Evidence map›Paper›PMID 21734019›Full record

Trial reportAmerican journal of physiology. Regulatory, integrative and comparative physiology2011

Gastric bypass reduces fat intake and preference.

Carel W le Roux, Marco Bueter, Nadine Theis, Malin Werling, Hutan Ashrafian, Christian Löwenstein, Thanos Athanasiou, Stephen R Bloom, Alan C Spector, Torsten Olbers and 1 more

2 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of physiology. Regulatory, integrative and comparative physiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 137 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
137citing papers in PubMed, 4 pooled it
21.5field-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.

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
NCT04600596 completednot on this mapstarted 2019, after this paper: background citation

Adherence of Reporting Energy Intake by a Novel Food Photo Recognition Dietary Assessment App on Morbid Obese Subjects Scheduled for Bariatric Surgery

TypeobservationalSponsorMarco BueterRan2019 to 2023Enrolled54ConditionsObesity, Morbid, Bariatric Surgery, Roux-en-Y Gastric Bypass, Food PreferencesArmsRecording of food intake.
3 · Its place in the literature

Who cites it

137 citing papers in PubMed, 4 syntheses or guidelines pooled it, 238 citations in OpenAlex.

  1. 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
    Pooled it
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  10. GLP-1 Receptor Agonists and Weight Loss: A Critical Review of Mechanisms.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Review
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  15. Incretin-based therapy: a new horizon in diabetes management.Journal of diabetes and metabolic disorders · 2024
    Review
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77 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 3 countries.

Carel W le RouxDept. of Investigative Medicine, Hammersmith Hospital, Imperial College London, Du Cane Road, London W12 0NN, UK. c.leroux@imperial.ac.uk
Marco Bueter
Nadine Theis
Malin Werling
Hutan Ashrafian
Christian Löwenstein
Thanos Athanasiou
Stephen R Bloom
Alan C Spector
Torsten Olbers
Thomas A Lutz
Imperial College London · GBUniversity of Zurich · CHFlorida State University · USUniversity Hospital of Zurich · CH

Funding

Biotechnology and Biological Sciences Research Council BB/E52708X/1Department of Health DHCS/05/05
6 · The paper itself

Abstract

Roux-en-Y gastric bypass is the most effective therapy for morbid obesity. This study investigated how gastric bypass affects intake of and preference for high-fat food in an experimental (rat) study and within a trial setting (human). Proportion of dietary fat in gastric bypass patients was significantly lower 6 yr after surgery compared with patients after vertical-banded gastroplasty (P = 0.046). Gastric bypass reduced total fat and caloric intake (P < 0.001) and increased standard low-fat chow consumption compared with sham controls (P < 0.001) in rats. Compared with sham-operated rats, gastric bypass rats displayed much lower preferences for Intralipid concentrations > 0.5% in an ascending concentration series (0.005%, 0.01%, 0.05%, 0.1%, 0.5%, 1%, 5%) of two-bottle preference tests (P = 0.005). This effect was demonstrated 10 and 200 days after surgery. However, there was no difference in appetitive or consummatory behavior in the brief access test between the two groups (P = 0.71) using similar Intralipid concentrations (0.005% through 5%). Levels of glucagon-like peptide-1 (GLP-1) were increased after gastric bypass as expected. An oral gavage of 1 ml corn oil after saccharin ingestion in gastric bypass rats induced a conditioned taste aversion. These findings suggest that changes in fat preference may contribute to long-term maintained weight loss after gastric bypass. Postingestive effects of high-fat nutrients resulting in conditioned taste aversion may partially explain this observation; the role of GLP-1 in mediating postprandial responses after gastric bypass requires further investigation.

Indexed as

Gastric BypassGastroplastyAnimalsDietary FatsEatingEnergy IntakeFemaleFood PreferencesGlucagon-Like Peptide 1HumansMaleModels, AnimalObesityRatsRats, WistarSaccharinDietary FatsGlucagon-Like Peptide 1Saccharin

Identifiers

PMID21734019
PMCPMC3197335
OpenAlexW2159215817

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.