After gastric bypass, 10-20% of patients will obtain a suboptimal weight loss, often defined as \<50% of the excess body weight. Exaggerated meal related secretion of gut hormones seem important for appetite reduction and subsequent weight loss after gastric bypass, however it is not clear whether different gut hormone responses are responsible for different postoperative weight loss responses. The purpose of the study is to investigate gut hormone secretion, vagal integrity and the effect of octreotide on ad libitum food intake in patients with suboptimal weight loss after gastric bypass and compare results to a matched group of gastric bypass operated patients with high postoperative weight loss but similar age, sex and preoperative BMI.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
SINGLE
Enrollment
40
Fixed breakfast meal and ad libitum lunch meal
Fixed breakfast meal and ad libitum lunch meal
Department of Endocrinology, Hvidovre Hospital
Hvidovre, Denmark
Glucagon-like peptide-1 (GLP-1) secretion (Between groups difference in incremental Area-under-the curve (iAUC) GLP-1 after fixed breakfast meal on saline day)
Between groups difference in iAUC GLP-1 after fixed breakfast meal on saline day
Time frame: 0-240 min
Peptide YY (PYY) secretion (Between groups difference in iAUC PYY after fixed breakfast meal on saline day)
Between groups difference in iAUC PYY after fixed breakfast meal on saline day
Time frame: 0-240 min
Ghrelin secretion (Between groups difference in iAUC Ghrelin after fixed breakfast meal on saline day)
Between groups difference in iAUC Ghrelin after fixed breakfast meal on saline day
Time frame: 0-240 min
Ad libitum food intake
Between groups difference in ad lib food intake
Time frame: 240 min
Effect of octreotide on Ad libitum food intake (Between groups difference in %change in ad lib food intake between saline and octreotide day)
Between groups difference in %change in ad lib food intake between saline and octreotide day
Time frame: 240 min
Vagal insufficiency (Between groups difference in % change in pancreatic polypeptide (PP) from fasting to early peak levels (15-30 min) after sham feeding)
Between groups difference in % change in PP from fasting to early peak levels (15-30 min) after sham feeding
Time frame: 0-30 min
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