A Large Animal Survival Model to Evaluate Bariatric Surgery Mechanisms
Author(s) -
Vlad V. Simianu,
Jonathan G. Sham,
Andrew S. Wright,
Skye D. Stewart,
Mouhamad Alloosh,
Michael Sturek,
David E. Cummings,
David R. Flum
Publication year - 2015
Publication title -
surgical science
Language(s) - English
Resource type - Journals
eISSN - 2157-9415
pISSN - 2157-9407
DOI - 10.4236/ss.2015.68050
Subject(s) - medicine , weight loss , obesity , diabetes mellitus , insulin resistance , surgery , metabolic syndrome , sham surgery , gastroenterology , physiology , endocrinology , pathology , alternative medicine
The impact of Roux-en-Y gastric bypass (RYGB) on type 2 diabetes mellitus is thought to result from upper and/or lower gut hormone alterations. Evidence supporting these mechanisms is incomplete, in part because of limitations in relevant bariatric-surgery animal models, specifically the lack of naturally insulin-resistant large animals. With overfeeding, Ossabaw swine develop a robust metabolic syndrome, and may be suitable for studying post-surgical physiology. Whether bariatric surgery is feasible in these animals with acceptable survival is unknown.
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