Microbiota dynamics preceding bariatric surgery as obesity treatment: a comprehensive review

The review present data on the intricate relationship between bariatric surgery, gut microbiota, and metabolic health in obesity treatment. Bariatric surgery, is recognized as an effective intervention for managing morbid obesity, including various techniques with distinct mechanisms of action, effi...

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Main Authors: Ana Karina Zambrano, Elius Paz-Cruz, Viviana A. Ruiz-Pozo, Santiago Cadena-Ullauri, Rafael Tamayo-Trujillo, Patricia Guevara-Ramírez, Raynier Zambrano-Villacres, Daniel Simancas-Racines
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-04-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2024.1393182/full
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author Ana Karina Zambrano
Elius Paz-Cruz
Viviana A. Ruiz-Pozo
Santiago Cadena-Ullauri
Rafael Tamayo-Trujillo
Patricia Guevara-Ramírez
Raynier Zambrano-Villacres
Daniel Simancas-Racines
author_facet Ana Karina Zambrano
Elius Paz-Cruz
Viviana A. Ruiz-Pozo
Santiago Cadena-Ullauri
Rafael Tamayo-Trujillo
Patricia Guevara-Ramírez
Raynier Zambrano-Villacres
Daniel Simancas-Racines
author_sort Ana Karina Zambrano
collection DOAJ
description The review present data on the intricate relationship between bariatric surgery, gut microbiota, and metabolic health in obesity treatment. Bariatric surgery, is recognized as an effective intervention for managing morbid obesity, including various techniques with distinct mechanisms of action, efficacy, and safety profiles including Roux-en-Y Gastric Bypass (RYGB), Sleeve Gastrectomy (SG), Laparoscopic Adjustable Gastric Banding (LAGB), and Biliopancreatic Diversion (BPD). RYGB and SG are the most prevalent procedures globally, inducing gut microbiota changes that influence microbial diversity and abundance. Post-surgery, alterations in bacterial communities occur, such as the increased of Escherichia coli inversely correlated with fat mass and leptin levels. During digestion, microbiota produce physiologically active compounds like bile acids (Bas) and short-chain fatty acids (SCFAs). SCFAs, derived by microbial fermentation, influence appetite, energy metabolism, and obesity-related pathways. Bas, altered by surgery, modulate glucose metabolism and insulin sensitivity. Furthermore, SG and RYGB enhance incretin secretion, particularly glucagon-like peptide 1 (GLP-1). Therefore, understanding microbiota changes after bariatric surgery could be crucial for predicting metabolic outcomes and developing targeted interventions for obesity management.
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spelling doaj.art-1245e5739161480ba86785339003ac962024-04-03T05:12:12ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2024-04-011110.3389/fnut.2024.13931821393182Microbiota dynamics preceding bariatric surgery as obesity treatment: a comprehensive reviewAna Karina Zambrano0Elius Paz-Cruz1Viviana A. Ruiz-Pozo2Santiago Cadena-Ullauri3Rafael Tamayo-Trujillo4Patricia Guevara-Ramírez5Raynier Zambrano-Villacres6Daniel Simancas-Racines7Facultad de Ciencias de la Salud Eugenio Espejo, Centro de Investigación Genética y Genómica, Universidad UTE, Quito, EcuadorFacultad de Ciencias de la Salud Eugenio Espejo, Centro de Investigación Genética y Genómica, Universidad UTE, Quito, EcuadorFacultad de Ciencias de la Salud Eugenio Espejo, Centro de Investigación Genética y Genómica, Universidad UTE, Quito, EcuadorFacultad de Ciencias de la Salud Eugenio Espejo, Centro de Investigación Genética y Genómica, Universidad UTE, Quito, EcuadorFacultad de Ciencias de la Salud Eugenio Espejo, Centro de Investigación Genética y Genómica, Universidad UTE, Quito, EcuadorFacultad de Ciencias de la Salud Eugenio Espejo, Centro de Investigación Genética y Genómica, Universidad UTE, Quito, EcuadorUniversidad Espíritu Santo, Samborondón, EcuadorCentro de Investigación de Salud Pública y Epidemiología Clínica (CISPEC), Universidad UTE, Quito, EcuadorThe review present data on the intricate relationship between bariatric surgery, gut microbiota, and metabolic health in obesity treatment. Bariatric surgery, is recognized as an effective intervention for managing morbid obesity, including various techniques with distinct mechanisms of action, efficacy, and safety profiles including Roux-en-Y Gastric Bypass (RYGB), Sleeve Gastrectomy (SG), Laparoscopic Adjustable Gastric Banding (LAGB), and Biliopancreatic Diversion (BPD). RYGB and SG are the most prevalent procedures globally, inducing gut microbiota changes that influence microbial diversity and abundance. Post-surgery, alterations in bacterial communities occur, such as the increased of Escherichia coli inversely correlated with fat mass and leptin levels. During digestion, microbiota produce physiologically active compounds like bile acids (Bas) and short-chain fatty acids (SCFAs). SCFAs, derived by microbial fermentation, influence appetite, energy metabolism, and obesity-related pathways. Bas, altered by surgery, modulate glucose metabolism and insulin sensitivity. Furthermore, SG and RYGB enhance incretin secretion, particularly glucagon-like peptide 1 (GLP-1). Therefore, understanding microbiota changes after bariatric surgery could be crucial for predicting metabolic outcomes and developing targeted interventions for obesity management.https://www.frontiersin.org/articles/10.3389/fnut.2024.1393182/fullbariatric surgerygut microbiotaobesitymicrobiota dynamicsobesity treatment
spellingShingle Ana Karina Zambrano
Elius Paz-Cruz
Viviana A. Ruiz-Pozo
Santiago Cadena-Ullauri
Rafael Tamayo-Trujillo
Patricia Guevara-Ramírez
Raynier Zambrano-Villacres
Daniel Simancas-Racines
Microbiota dynamics preceding bariatric surgery as obesity treatment: a comprehensive review
Frontiers in Nutrition
bariatric surgery
gut microbiota
obesity
microbiota dynamics
obesity treatment
title Microbiota dynamics preceding bariatric surgery as obesity treatment: a comprehensive review
title_full Microbiota dynamics preceding bariatric surgery as obesity treatment: a comprehensive review
title_fullStr Microbiota dynamics preceding bariatric surgery as obesity treatment: a comprehensive review
title_full_unstemmed Microbiota dynamics preceding bariatric surgery as obesity treatment: a comprehensive review
title_short Microbiota dynamics preceding bariatric surgery as obesity treatment: a comprehensive review
title_sort microbiota dynamics preceding bariatric surgery as obesity treatment a comprehensive review
topic bariatric surgery
gut microbiota
obesity
microbiota dynamics
obesity treatment
url https://www.frontiersin.org/articles/10.3389/fnut.2024.1393182/full
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