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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Hettiarachchi, Priyadarshika Wickremasinghe, A. Rajitha Frost, Gary S. Deen, Kemal I. Pathirana, Ajith A. Murphy, Kevin G. Jayaratne, SriLal D. |
| Description | Country affiliation: Sri Lanka Author Affiliation: Hettiarachchi P ( Department of Physiology, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.); Wickremasinghe AR ( Department of Public Health, Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka.); Frost GS ( Nutrition and Dietetic Research Group, Department of Medicine, Imperial College, London, UK.); Deen KI ( Department of Surgery, Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka.); Pathirana AA ( Department of Surgery, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.); Murphy KG ( Section of Investigative Medicine, Department of Medicine, Imperial College, London, UK.); Jayaratne SD ( Department of Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.) |
| Abstract | OBJECTIVE: To assess appetite and gut hormone levels in patients following partial (PR) or total resection (TR) of the large bowel. METHODS: A comparative cross sectional study was carried out with healthy controls (n = 99) and patients who had undergone PR (n = 64) or TR (n = 12) of the large bowel. Participants consumed a standard (720 kcal) breakfast meal at 0830 (t = 0) h followed by lactulose (15 g) and a buffet lunch (t = 210 min). Participants rated the subjective feelings of hunger at t = -30, 0, 30, 60, 120, and 180 min. Breath hydrogen (BH) concentrations were also evaluated. In a matched subset (11 controls, 11 PR and 9 TR patients) PYY and GLP-1 concentrations were measured following breakfast. The primary outcome measure was appetite, as measured using visual analogue scales and the buffet lunch. The secondary outcome was BH concentrations following a test meal. RESULTS: PR and TR participants had lower hunger and energy intake at the buffet lunch meal compared to controls. PR subjects had higher BH concentrations compared to controls and TR subjects. BH levels correlated with circulating GLP-1 levels at specific time points. CONCLUSIONS: PR or TR of the large bowel reduced feelings of hunger and energy intake, and PR increased gastrointestinal fermentation. |
| File Format | HTM / HTML |
| ISSN | 19307381 |
| Issue Number | 8 |
| Journal | Obesity |
| Volume Number | 24 |
| e-ISSN | 1930739X |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2016-08-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Content Type | Text |
| Resource Type | Article |
| Subject | Nutrition and Dietetics Endocrinology, Diabetes and Metabolism Endocrinology |
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