s00464-011-2004-7
Evans, Sarah, Zehra Pamuklar, Jonathan Rosko, Patrick Mahaney, Ning Jiang, Chan Park, and Alfonso Torquati. “Gastric bypass surgery restores meal stimulation of the anorexigenic gut hormones glucagon-like peptide-1 and peptide YY independently of caloric restriction.Surg Endosc 26, no. 4 (April 2012): 1086–94. https://doi.org/10.1007/s00464-011-2004-7.
Evans, Sarah, et al. “Gastric bypass surgery restores meal stimulation of the anorexigenic gut hormones glucagon-like peptide-1 and peptide YY independently of caloric restriction.Surg Endosc, vol. 26, no. 4, Apr. 2012, pp. 1086–94. Pubmed, doi:10.1007/s00464-011-2004-7.
Evans S, Pamuklar Z, Rosko J, Mahaney P, Jiang N, Park C, Torquati A. Gastric bypass surgery restores meal stimulation of the anorexigenic gut hormones glucagon-like peptide-1 and peptide YY independently of caloric restriction. Surg Endosc. 2012 Apr;26(4):1086–1094.
Journal cover image

Published In

Surg Endosc

DOI

EISSN

1432-2218

Publication Date

April 2012

Volume

26

Issue

4

Start / End Page

1086 / 1094

Location

Germany

Related Subject Headings

  • Young Adult
  • Weight Loss
  • Surgery
  • Prospective Studies
  • Postprandial Period
  • Peptide YY
  • Obesity, Morbid
  • Middle Aged
  • Male
  • Humans