Comparison of the effect by which gastric plication and sleeve gastrectomy procedures alter metabolic and physical parameters in an obese type 2 diabetes rodent model

Ye, Min; Huang, Run; Zhang, Min; Zhang, Peng; Wang, Tingfeng; Yu, Bo

doi:10.1016/j.soard.2017.05.010

Cited by 7 publications

(4 citation statements)

References 30 publications

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“…Weight loss is the commonest outcome, by which the efficacy of a bariatric procedure is estimated. Based on animal studies, gastric plication and sleeve gastrectomy displayed the same efficacy, concerning weight loss, reduced food intake fasting plasma glucose and intraperitoneal glucose tolerance test, and both procedures affected ghrelin and GLP-1 levels [ 53 ]. Although gastric plication has functional restrictive effects [ 54 ], sleeve gastrectomy affects residual gastric volume, gastrointestinal tract motility, and hormonal balance [ 55 ].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-Analysis

et al. 2018

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Introduction A meta-analysis was conducted in order to provide an up-to-date comparison of laparoscopic sleeve gastrectomy (LSG) and laparoscopic gastric plication (LGP) for morbid obesity. Materials and Methods The PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Interventions were used for the conduction of this study. A systematic literature search was performed in the electronic databases (MEDLINE, CENTRAL, and Web of Science and Scopus). The fixed effects or random effects model was used according to the Cochran Q test. Results Totally, 12 eligible studies were extracted. LSG displayed a statistically significant lower rate of overall complications (OR: 0.35; 95% CI: 0.17, 0.68; p=0.002) and a sustainable higher %EWL through all time endpoints (OR: 4.86, p=0.04; OR: 7.57, p < 0.00001; and OR: 13.74; p < 0.00001). There was no difference between the two techniques in terms of length of hospital stay (p=0.16), operative duration (p=0.81), reoperation rate (p=0.51), and cost (p=0.06). Conclusions LSG was demonstrated to have a lower overall complications and a higher weight loss rate, when compared to LGP. Further RCTs of a higher methodological quality level, with a larger sample size, are required in order to validate these findings.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-Analysis

et al. 2018

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“…As a result, food consumption is substantially reduced. Some studies demonstrated that bariatric surgery, including SG and Roux-en-Y gastric bypass, was able to reduce food intake after the operation in rat models [16,17].…”

Section: Reduced Food Intakementioning

confidence: 99%

“…The secretion and change in the glucose level, leptin hormone, and insulin will induce the expression of orexigenic molecules in the NPY/AgRP neurons [42]. Previous studies indicated that the SG procedure was capable of improving glucose tolerance and insulin sensitivity, and reducing food intake, which provides a therapeutic approach to the treatment of T2D [16,43]. SG significantly modifies intestinal permeability without impairing the glucose homeostasis improvement induced by SG [44].…”

Section: Insulinmentioning

confidence: 99%

“…Improvement of glucose metabolism by SG is associated with increased GLP-1 secretion. It was demonstrated that the SG procedure could increase the expression of GLP-1 jejunum and ileum, and the plasma GLP-1 level [16,51]. Increased endogenous GLP-1 signaling has been regarded as a primary pathway resulting in postsurgical weight loss and improvement in glucose metabolism [52].…”

Section: Glucagon-like Peptide-1mentioning

confidence: 99%

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Potential mechanisms of sleeve gastrectomy for reducing weight and improving metabolism in patients with obesity

Huang

Ding

et al. 2019

Surgery for Obesity and Related Diseases

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Obesity is a severe medical problem endangering the health of individuals worldwide. Sleeve gastrectomy (SG), one of the most commonly performed bariatric procedures, has been widely applied to the treatment of such patients. Currently, the potential mechanisms underlying the significant weight loss and metabolic improvement after SG have been well studied. First, and most importantly, by removing a large volume of stomach, the SG directly or indirectly restricts food intake. Then, there are alterations in the absorption and metabolism of both macro-and micronutrients, which may benefit or worsen the patients' well-being. Another profound change is enhanced secretion of the satiety gut hormone and reduced secretion of the hunger hormone as a consequence of the operation. Additionally, adjustment of gastrointestinal motility, alteration in the gut microbial community, and an inflammatory response were found after surgery. Therefore, the purpose of the present review was focused on such hypotheses and to compile the accumulated facts on the physiologic mechanism of bariatric surgery so that these results can help improve the understanding of how SG produces substantial weight loss and a significant improvement in the metabolism of patients with metabolic syndrome.

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Matrix Metalloproteinases in Obesity After Gastric Bypass Surgery—an Experimental Study

et al. 2020

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Comparison of the effect by which gastric plication and sleeve gastrectomy procedures alter metabolic and physical parameters in an obese type 2 diabetes rodent model

Cited by 7 publications

References 30 publications

Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-Analysis

Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-Analysis

Potential mechanisms of sleeve gastrectomy for reducing weight and improving metabolism in patients with obesity

Matrix Metalloproteinases in Obesity After Gastric Bypass Surgery—an Experimental Study

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