Bariatric Surgery
Conditions
Keywords
fat, triglyceride, triacylglycerol, Roux-en-Y gastric bypass, malabsorption
Brief summary
Using intravenous and oral administration of stable isotope tracers, we will investigate the importance of altered fat absorption and altered whole body fat metabolism for the reduced postprandial systemic TAG concentrations in non-diabetic patients in weight stable phase after RYGB.
Interventions
4-day feces collection
Iv and oral administration of stable isotope tracers during fasting and a high-fat liquid mixed meal
Dual energy X-ray Absorptiometry scan of whole-body fat
Magnetic resonance spectroscopy of liver fat content
Sponsors
Study design
Eligibility
Inclusion criteria
, RYGB * Age \> 18 years * RYGB \> 12 months prior to inclusion * Weight stable (± 3 kg during the last month) * HbA1c \< 48 mmol/mol before surgery, and no history of diabetes * HbA1c \< 48 mmol/mol and fasting plasma glucose \< 6.1 mmol/l at inclusion Inclusion criteria, CON * Age \> 18 years * No former bariatric surgery * Weight stable (± 3 kg during the last month) * HbA1c \< 48 mmol/mol, fasting plasma glucose \< 6.1, and no history of diabetes
Exclusion criteria
* Thyrotoxicosis or inadequately treated hypothyreosis * Haemoglobin \< 6.5 mmol/l at inclusion * Pregnancy (pregnancy test in fertile woman before enrolment) or breast feeding * Medication affecting the planned examinations which cannot be paused during the study period. * Adherence to extreme diets with excessively high or low contributions from certain macronutrients (e.g. ketogenic diet) * Complications restricting eating behavior (e.g. postprandial hypoglycemia, vomiting or strictures) * MR contraindications
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Area under the curve of plasma triacylglycerol | 6 hours | During a high-fat liquid mixed meal test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Recovery of oral stable triacylglycerol isotope tracer in feces | 4 days | An oral stable triacylglycerol isotope tracer will be administered during a high-fat liquid mixed meal test. Feces will be collected the following 4 days to determine the recovery of the tracer in feces. |
Countries
Denmark