Effect of Bariatric Surgery on Metabolic Diseases and Underlying Mechanisms

Obesity is a highly prevalent public health concern, attributed to multifactorial causes and limited in treatment options. Several comorbidities are closely associated with obesity such as the development of type 2 diabetes mellitus (T2DM), cardiovascular and cerebrovascular diseases, and nonalcohol...

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Autores principales: Yu Ji, Hangil Lee, Shawn Kaura, James Yip, Hao Sun, Longfei Guan, Wei Han, Yuchuan Ding
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/a7b058943d674ca19f9bd519277487e9
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spelling oai:doaj.org-article:a7b058943d674ca19f9bd519277487e92021-11-25T16:52:15ZEffect of Bariatric Surgery on Metabolic Diseases and Underlying Mechanisms10.3390/biom111115822218-273Xhttps://doaj.org/article/a7b058943d674ca19f9bd519277487e92021-10-01T00:00:00Zhttps://www.mdpi.com/2218-273X/11/11/1582https://doaj.org/toc/2218-273XObesity is a highly prevalent public health concern, attributed to multifactorial causes and limited in treatment options. Several comorbidities are closely associated with obesity such as the development of type 2 diabetes mellitus (T2DM), cardiovascular and cerebrovascular diseases, and nonalcoholic fatty liver disease (NAFLD). Bariatric surgery, which can be delivered in multiple forms, has been remarked as an effective treatment to decrease the prevalence of obesity and its associated comorbidities. The different types of bariatric surgery create a variety of new pathways for food to metabolize in the body and truncate the stomach’s caliber. As a result, only a small quantity of food is tolerated, and the body mass index noticeably decreases. This review describes the improvements of obesity and its comorbidities following bariatric surgery and their mechanism of improvement. Additionally, endocrine function improvements after bariatric surgery, which contributes to the patients’ health improvement, are described, including the role of glucagon-like peptide-1 (GLP-1), fibroblast growth factors 19 and 21 (FGF-19, FGF-21), and pancreatic peptide YY (PYY). Lastly, some of the complications of bariatric surgery, including osteoporosis, iron deficiency/anemia, and diarrhea, as well as their potential mechanisms, are described.Yu JiHangil LeeShawn KauraJames YipHao SunLongfei GuanWei HanYuchuan DingMDPI AGarticleobesitymetabolic disorderscomplicationsmechanismscardiovascular diseasesMicrobiologyQR1-502ENBiomolecules, Vol 11, Iss 1582, p 1582 (2021)
institution DOAJ
collection DOAJ
language EN
topic obesity
metabolic disorders
complications
mechanisms
cardiovascular diseases
Microbiology
QR1-502
spellingShingle obesity
metabolic disorders
complications
mechanisms
cardiovascular diseases
Microbiology
QR1-502
Yu Ji
Hangil Lee
Shawn Kaura
James Yip
Hao Sun
Longfei Guan
Wei Han
Yuchuan Ding
Effect of Bariatric Surgery on Metabolic Diseases and Underlying Mechanisms
description Obesity is a highly prevalent public health concern, attributed to multifactorial causes and limited in treatment options. Several comorbidities are closely associated with obesity such as the development of type 2 diabetes mellitus (T2DM), cardiovascular and cerebrovascular diseases, and nonalcoholic fatty liver disease (NAFLD). Bariatric surgery, which can be delivered in multiple forms, has been remarked as an effective treatment to decrease the prevalence of obesity and its associated comorbidities. The different types of bariatric surgery create a variety of new pathways for food to metabolize in the body and truncate the stomach’s caliber. As a result, only a small quantity of food is tolerated, and the body mass index noticeably decreases. This review describes the improvements of obesity and its comorbidities following bariatric surgery and their mechanism of improvement. Additionally, endocrine function improvements after bariatric surgery, which contributes to the patients’ health improvement, are described, including the role of glucagon-like peptide-1 (GLP-1), fibroblast growth factors 19 and 21 (FGF-19, FGF-21), and pancreatic peptide YY (PYY). Lastly, some of the complications of bariatric surgery, including osteoporosis, iron deficiency/anemia, and diarrhea, as well as their potential mechanisms, are described.
format article
author Yu Ji
Hangil Lee
Shawn Kaura
James Yip
Hao Sun
Longfei Guan
Wei Han
Yuchuan Ding
author_facet Yu Ji
Hangil Lee
Shawn Kaura
James Yip
Hao Sun
Longfei Guan
Wei Han
Yuchuan Ding
author_sort Yu Ji
title Effect of Bariatric Surgery on Metabolic Diseases and Underlying Mechanisms
title_short Effect of Bariatric Surgery on Metabolic Diseases and Underlying Mechanisms
title_full Effect of Bariatric Surgery on Metabolic Diseases and Underlying Mechanisms
title_fullStr Effect of Bariatric Surgery on Metabolic Diseases and Underlying Mechanisms
title_full_unstemmed Effect of Bariatric Surgery on Metabolic Diseases and Underlying Mechanisms
title_sort effect of bariatric surgery on metabolic diseases and underlying mechanisms
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/a7b058943d674ca19f9bd519277487e9
work_keys_str_mv AT yuji effectofbariatricsurgeryonmetabolicdiseasesandunderlyingmechanisms
AT hangillee effectofbariatricsurgeryonmetabolicdiseasesandunderlyingmechanisms
AT shawnkaura effectofbariatricsurgeryonmetabolicdiseasesandunderlyingmechanisms
AT jamesyip effectofbariatricsurgeryonmetabolicdiseasesandunderlyingmechanisms
AT haosun effectofbariatricsurgeryonmetabolicdiseasesandunderlyingmechanisms
AT longfeiguan effectofbariatricsurgeryonmetabolicdiseasesandunderlyingmechanisms
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