Evidence map›Paper›PMID 40349608›Full record

ReviewCurrent opinion in neurobiology2025

The role of the gut-brain axis in bariatric surgery.

Tyler M Cook, Maigen M Bethea, Darleen A Sandoval

Abstract readReview
In one paragraph

Review in Current opinion in neurobiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

3 authors.

Tyler M CookDepartment of Pediatrics, Section of Nutrition, University of Colorado Anschutz Medical Campus, Denver, CO, USA.
Maigen M BetheaDepartment of Pediatrics, Section of Nutrition, University of Colorado Anschutz Medical Campus, Denver, CO, USA.
Darleen A SandovalDepartment of Pediatrics, Section of Nutrition, University of Colorado Anschutz Medical Campus, Denver, CO, USA. Electronic address: Darleen.sandoval@cuanschutz.edu.

Funding

PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI BRYAN C BERGMAN · 1995 to 2026
$32.6M
NIDDK National Research Service Award (NRSA) T32 Diversity Administrative SupplementT32DK007658 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Kristen Elizabeth Boyle, Ihuoma U Eneli · 1991 to 2026
$6.0M
Mechanisms of Post-Bariatric HypoglycemiaR01DK121995 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PATTI, MARY E, SANDOVAL, DARLEEN A. · 2019 to 2022
$2.8M
The Colorado Building Interdisciplinary Research Careers in Women's Health ProgramK12AR084226 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI JUDITH G. REGENSTEINER, Nanette F. Santoro · 2023 to 2026
$2.5M
Training for minoritized individuals in gut-brain axis researchK26DK138368 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI DARLEEN A. SANDOVAL · 2023 to 2026
$461k
The role of diminished CNS hypoglycemia sensing in postbariatric hypoglycemiaF32DK139710 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Tyler Cook · 2024 to 2026
$151k
NIAMS NIH HHS K12 AR084226NIDDK NIH HHS F32 DK139710NIDDK NIH HHS K26 DK138368NIDDK NIH HHS P30 DK048520NIDDK NIH HHS R01 DK121995NIDDK NIH HHS T32 DK007658
6 · The paper itself

Abstract

Bariatric surgery is the gold standard for sustained weight loss. Despite common misconceptions, bariatric surgery remodels gut-brain physiology in more complex ways than simply reducing stomach size or causing nutrient malabsorption. Bariatric surgery induces weight loss primarily by reductions in food intake and alterations in feeding patterns, macronutrient preference, and the rewarding aspects of food. Bariatric surgery also enhances nutrient-induced brain activation, alters nutrient processing, enhances gut hormone secretion, and increases bile acids. However, which of these signals directly link to improved satiety and altered reward pathways remains unclear. While state-of-the-art tools are now available to manipulate specific subpopulations of peripheral sensory neurons, work is needed to apply these tools to obesity and bariatric surgery. This will be critical for advancing the understanding of the role of the gut-brain axis in the success of surgery and allowing for the continued expansion of therapeutic options for obesity.

Indexed as

Bariatric SurgeryBrainBrain-Gut AxisGastrointestinal TractObesityAnimalsHumans

Identifiers

PMID40349608
PMCPMC12192777

What OpenQuestion holds

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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.