Can we abandon foregut exclusion for an ideal and safe metabolic surgery?

被引:3
作者
Widjaja, Jason [1 ]
Chu, Yuxiao [2 ]
Yang, Jianjun [1 ]
Wang, Jian [2 ]
Gu, Yan [1 ]
机构
[1] Fudan Univ, Dept Gen Surg, Affiliated Huadong Hosp, Shanghai, Peoples R China
[2] Xuzhou Med Univ, Dept Gastrointestinal Surg, Affiliated Hosp, Xuzhou, Jiangsu, Peoples R China
来源
FRONTIERS IN ENDOCRINOLOGY | 2022年 / 13卷
关键词
foregut hypothesis; micronutrient; type-2; diabetes; bariatric surgery; metabolic surgery; Y GASTRIC BYPASS; LAPAROSCOPIC ILEAL INTERPOSITION; DUODENAL-JEJUNAL EXCLUSION; TYPE-2; DIABETES-MELLITUS; SLEEVE GASTRECTOMY; WEIGHT-LOSS; BILIOPANCREATIC DIVERSION; MICRONUTRIENT DEFICIENCIES; TRANSIT BIPARTITION; MORBID-OBESITY;
D O I
10.3389/fendo.2022.1014901
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Foregut (foregut exclusions) and hindgut (rapid transit of nutrients to the distal intestine) theories are the most commonly used explanations for the metabolic improvements observed after metabolic surgeries. However, several procedures that do not comprise duodenal exclusions, such as sleeve with jejunojejunal bypass, ileal interposition, and transit bipartition and sleeve gastrectomy were found to have similar diabetes remission rates when compared with duodenal exclusion procedures, such as gastric bypass, biliopancreatic diversion with duodenal switch, and diverted sleeve with ileal interposition. Moreover, the complete exclusion of the proximal intestine could result in the malabsorption of several important micronutrients. This article reviews commonly performed procedures, with and without foregut exclusion, to better comprehend whether there is a critical need to include foregut exclusion in metabolic surgery.
引用
收藏
页数:7
相关论文
共 60 条
  • [1] Cross-sectional long-term micronutrient deficiencies after sleeve gastrectomy versus Roux-en-Y gastric bypass: A pilot study
    Alexandrou, Andreas
    Armeni, Eleni
    Kouskouni, Evangelia
    Tsoka, Evangelia
    Diamantis, Theodoros
    Lambrinoudaki, Irene
    [J]. SURGERY FOR OBESITY AND RELATED DISEASES, 2014, 10 (02) : 262 - 268
  • [2] Almahmeed Taghreed, 2006, Surg Obes Relat Dis, V2, P468, DOI 10.1016/j.soard.2006.03.023
  • [3] Nutritional deficiencies after bariatric surgery
    Bal, Bikram S.
    Finelli, Frederick C.
    Shope, Timothy R.
    Koch, Timothy R.
    [J]. NATURE REVIEWS ENDOCRINOLOGY, 2012, 8 (09) : 544 - 556
  • [4] Biliopancreatic Diversion for Severe Obesity: Long-Term Effectiveness and Nutritional Complications
    Ballesteros-Pomar, Maria D.
    Gonzalez de Francisco, Tomas
    Urioste-Fondo, Ana
    Gonzalez-Herraez, Luis
    Calleja-Fernandez, Alicia
    Vidal-Casariego, Alfonso
    Simo-Fernandez, Vicente
    Cano-Rodriguez, Isidoro
    [J]. OBESITY SURGERY, 2016, 26 (01) : 38 - 44
  • [5] The Bile Acid Chenodeoxycholic Acid Increases Human Brown Adipose Tissue Activity
    Broeders, Evie P. M.
    Nascimento, Emmani B. M.
    Havekes, Bas
    Brans, Boudewijn
    Roumans, Kay H. M.
    Tailleux, Anne
    Schaart, Gert
    Kouach, Mostafa
    Charton, Julie
    Deprez, Benoit
    Bouvy, Nicole D.
    Mottaghy, Felix
    Staels, Bart
    Lichtenbelt, Wouter D. van Marken
    Schrauwen, Patrick
    [J]. CELL METABOLISM, 2015, 22 (03) : 418 - 426
  • [6] Metabolic (Bariatric and Nonbariatric) Surgery for Type 2 Diabetes: A Personal Perspective Review
    Buchwald, Henry
    Buchwald, Jane N.
    [J]. DIABETES CARE, 2019, 42 (02) : 331 - 340
  • [7] The Evolution of Metabolic/Bariatric Surgery
    Buchwald, Henry
    [J]. OBESITY SURGERY, 2014, 24 (08) : 1126 - 1135
  • [8] The farnesoid X receptor modulates adiposity and peripheral insulin sensitivity in mice
    Cariou, B
    van Harmelen, K
    Duran-Sandoval, D
    van Dijk, TH
    Grefhorst, A
    Abdelkarim, M
    Caron, S
    Torpier, G
    Fruchart, JC
    Gonzalez, FJ
    Kuipers, F
    Staels, B
    [J]. JOURNAL OF BIOLOGICAL CHEMISTRY, 2006, 281 (16) : 11039 - 11049
  • [9] Ceneviva Reginaldo, 2016, Surg Obes Relat Dis, V12, pe21, DOI 10.1016/j.soard.2015.09.020
  • [10] Bariatric Surgery in Obesity: Effects on Gut Microbiota and Micronutrient Status
    Ciobarca, Daniela
    Catoi, Adriana Florinela
    Copaescu, Catalin
    Miere, Doina
    Crisan, Gianina
    [J]. NUTRIENTS, 2020, 12 (01)