“…The magnitude of the adaptation response in human patients is thought to correlate with extent of resection but is also altered by luminal factors in recovery after resection, including nutrition, pancreaticobiliary secretions, and the microbiome. EGF, glucagon-like peptide 2 (Glp2), growth hormone, and insulinlike growth factor (IGF) are among the nonnutritive factors that have been confirmed to stimulate adaptation in multiple rat, rabbit, and piglet studies (5,11,23,26,30,43,47,50). A glucagon-like peptide 2 analog (GLP-2) was recently approved in Europe and the United States for the treatment of intestinal failure and is believed to exert its effect through IGF-1, IGF-2, and ERBB ligands (39).…”