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Updated: Jun 22, 2026

Roux-en-Y Gastric Bypass Operation in Rats
Published on: June 11, 2012
Endocrine and metabolic response to gastric bypass
Jabbar Saliba1, Julia Wattacheril, Naji N Abumrad
1Department of Surgery, Vanderbilt University School of Medicine, Nashville, TN 37232, USA.
Purpose Of Review:
Diabetes resolves in 80% of individuals undergoing successful Roux-en-Y gastric bypass. Absolute caloric restriction alone resulting from gastric anatomic changes indeed leads to weight loss; however, immediate effects in glycemic control often precede substantial weight loss typically associated with insulin sensitivity. One putative explanation relates to hormonal effects accompanying Roux-en-Y gastric bypass. We reviewed the existing and recent literature to investigate the hormonal changes accompanying Roux-en-Y gastric bypass.
Recent Findings:
Changes in levels of five candidate enteric hormones have been recently associated with early postoperative glycemic control following Roux-en-Y gastric bypass; the strongest effects are seen with variations in glucagon-like peptide-1, glucose-dependent insulinotropic peptide and ghrelin.
Summary:
The unique hybridization of static anatomic restriction and dynamic absorptive bypass lends a duality to the beneficial effects of Roux-en-Y gastric bypass. This duality likely explains the short-term and long-term resolution of diabetes in patients undergoing Roux-en-Y gastric bypass.
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