OMA Guidelines Bundle

Bariatric Surgery - Obesity Algorithm 2024

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7 Effect of Eating on Hormone Secretion Notes Effect of Gastric By-pass and Sleeve Gastrectomy Bile acids, glucose production Insulin sensitivity, glycogen synthesis Insulin Glucagon, gastric emptying Glucose metabolism, intestinal mucosal growth, increases absorptive surface, epithelial brush-border nutrient transporters and digestive enzymes, intestinal blood flow, postprandial chylomicron secretion Gastrointestinal motility Glucagon-like peptide-1 (GLP-1) and glucagon receptor activity Gastric acid and gastric emptying Gastric bypass − Sleeve gastrectomy Gall bladder and pancreatic secretions, gastric emptying

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