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Published in: Current Obesity Reports 4/2015

01-12-2015 | Metabolism (P Trayhurn, Section Editor)

The Influence of Bariatric Surgery on Serum Bile Acids in Humans and Potential Metabolic and Hormonal Implications: a Systematic Review

Authors: Abigail J. Cole, Levi M. Teigen, Cyrus Jahansouz, Carrie P. Earthman, Shalamar D. Sibley

Published in: Current Obesity Reports | Issue 4/2015

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Abstract

Recent research suggests a mechanistic role for bile acids (BA) in the metabolic improvement following bariatric surgery. It is believed that the hormonal and metabolic effects associated with changes in systemic BAs may be related to the farnesoid X receptor (FXR) and a G-protein coupled receptor (TGR5). This systematic review examines changes in systemic BAs following bariatric procedures. Studies were included if they reported the measurement of systemic BAs in humans at at least one time point after bariatric surgery. Eleven papers were identified that met the inclusion criteria. Seven studies reported the effect of Roux-en-Y gastric bypass (RYGB) on fasting BAs. The majority (6/7) reported that fasting BAs increased after RYGB. Data regarding fasting BAs after vertical sleeve gastrectomy (VSG) and laparoscopic gastric banding (LAGB) are inconsistent. Data regarding post-prandial BA changes after RYGB, VSG, and LAGB are also inconsistent. More research is needed to investigate the connection between BAs and the metabolic improvement seen after bariatric surgery.
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Metadata
Title
The Influence of Bariatric Surgery on Serum Bile Acids in Humans and Potential Metabolic and Hormonal Implications: a Systematic Review
Authors
Abigail J. Cole
Levi M. Teigen
Cyrus Jahansouz
Carrie P. Earthman
Shalamar D. Sibley
Publication date
01-12-2015
Publisher
Springer US
Published in
Current Obesity Reports / Issue 4/2015
Electronic ISSN: 2162-4968
DOI
https://doi.org/10.1007/s13679-015-0171-x

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