Cited by 101Gut microbiota and healthBariatric Surgery and OutcomesGastrointestinal motility and disorders

Distinct patterns in the gut microbiota after surgical or medical therapy in obese patients

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Medina, Daniel A., Pedreros, Juan P., Turiel, Dannae, Quezada, Nicolas, Pimentel, Fernando, Escalona, Alex, Garrido, Daniel·2017·PeerJ

Abstract

Bariatric surgery is highly successful in improving health compared to conventional dietary treatments. It has been suggested that the gut microbiota is a relevant factor in weight loss after bariatric surgery. Considering that bariatric procedures cause different rearrangements of the digestive tract, they probably have different effects on the gut microbiota. In this study, we compared the impact of medical treatment, sleeve gastrectomy and Roux-en-Y gastric bypass on the gut microbiota from obese subjects. Anthropometric and clinical parameters were registered before, 6 and 12 months after treatment. Fecal samples were collected and microbiota composition was studied before and six months post treatment using 16S rRNA gene sequencing and qPCR. In comparison to dietary treatment, changes in intestinal microbiota were more pronounced in patients subjected to surgery, observing a bloom in Proteobacteria . Interestingly, Bacteroidetes abundance was largely different after six months of each surgical procedure. Furthermore, changes in weight and BMI, or glucose metabolism, correlated positively with changes in these two phyla in these surgical procedures. These results indicate that distinct surgical procedures alter the gut microbiota differently, and changes in gut microbiota might contribute to health improvement. This study contributes to our understanding of the impact of weight loss surgery on the gut microbiota, and could be used to replicate this effect using targeted therapies.

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  • Altered gut barrier function through either reduced bowel permeability from chronically increased secretion of GLP-2 or shifts in the intestinal microflora after surgery may be a second factor in the reductions in endotoxemia/inflammation after bariatric surgery.

    “A second factor may be the altered gut barrier function through either reduced bowel permeability from chronically increased secretion of GLP-2 or shifts in the intestinal microflora after surgery [130-132].”

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Authors
Medina, D. A., Pedreros, J. P., Turiel, D., Quezada, N., Pimentel, F., Escalona, A., & Garrido, D.
Affiliations
  • Pontificia Universidad Católica de Chile (CL)
  • Department of Digestive Surgery, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
  • Universidad de Los Andes, Chile (CL)
Corresponding author
Garrido, Daniel
Venue
PeerJ
Publisher
PeerJ
Published
2017-06-20
Volume
5
Pages
e3443
ISSN
2167-8359 (ISSN-L)
OpenAlex
W2636276797
Cited by
101
References
71
Citations by year
2026: 4 · 2025: 6 · 2024: 12 · 2023: 6 · 2022: 11 · 2021: 15 · 2020: 17 · 2019: 18 · 2018: 10 · 2017: 2
FWCI
5.25
Type
journal article
Language
en
Open access
Locations
  • PeerJ (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Proyecto Interdisciplina UC (10/2013)
  • Fondecyt Postdoctorado (3160525)
  • Fondecyt de Iniciacion (11130518)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
  • Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Keywords
gut microbiota, obesity, bariatric surgery, sleeve gastrectomy, Roux-en-Y gastric bypass, dietary therapy, weight loss, Proteobacteria, Bacteroidetes, glucose metabolism, 16S rRNA gene sequencing

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