The impact of bariatric surgery on inflammation: Quenching the fire of obesity?

Samar Hafida, Tooraj Mirshahi, Barbara S. Nikolajczyk

Research output: Contribution to journalReview articlepeer-review

34 Scopus citations

Abstract

Purpose of review Numerous lines of evidence support the likelihood that inflammation drives the transition from obese/ metabolically healthy to obese/type 2 diabetes (T2D). Given the temporal flexibility of inflammation in obesity-Associated T2D, investigators have hypothesized that a precipitous drop in diabetogenic cytokines is critical for rapid 'T2D remission' following surgery but prior to significant weight loss. We review the evidence that changes in diabetogenic cytokines play a role in outcomes of bariatric surgery, including improved glycemic control. Recent findings A 2016 indication for bariatric surgery to treat T2D integrates the large body of data showing rapid metabolic improvement. Parameters that account for improved glycemic control prior to significant weight loss, T2D recidivism over the long term, or failure of surgery to remit T2D in some patients are incompletely understood. Summary We review the evidence that changes in diabetogenic cytokines play a role in outcomes of bariatric surgery, including improved glycemic control. We brainstorm future research directions that may improve surgical results.

Original languageEnglish
Pages (from-to)373-378
Number of pages6
JournalCurrent Opinion in Endocrinology, Diabetes and Obesity
Volume23
Issue number5
DOIs
StatePublished - 2016

Bibliographical note

Publisher Copyright:
© 2016 Wolters Kluwer Health, Inc. All rights reserved.

Keywords

  • Acute phase proteins
  • Bariatric surgery
  • Cytokines
  • Inflammation
  • Type 2 diabetes

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology
  • Nutrition and Dietetics

Fingerprint

Dive into the research topics of 'The impact of bariatric surgery on inflammation: Quenching the fire of obesity?'. Together they form a unique fingerprint.

Cite this