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Bariatric Surgery - OMA Obesity Algorithm 2023

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2 Gastrointestinal Hormones TOP 10 TAKEAWAY MESSAGES: Gastrointestinal (GI) Hormones 1. Gastrointestinal hormones regulate caloric balance, hunger/ satiety food digestion, and nutrient utilization via central nervous system signaling, effects on GI motility, and GI enzyme release. 2. Common GI hormone action in response to eating include decrease in hunger and facilitative digestion (delayed gastric emptying, digestive enzyme release, and post-absorptive nutrient metabolism). 3. The jejunum is the second longest segment of the small intestine, and absorbs the greatest amount of simple sugars, fatty acids, proteins, minerals and vitamins. 4. The ileum is the longest segment of the small intestine, and absorbs bile salts, bile acids, vitamin B12, some vitamins and some minerals. 5. After food intake, most GI hormones decrease hunger/increase satiety. 6. Among the few GI hormones that increase hunger between meals are ghrelin ("hunger hormone") and neuropeptide Y (NPY); positive caloric balance may not always be hunger-related. 7. Illustrative GI hormones produced by the stomach include ghrelin and gastrin. 8. Illustrative hormones produced by the pancreas include insulin, glucagon, pancreatic polypeptide (PP), amylin, and somatostatin. 9. Illustrative GI hormones produced by the small intestine include cholecystokinin (CCK), secretin, motilin, and glucose-dependent insulinotropic peptide (GIP — also known as gastric inhibitory peptide). 10. Illustrative GI hormones produced by the ileum and/or large intestine include fibroblast growth factor (FGF) 19, glucagon-like peptide-1, glucagon-like peptide-2, oxyntomodulin, and peptide YY (PYY).

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