Evidence map›Paper›PMID 16371744›Full record

ArticleAnnals of surgery2006

Gut hormone profiles following bariatric surgery favor an anorectic state, facilitate weight loss, and improve metabolic parameters.

Carel W le Roux, Simon J B Aylwin, Rachel L Batterham, Cynthia M Borg, Frances Coyle, Vyas Prasad, Sandra Shurey, Mohammad A Ghatei, Ameet G Patel, Stephen R Bloom

3 registry-linked trialsOpen access · greenAbstract readEvaluation Study
In one paragraph

Article in Annals of surgery, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 409 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
409citing papers in PubMed, 7 pooled it
36.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00888836 nacompletednot on this mapstarted 2009, after this paper: background citation

Prospective Randomized Controlled Trial on the Effect of Gastric Bypass and Biliopancreatic Diversion on Type 2 Diabetes Mellitus in Patients With BMI > 35 vs. Medical Therapy

TypeinterventionalSponsorCatholic University of the Sacred HeartRan2009 to 2011Enrolled60ConditionsType 2 DiabetesArmsBariatric surgery: Gastric bypass, Bariatric surgery: Bilio-pancreatic diversion, anti-diabetic drugs and behavioral suggestions
NCT02381249 nacompletednot on this mapstarted 2015, after this paper: background citation

The Effect of Satiety Gut Hormone Modulation on Appetitive Drive After Upper Gastrointestinal Surgery

TypeinterventionalSponsorSt. James's Hospital, IrelandRan2015 to 2018Enrolled40ConditionsEsophageal Neoplasms, Stomach Neoplasms, Weight Loss, MalnutritionArmsOctreotide, Placebo
NCT02459561 naunknown statusnot on this mapstarted 2015, after this paper: background citation

A Randomised Controlled Trial of a Duodenal Sleeve Bypass Device (EndoBarrier)Compared With Standard Medical Therapy for the Management of Obese Subjects With Type 2 Diabetes

TypeinterventionalSponsorImperial College LondonRan2015 to 2019Enrolled170ConditionsOverweight and Obesity, DiabetesArmsEndoBarrier TM Gastrointestinal Liner, Best Medical Care
3 · Its place in the literature

Who cites it

409 citing papers in PubMed, 7 syntheses or guidelines pooled it, 978 citations in OpenAlex.

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  6. Methodological issues in assessing change in dietary intake and appetite following gastric bypass surgery: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021
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349 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Carel W le RouxDepartment of Metabolic Medicine, Hammersmith Hospital, Imperial College London, UK.
Simon J B Aylwin
Rachel L Batterham
Cynthia M Borg
Frances Coyle
Vyas Prasad
Sandra Shurey
Mohammad A Ghatei
Ameet G Patel
Stephen R Bloom
Imperial College London · GB

Funding

Department of Health DHCS/05/05Medical Research Council G108/551
6 · The paper itself

Abstract

objectiveTo study the effect of bariatric surgery on the entero-hypothalamic endocrine axis of humans and rodents.

backgroundBariatric surgery is the most effective obesity treatment as it achieves substantial and sustained weight loss. Glycemic control and enhanced satiation improve before substantial weight loss occurs. Gut peptides, acting both peripherally and centrally, contribute to glycemic control and regulate food intake.

methodsWe examined meal-stimulated responses of insulin, ghrelin, peptide YY (PYY), glucagon-like-peptide-1 (GLP-1), and pancreatic polypeptide (PP) in humans and rodents following different bariatric surgical techniques.

resultsCompared with lean and obese controls, patients following Roux-en-Y gastric bypass (RYGB) had increased postprandial plasma PYY and GLP-1 favoring enhanced satiety. Furthermore, RYGB patients had early and exaggerated insulin responses, potentially mediating improved glycemic control. None of these effects were observed in patients losing equivalent weight through gastric banding. Leptin, ghrelin, and PP were similar in both the surgical groups. Using a rodent model of jejuno-intestinal bypass (JIB), we showed elevated PYY and GLP-1 in JIB rats compared with sham-operated rats. Moreover, exogenous PYY reduced food intake and blockade of endogenous PYY increased food intake. Thus, higher plasma PYY following JIB may contribute to reduced food intake and contribute to weight loss.

conclusionsFollowing RYGB and JIB, a pleiotropic endocrine response may contribute to the improved glycemic control, appetite reduction, and long-term changes in body weight.

Indexed as

Bariatric SurgeryAdultAnimalsAppetiteCross-Sectional StudiesFemaleGastrointestinal HormonesGhrelinGlucagon-Like Peptide 1HumansInsulinMaleModels, AnimalObesityPancreatic PolypeptidePeptide HormonesGastrointestinal HormonesGhrelinGlucagon-Like Peptide 1InsulinPancreatic PolypeptidePeptide HormonesPeptide YY

Identifiers

PMID16371744
PMCPMC1449984
OpenAlexW2008501546

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.