Metabolic and Hormonal Changes after Sleeve Gastrectomy and Mini Gastric Bypass in a Rat Model of Induced Type 2 Diabetes Mellitus and Obesity

Chirurgia (Bucur). 2019 Nov-Dec;114(6):732-738. doi: 10.21614/chirurgia.114.6.732.

Abstract

Introduction: Obesity is one of the leading causes of social, economic and health problems throughout the world and in the past years bariatric surgery has emerged as a method to alleviate this problem. We have conducted an experimental study aimed at comparing the metabolic and hormonal changes after sleeve gastrectomy and mini gastric by-pass, two bariatric procedures showing promising results. Material and Methods: We have designed a study using a rat model with induced type 2 diabetes mellitus and obesity divided into three groups: a sleeve gastrectomy group, a mini gastric by-pass group and a sham operated group, all of which had their glycemia, lipid profile, ghrelin and insulin levels measured before and after the procedures. Results: The results showed a significant decrease (p 0.05) in fasting glucose levels, lipid profile and ghrelin levels in the mini gastric bypass compared to the sleeve gastrectomy group. Conclusions: This study has demonstrated that both SG and MGB are effective treatments for morbid obesity and T2DM and both procedures can significantly resolve obesity-related metabolic changes.

Keywords: bariatricsurgery; diabetesmellitus; minigastricbypass; obesity; sleevegastrectomy.

MeSH terms

  • Animals
  • Blood Glucose / analysis
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / surgery*
  • Disease Models, Animal
  • Gastrectomy*
  • Gastric Bypass*
  • Ghrelin / blood
  • Lipids / blood
  • Obesity, Morbid / blood
  • Obesity, Morbid / surgery*
  • Rats
  • Treatment Outcome

Substances

  • Blood Glucose
  • Ghrelin
  • Lipids