A Sweet Spot for the Bariatric Surgeon

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Presentation transcript:

A Sweet Spot for the Bariatric Surgeon Diego Perez-Tilve, David A. D'Alessio, Matthias H. Tschöp Cell Metabolism Volume 8, Issue 3, Pages 177-179 (September 2008) DOI: 10.1016/j.cmet.2008.08.012 Copyright © 2008 Elsevier Inc. Terms and Conditions

Figure 1 Schematic View of the Mechanistic Model Proposed by Troy et al. Glucose produced by defined intestinal segments is secreted directly into the portal vein, where changes in blood glucose are detected by sensory fibers presumably projecting to central nervous system circuits controlling food intake, insulin secretion, and nutrient partitioning. Enhanced intestinal glucose production following bariatric surgeries that bypass duodenum and jejunum may explain some of the immediate metabolic benefits that occur after such surgeries, but not following gastric banding procedures. ANS, autonomic nervous system; EGA, entero-gastro anastomosis. Cell Metabolism 2008 8, 177-179DOI: (10.1016/j.cmet.2008.08.012) Copyright © 2008 Elsevier Inc. Terms and Conditions