6. Bariatric Surgery
Evolution of Metabolic Parameters
Modifiable Partially Modifiable
Glycemic control Total cholesterol
HDL-Chol LDL-Chol
Triglycerides
Uric acid
Gamma-GT
Fibrinogen
Leucocitoses
Insulin
NASH
Geloneze B et al. Obes Res 2001 ; 9:763-9
7. * Glucose disposal
(umol/L/min-1/kg-1)
Normal
Months
* Euglycemic Hyperinsulinemic Clamp Muscelli, Pareja, Ferrannini et al, Am J Med 2005
16. Insulin Secretion – IVGTT
IntraVenousGlucoseToleranceTest
First
Phase
Insulina (µU/mL)
Second Phase
Time (min)
Lebovitz et al – Diabetes Reviews 7:139, 1999
17. Recovery of First Phase Insulin
Primeira Fase de Secreção
pós Secretion after RYGBP
Cirurgia de Gastroplastia
Insulin (µU/mL)
Primeira
Fase
First Second Phase
Phase
Time (min)
Polyzogopolou EV et al – Diabetes 2003; 52:1098
21. Ghrelin and Bariatric Surgery (RYGBP)
Ghrelin (pg/ml)
* p < 0.0001
NS
* p < 0.001 * p < 0.001
Geloneze B et al – Obesity Surgery 2003; 13:17-22
22. Gut hormone profiles following bariatric surgery favor an anorectic state,
facilitate weight loss, and improve metabolic parameters.
Ann Surg 2006;243:108
Adapted from le Roux CW, Aylwin SJ, Batterham RL, et al.