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101.
Alexander Dimitri Miras Anna Kamocka Beln Prez-Pevida Sanjay Purkayastha Krishna Moorthy Ameet Patel Harvinder Chahal Gary Frost Paul Bassett Lidia Castagnetto-Gissey Lucy Coppin Nicola Jackson Anne Margot Umpleby Stephen Robert Bloom Tricia Tan Ahmed Rashid Ahmed Francesco Rubino 《Diabetes care》2021,44(5):1082
OBJECTIVERoux-en-Y gastric bypass (RYGB) characteristically enhances postprandial levels of glucagon-like peptide 1 (GLP-1), a mechanism that contributes to its profound glucose-lowering effects. This enhancement is thought to be triggered by bypass of food to the distal small intestine with higher densities of neuroendocrine L-cells. We hypothesized that if this is the predominant mechanism behind the enhanced secretion of GLP-1, a longer intestinal bypass would potentiate the postprandial peak in GLP-1, translating into higher insulin secretion and, thus, additional improvements in glucose tolerance. To investigate this, we conducted a mechanistic study comparing two variants of RYGB that differ in the length of intestinal bypass.RESEARCH DESIGN AND METHODSA total of 53 patients with type 2 diabetes (T2D) and obesity were randomized to either standard limb RYGB (50-cm biliopancreatic limb) or long limb RYGB (150-cm biliopancreatic limb). They underwent measurements of GLP-1 and insulin secretion following a mixed meal and insulin sensitivity using euglycemic hyperinsulinemic clamps at baseline and 2 weeks and at 20% weight loss after surgery.RESULTSBoth groups exhibited enhancement in postprandial GLP-1 secretion and improvements in glycemia compared with baseline. There were no significant differences in postprandial peak concentrations of GLP-1, time to peak, insulin secretion, and insulin sensitivity.CONCLUSIONSThe findings of this study demonstrate that lengthening of the intestinal bypass in RYGB does not affect GLP-1 secretion. Thus, the characteristic enhancement of GLP-1 response after RYGB might not depend on delivery of nutrients to more distal intestinal segments. 相似文献
102.
Patade Vikas Yadav Grover Atul Anukriti Gupta Sanjay Mohan Nasim M. 《Proceedings of the National Academy of Sciences, India. Section B.》2021,91(2):407-414
Proceedings of the National Academy of Sciences, India Section B: Biological Sciences - Our earlier studies have established improved cold tolerance in the transgenic tomato (Solanum lycopersicum... 相似文献
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104.
Rao Sanjay Kikano Elias G. Smith Daniel A. Tirumani Sree Harsha Ramaiya Nikhil H. 《Emergency radiology》2021,28(4):771-779
Emergency Radiology - Unintended weight loss (UWL) is a common presenting symptom in the emergency department (ED) with several etiologies. Our study looks to evaluate the diagnostic utility of... 相似文献
105.
106.
Cowie Megan E. Huguet Anna Moore Craig McGrath Patrick J. Rao Sanjay Wozney Lori Kits Olga Stewart Sherry H. 《International journal of mental health and addiction》2021,19(2):579-594
International Journal of Mental Health and Addiction - Behavioral activation (BA) is a well-established treatment for depression, often used as an adjuvant for gambling disorder. Internet-based BA... 相似文献
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108.
Chenji Sneha Ishaque Abdullah Mah Dennell Fujiwara Esther Beaulieu Christian Seres Peter Graham Simon J. Frayne Richard Zinman Lorne Genge Angela Korngut Lawrence Johnston Wendy Kalra Sanjay 《Brain imaging and behavior》2021,15(3):1641-1654
Brain Imaging and Behavior - Cognitive impairment is now recognized in a subset of patients with amyotrophic lateral sclerosis (ALS). The objective of the study was to identify group differences... 相似文献
109.
Marilyn W. Butler Doruk Ozgediz Dan Poenaru Emmanuel Ameh Safwat Andrawes Georges Azzie Eric Borgstein Daniel A. DeUgarte Essam Elhalaby Michael E. Ganey J. Ted Gerstle Erik N. Hansen Afua Hesse Kokila Lakhoo Sanjay Krishnaswami Monica Langer Marc Levitt Don Meier Ashish Minocha Benedict C. Nwomeh Lukman O. Abdur-Rahman David Rothstein John Sekabira 《World journal of surgery》2015,39(2):335-342
110.
Meta‐analysis of Duct‐to‐duct versus Roux‐en‐Y biliary reconstruction following liver transplantation for primary sclerosing cholangitis 下载免费PDF全文
Sanjay Pandanaboyana Richard Bell Adam J. Bartlett John McCall Ernest Hidalgo 《Transplant international》2015,28(4):485-491
This meta‐analysis aimed to compare outcomes following bile duct reconstruction in patients with primary sclerosing cholangitis (PSC) undergoing liver transplantation depending on whether duct‐to‐duct or Roux‐en‐Y anastomosis was utilized. An electronic search was performed of the MEDLINE, EMBASE, PubMed databases using both subject headings (MeSH) and truncated word searches. Pooled risk ratios and mean difference were calculated using the fixed‐effects and random‐effects models for meta‐analysis. Ten studies including 910 patients met the inclusion criteria. There was no difference in the overall incidence of biliary strictures between the two groups [odds ratio (OR) 1.06 (0.68, 1.66); (P = 0.80)]. The anastomotic stricture rate was similar, [OR 1.18 (0.56, 2.50); (P = 0.67)]. Ascending cholangitis was higher in the Roux–en‐Y group [OR 2.91 (1.17, 7.23); (P = 0.02)]. Anastomotic bile leak rates, graft survival, PSC recurrence and number of patients diagnosed with cholangiocarcinoma following transplantation were comparable between both groups. Duct‐to‐duct and Roux‐en‐Y reconstruction had comparable outcomes. Both techniques are associated with similar incidence of biliary stricture. The bilioenteric reconstruction was associated with a higher risk of cholangitis. The incidence of de novo cholangiocarcinoma was similar in both groups. Duct‐to‐duct reconstruction should be considered when feasible in patients with PSC. 相似文献