etx-obesity-new-ch5-fig10

Figure 10. Schematic diagram illustrating RYGB and SG and the mechanisms leading to weight loss and resolution of comorbidities. For every mechanism the effect of the procedure is represented with a “” when stimulating or “” when suppressing. A “+” means that the proposed mechanism is present only after surgery when compared to the pre-operative period. When the effect is stronger for one of the two procedures there is a double arrow compared with a single one. When the effect is missing for one procedure it means that the mechanism is procedure specific. Abbreviations: RYGB, Roux-en-Y gastric bypass; SG, Sleeve gastrectomy; GLP-1, glucagon-like peptide 1; PYY3-36; peptide tyrosine-tyrosine 3-36; GIP, gastric inhibitory polypeptide; FGF-19, fibroblast growth factor-19, CCK; cholecystokinin.