Does Caloric Restriction Alone Explain the Effects of Roux-en-Y Gastric Bypass on Glucose Metabolism? Not by a Long Limb

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FIG. 1.
FIG. 1.

Schematic representation of the time course for putative diabetes remission after various types of bariatric surgery. While it is probable that most of the “early” effects of bariatric surgery are produced by caloric restriction, it is possible/likely that other intestinal factors such as altered incretin secretion, bile acid malabsorption, and the degree of and durability of the surgically induced restriction may explain the durability of diabetes remission after surgery. *The definition of remission after surgery is arbitrary, and it is important to emphasize that the data represented here are partially gleaned from the literature and partly from clinical experience. They are intended to illustrate the suggestion that differing surgeries may have differing success in maintaining a durable diabetes remission. #Arbitrarily defined as 12 weeks. SG, sleeve gastrectomy; AGB, adjustable gastric banding.

This Article

  1. Diabetes vol. 62 no. 9 3017-3018
  1. Free via Open Access: OA