The Gut Microbiota as a Mediator of Metabolic Benefits after Bariatric Surgery

被引：65

作者：

Anhe, Fernando F. ^{[1
,2
]}

Varin, Thibault V. ^{[2
]}

Schertzer, Jonathan D. ^{[3
,4
]}

Marette, Andre ^{[1
,2
]}

机构：

[1] Quebec Heart & Lung Inst, Cardiol Axis, Fac Med, Dept Med, Quebec City, PQ, Canada

[2] Laval Univ, Inst Nutr & Funct Foods, Quebec City, PQ, Canada

[3] McMaster Univ, Dept Biochem & Biomed Sci, Hamilton, ON, Canada

[4] McMaster Univ, Farncombe Family Digest Hlth Res Inst, Hamilton, ON, Canada

来源：

CANADIAN JOURNAL OF DIABETES | 2017年 / 41卷 / 04期

关键词：

gastric bypass; glycemic control and bile acids; Roux-en-Y; sleeve gastrectomy; Y GASTRIC BYPASS; CONJUGATED BILE-ACIDS; WEIGHT-LOSS; INSULIN SENSITIVITY; ESCHERICHIA-COLI; OBESE-PATIENTS; BILIOPANCREATIC DIVERSION; AKKERMANSIA-MUCINIPHILA; INTESTINAL MICROBIOTA; GLYCEMIC CONTROL;

D O I：

10.1016/j.jcjd.2017.02.002

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Bariatric surgery is based on major anatomic rearrangements in the gastrointestinal tract that coincide with functional and taxonomic changes in gut microbial communities. These alterations in gut anatomy and in the microbiota are associated with early resolution of obesity-related impairment of glycemic control and are marked weight loss in the long term. Moreover, altered bile acid metabolism has been implicated in the control of energy homeostasis, emerging as a pivotal orchestrator in the gut microbiota-mediated effects of bariatric surgery. In this review, we summarize the growing body of evidence linking changes in the gut microbiota to the metabolic benefits of bariatric surgery and discuss the potential mechanisms involved. (C) 2017 Canadian Diabetes Association.

引用

页码：439 / 447

页数：9

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