Does the ileal brake mechanism contribute to sustained weight loss after bariatric surgery?

Bariatric surgery is currently the most effective strategy for treating morbid obesity. Weight regain following significant weight loss, however, remains a problem, with the outcome proportional to the period of follow‐up. This review revisits a well‐established physiological neurohormonally‐mediate...

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Veröffentlicht in:ANZ journal of surgery 2018-01, Vol.88 (1-2), p.20-25
Hauptverfasser: Barreto, Savio G., Soenen, Stijn, Chisholm, Jacob, Chapman, Ian, Kow, Lilian
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container_issue 1-2
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container_title ANZ journal of surgery
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creator Barreto, Savio G.
Soenen, Stijn
Chisholm, Jacob
Chapman, Ian
Kow, Lilian
description Bariatric surgery is currently the most effective strategy for treating morbid obesity. Weight regain following significant weight loss, however, remains a problem, with the outcome proportional to the period of follow‐up. This review revisits a well‐established physiological neurohormonally‐mediated feedback loop, the so called ileal brake mechanism, with a special emphasis on the gut hormone peptide tyrosine tyrosine. The manuscript not only highlights the potential role of the ileal brake mechanism in weight loss and weight maintenance thereafter following obesity surgery, it also provides a compelling argument for using this appetite suppressing feedback loop to enable sustained long‐term weight loss in patients undergoing surgery for morbid obesity.
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subjects Appetite
appetite and food intake
Body weight loss
Brakes
Feedback
Feedback loops
Gastrointestinal surgery
gut hormones
ileal brake
Obesity
obesity surgery
Surgery
Tyrosine
Weight control
Weight loss
title Does the ileal brake mechanism contribute to sustained weight loss after bariatric surgery?
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