Neuroendocrine adaptations to bariatric surgery

J.B. Dixon, E.A. Lambert, G.W. Lambert

Research output: Contribution to journalReview ArticleResearchpeer-review

26 Citations (Scopus)

Abstract

The global epidemic of obesity and its related disease in combination with robust physiological defence of intentional weight loss generates a pressing need for effective weight loss therapies. Bariatric surgery, which works very effectively at delivering substantial sustained weight loss, has been an enigma with respect to mechanism of action. Naive concepts of restriction and malabsorption do not explain the efficacy of the most commonly used bariatric procedures. This century has seen increased interest in unravelling the mystery of the mechanisms underlying surgery associated weight loss with a focus on integrative gastrointestinal (GI) physiology, gut-brain signalling, and beyond weight loss effects on metabolism. GI interventions, some very minor, can alter GI wall stretch and pressure receptors; a range of GI hormones affecting hunger and satiety; bile acid metabolism and signalling; the characteristics of GI microbiome; portal vein nutrient sensing; and circulating concentrations of amino acids. Understanding the mechanisms involved should present targets for less invasive effective therapies.

Original languageEnglish
Pages (from-to)143-152
Number of pages10
JournalMolecular and Cellular Endocrinology
Volume418
Issue numberSI
DOIs
Publication statusPublished - 15 Dec 2015
Externally publishedYes

Keywords

  • Energy balance
  • Homeostatic
  • Intentional weight loss

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