Mechanistic Comparison between Gastric Bypass vs. Duodenal Switch with Sleeve Gastrectomy in Rat Models
Author(s) -
Yosuke Kodama,
Helene Johannessen,
Marianne W. Furnes,
ChunMei Zhao,
Gjermund Johnsen,
Ronald Mårvik,
Bård Kulseng,
Duan Chen
Publication year - 2013
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0072896
Subject(s) - sleeve gastrectomy , weight loss , malabsorption , gastrectomy , energy expenditure , laparotomy , medicine , gastric bypass , body weight , calorimeter (particle physics) , duodenal switch , gastroenterology , surgery , zoology , biology , physics , obesity , cancer , detector , optics
Background Both gastric bypass (GB) and duodenal switch with sleeve gastrectomy (DS) have been widely used as bariatric surgeries, and DS appears to be superior to GB. The aim of this study was to better understand the mechanisms leading to body weight loss by comparing these two procedures in experimental models of rats. Methods Animals were subjected to GB, DS or laparotomy (controls), and monitored by an open-circuit indirect calorimeter composed of comprehensive laboratory animal monitoring system and adiabatic bomb calorimeter. Results Body weight loss was greater after DS than GB. Food intake was reduced after DS but not GB. Energy expenditure was increased after either GB or DS. Fecal energy content was increased after DS but not GB. Conclusion GB induced body weight loss by increasing energy expenditure, whereas DS induced greater body weight loss by reducing food intake, increasing energy expenditure and causing malabsorption in rat models.
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