Evidence mapPaperPMID 40128514Full record

ArticleObesity surgery2025

Glucose Homeostasis Improvement After Single Anastomosis Duodenojejunal Bypass with Sleeve Gastrectomy in Goto-Kakizaki Rats.

Sirio Melone, Jose Maria Fernandez-Cebrian, Mario Amores, Yolanda Lopez-Tofiño, Elia Perez-Fernandez, Elena Garcia-Garcia, Juan Manuel Acedo, Carlos Guijarro, Sagrario Martinez Cortijo, Raquel Abalo and 1 more

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Article in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Sirio MeloneUniversidad Rey Juan Carlos, Alcorcón, Spain. s.melone.2020@alumnos.urjc.es.
Jose Maria Fernandez-CebrianHospital Universitario Ramón y Cajal, Madrid, Spain.
Mario AmoresHospital Universitario Fundación Alcorcón, Madrid, Spain.
Yolanda Lopez-TofiñoUniversidad Rey Juan Carlos, Alcorcón, Spain.
Elia Perez-FernandezHospital Universitario Fundación Alcorcón, Madrid, Spain.
Elena Garcia-GarciaHospital Universitario Fundación Alcorcón, Madrid, Spain.
Juan Manuel AcedoHospital Universitario Fundación Alcorcón, Madrid, Spain.
Carlos GuijarroUniversidad Rey Juan Carlos, Alcorcón, Spain.
Sagrario Martinez CortijoUniversidad Rey Juan Carlos, Alcorcón, Spain.
Raquel AbaloUniversidad Rey Juan Carlos, Alcorcón, Spain.
Maria Ruth PazosHospital Universitario Fundación Alcorcón, Madrid, Spain. ruth.pazos@salud.madrid.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of type 2 diabetes mellitus (T2DM) is raising with significant associated medical complications and mortality. Bariatric surgery has shown to have beneficial metabolic effects. A model of single anastomosis duodenojejunal bypass with sleeve gastrectomy (SADJB-SG) was developed in a T2DM animal model without obesity, Goto-Kakizaki (GK) rats, to evaluate the effect of the procedure on glucose homeostasis.

methodsFourteen 12-week old GK rats underwent SADJB-SG, while 11 underwent simulated surgery (Sham). Weight and food intake were recorded comprehensively until sacrifice. Fasting blood glucose data, as well as insulin, fructosamine, and albumin levels were measured both pre-surgically and just before sacrifice. Glucose homeostasis was also monitored by oral glucose tolerance test (OGTT) at different time points. A radiographic study was performed to assess the effect of surgery on gastric emptying.

resultsMortality rate was 24% in the SADJB-SG and 4% in Sham rats. Despite similar food intake, the SADJB-SG showed significant weight loss coupled to a decrease in albumin levels. Glucose homeostasis improved in SADJB-SG rats after surgery, reflected in decreased blood glucose, fructosamine levels, and homeostasis model assessment of insulin resistance index (HOMA-IR). OGTT tests, conducted both post-surgery and at follow-up, demonstrated an improvement in glucose metabolism 120 min after glucose administration. However, a peak in glycemia was observed at 30 min, which negatively affected the expected AUC results. Gastric emptying was accelerated in the SADJB-SG, which could contribute to explain the observed glycemia increment, through fast glucose jejunal uptake.

conclusionSADJB-SG surgery improved glucose homeostasis in GK rats.

Indexed as

Blood GlucoseDiabetes Mellitus, Type 2DuodenumGastrectomyJejunumAnastomosis, SurgicalAnimalsDisease Models, AnimalFructosamineGlucose Tolerance TestHomeostasisInsulinInsulin ResistanceMaleRatsWeight LossBlood GlucoseFructosamineInsulinDiabetes mellitusDuodenojejunal bypassGoto-Kakizaki ratsMetabolic bariatric surgery

Identifiers

PMID40128514
PMCPMC12065724

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.