Evidence map›Paper›PMID 22359255›Full record

ArticleObesity surgery2012

Changes in gastrointestinal hormone responses, insulin sensitivity, and beta-cell function within 2 weeks after gastric bypass in non-diabetic subjects.

S H Jacobsen, S C Olesen, C Dirksen, N B Jørgensen, K N Bojsen-Møller, U Kielgast, D Worm, T Almdal, L S Naver, L E Hvolris and 6 more

Abstract read
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In one paragraph

Article in Obesity surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 144 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
144citing papers in PubMed, 1 pooled it
25.0field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

144 citing papers in PubMed, 1 synthesis or guideline pooled it, 340 citations in OpenAlex.

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  18. Cholecystokinin: Clinical aspects of the new biology.Journal of internal medicine · 2025
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84 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

16 authors at 4 institutions in 1 country.

S H JacobsenDepartment of Endocrinology 541, Hvidovre Hospital, University of Copenhagen, Kettegaard Allé 30, 2650 Hvidovre, Copenhagen, Denmark. siv.hesse@hotmail.com
S C Olesen
C Dirksen
N B Jørgensen
K N Bojsen-Møller
U Kielgast
D Worm
T Almdal
L S Naver
L E Hvolris
J F Rehfeld
B S Wulff
T R Clausen
D L Hansen
J J Holst
S Madsbad
Hvidovre Hospital · DKUniversity of Copenhagen · DKNovo Nordisk (Denmark) · DKNovo Nordisk Foundation · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRoux-en-Y gastric bypass (RYGB) surgery causes profound changes in secretion of gastrointestinal hormones and glucose metabolism. We present a detailed analysis of the early hormone changes after RYGB in response to three different oral test meals designed to provide this information without causing side effects (such as dumping).

methodsWe examined eight obese non-diabetic patients before and within 2 weeks after RYGB. On separate days, oral glucose tolerance tests (25 or 50 g glucose dissolved in 200 mL of water) and a liquid mixed meal test (200 mL 300 kcal) were performed. We measured fasting and postprandial glucose, insulin, C-peptide, glucagon, total and intact glucagon-like peptide-1 (GLP-1), glucose-dependent insulinotropic polypeptide (GIP), glucagon-like peptide-2 (GLP-2), peptide YY(3-36) (PYY), cholecystokinin (CCK), total and active ghrelin, gastrin, somatostatin, pancreatic polypeptide (PP), amylin, leptin, free fatty acids (FFA), and registered postprandial dumping. Insulin sensitivity was measured by homeostasis model assessment of insulin resistance.

resultsFasting glucose, insulin, ghrelin, and PYY were significantly decreased and FFA was elevated postoperatively. Insulin sensitivity increased after surgery. The postprandial response increased for C-peptide, GLP-1, GLP-2, PYY, CCK, and glucagon (in response to the mixed meal) and decreased for total and active ghrelin, leptin, and gastrin, but were unchanged for GIP, amylin, PP, and somatostatin after surgery. Dumping symptoms did not differ before and after the operation or between the tests.

conclusionsWithin 2 weeks after RYGB, we found an increase in insulin secretion and insulin sensitivity. Responses of appetite-regulating intestinal hormones changed dramatically, all in the direction of reducing hunger.

Indexed as

Gastric BypassWeight LossAdultAppetiteCholecystokininConfounding Factors, EpidemiologicC-PeptideFemaleGastric Inhibitory PolypeptideGastrinsGastrointestinal HormonesGhrelinGlucagonGlucagon-Like Peptide 1Glucagon-Like Peptide 2Glucose Tolerance TestCholecystokininC-PeptideGastric Inhibitory PolypeptideGastrinsGastrointestinal HormonesGhrelinGlucagonGlucagon-Like Peptide 1Glucagon-Like Peptide 2InsulinIslet Amyloid PolypeptideLeptinPancreatic PolypeptidePeptide YYSomatostatin

Identifiers

PMID22359255
OpenAlexW2053720839

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.