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Effects of Roux-en-Y Gastric Bypass on Gastro-intestinal Hormone Secretion and Brain Responses Food Pictures

Completed
Conditions
Obesity
Interventions
Other: standard test meal
Registration Number
NCT02160379
Lead Sponsor
University of Lausanne
Brief Summary

This is a cross-sectional study enrolling

* 11 weight-stable, formerly obese female patients 1-5 years after Roux-en-Y gastric Bypass (RYGB)

* 11 age- and weight-matched female subjects

* 10 normal weight (Body Mass Index 19-25 kg/m2) subjects The following measurements will be performed in each participants in basal conditions (after an overnight fast) and after ingestion of a standard meal

* electroencephalographic recordings of visually evoked potential after presentation of food- or non-food pictures

* plasma concentration of metabolites (glucose, fatty acids), glucoregulatory hormones (insulin, glucagon), gastro-intestinal hormones (Gastric Inhibitory Polypeptide (GIP), Glucagon-like Peptide-1 (GLP1), ghrelin,Cholecystokinin (CCK), and bile acids Aims of this observational study are

* to evaluate the effects of RYGB on brain perception of food related visual stimulation

* to search for relationships between RYGB effects on brain responses and gastro-intestinal hormone secretion

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
31
Inclusion Criteria
  • good apparent health
  • gender: female
  • age 18-50
  • non-smoker
Exclusion Criteria
  • diabetes or antidiabetic medication
  • consumption of more than 50g alcohol per week
  • vegetarian or any special diet

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
post Roux-en-Y-gastric bypassstandard test mealFormerly obese females 1-5 years after gastric bypass
matched controlsstandard test mealnon-operated females age-and weight-matched to post Roux-en-Y-gastric bypass subjects
healthy young controlsstandard test mealnon overweight (BMI between 19 and 25 kg/m2) healthy females
Primary Outcome Measures
NameTimeMethod
Changes of visually-evoked EEG potentials after ingestion of a mealbasal, 120 min postprandial and 240 postprandial

Recording and analysis of visual evoked potentials (VEPs) while patients categorize photographs of foods and non-food kitchen utensils

Secondary Outcome Measures
NameTimeMethod
changes in plasma glucoregulatory status after ingestion of a mealbasal, 90 min postprandial and 180 postprandial

Measurement of glucose, insulin, glucagon and non-esterified fatty acid concentrations at 30-60 min intervals in basal conditions (after an overnight fast) and over 6 hours after ingestion of a standard meal)

changes in plasma triglyceride concentration after ingestion of a mealbasal, 90 min postprandial and 180 postprandial

Measurement of triglyceride concentrations at 30-60 min intervals in basal conditions (after an overnight fast) and over 6 hours after ingestion of a standard meal)

Changes in plasma glucoincretins (GLP1 and GIP) concentrations after ingestion of a mealbasal, 90 min postprandial and 180 postprandial

Measurement of GLP1 and GIP concentrations at 30-60 min intervals in basal conditions (after an overnight fast) and over 6 hours after ingestion of a standard meal)

Changes in plasma cholecystokinin concentrations after ingestion of a mealbasal, 90 min postprandial and 180 postprandial

Measurement of cholecystokinin concentrations at 30-60 min intervals in basal conditions (after an overnight fast) and over 6 hours after ingestion of a standard meal)

Changes in plasma bile acids concentrations after ingestion of a mealbasal, 90 min postprandial and 180 postprandial

Measurement of bile acids concentrations at 30-60 min intervals in basal conditions (after an overnight fast) and over 6 hours after ingestion of a standard meal)

Trial Locations

Locations (1)

CHUV-clinical research center

🇨🇭

Lausanne, VD, Switzerland

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