Implications of bariatric surgery at intestinal microbiota

Authors

DOI:

https://doi.org/10.37497/colloquium.v2i1.39

Keywords:

Roux-en-Y, Gastric Bypass, Proteobacteria, obesity

Abstract

Introduction: The intestinal microbiota has been the target of many studies, mainly because of its relation with organism homeostasis. Dysbiosis of these microorganisms is associated with metabolic disorders such as diabetes, dyslipidemia and obesity. Obesity is one of the major public health problems due to its comorbidities and bariatric surgeries are presented as a therapeutic alternative for this condition. Methods: Systematic review at Pubmed, Scielo and Lilacs databases was performed using the descriptors: bariatric / bariatric surgery, and microbiota / microbioma / bacteria / flora and their synonyms in Portuguese and Spanish. Results: From 1387 initial articles, 8 were used for this study, as they are consistent with the proposed proposal. Conclusion: Bariatric surgeries modify intestinal microbiota mainly related to Proteobacteria Phylum of Proteobacteria. Further studies on the subject are needed to establish the real role of this microbiota modification.

Downloads

Download data is not yet available.

Author Biographies

Monique Vasconcellos Mascarenhas, Centro Universitário das Américas - FAM, São Paulo, (Brasil).

Graduação em Medicina no Centro Universitário das Américas - FAM, São Paulo, (Brasil). Trabalha como plantonista no Hospital Santo Antonio em Votorantim e nas empresas Translife Emergências e MedVidas

Camila de Melo Accardo, Centro Universitário das Américas - FAM, São Paulo, (Brasil).

Doutora em Ciências Biológicas (Biologia Molecular) pela Universidade Federal de São Paulo - UNIFESP, São Paulo, (Brasil). Professora nos cursos de biomedicina, ciências biológicas, enfermagem, estética, nutrição, radiologia, química e como tutora no curso de medicina do Centro Universitário das Américas - FAM, São Paulo. É Coordenadora dos Cursos de Graduação em Biomedicina e do CST em Gestão Hospitalar no Centro Universitário das Américas - FAM.

Rômulo Tadeu Dias De Oliveira, Universidade de Sorocaba - UNISO, São Paulo, (Brasil)

Doutor em Ciências Médicas pela Universidade Estadual de Campinas - UNICAMP, São Paulo, (Brasil). Professor na Universidade de Sorocaba - UNISO, São Paulo, professor no curso de Medicina da Universidade Cidade de São Paulo - UNICID, São Paulo.

José Maria Montiel, Universidade São Judas Tadeu – USJT, São Paulo, (Brasil)

Doutor em Psicologia pela Universidade São Francisco, USF, Bragança Paulista, (Brasil). Professor e Pesquisador da Universidade São Judas - Programa de Pós Graduação Stricto Sensu em Ciências do Envelhecimento e no curso de graduação em Psicologia.

Priscila Larcher Longo, Universidade São Judas Tadeu – USJT, São Paulo, (Brasil)

Doutora em Ciências Biológicas (Microbiologia) Universidade de São Paulo - USP, São Paulo, (Brasil). Professora no curso de Medicina da Universidade Municipal de São Caetano - USCS, São Paulo. Professora na pós graduação do Programa de Ciências do Envelhecimento na Universidade São Judas Tadeu. 

References

ABESO, Associação Brasileira Para O Estudo de Obesidade e Síndrome Metabólica. Mapa da Obesidade. 2009. 1 f. Dissertação [Mestrado] - Curso de Medicina, Abeso, São Paulo, 2009. Disponível em: <http://www.abeso.org.br/atitude-saudavel/mapa-obesidade>. Acesso em: 1 jun. 2017.

Bäckhed F1, Ley RE, Sonnenburg JL, Peterson DA, Gordon JI. Host-bacterial mutualism in the human intestine. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2005 [Accessed 8 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/15790844

Cani PD et al. Changes in gut microbiota control inflammation in obese mice through a mechanism involving GLP-2-driven improvement of gut permeability. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2012 [Accessed 16 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/19240062

Clemente-Postigo M. Endotoxin increase after fat overload is related to postprandial hypertriglyceridemia in morbidly obese patients. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2009 [Accessed 16 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3329396/

Clemente-Postigo M. Lipopolysaccharide and lipopolysaccharide-binding protein levels and their relationship to early metabolic improvement after bariatric surgery. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2014 [Accessed 9 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/25737102

Collins SM. The interplay between the intestinal microbiota and the brain. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2012 [Accessed 11 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/23000955

Costello EK et al. The application of ecological theory toward an understanding of the human microbiome. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2012 [Accessed 16 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/22674335

Cotillard A et al. Dietary intervention impact on gut microbial gene richness. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2013 [Accessed 16 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/23985875

Cryan JF. The microbiome-gut-brain axis: from bowel to behavior. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2011 [Accessed 11 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/21303428

Dao MC et al. Akkermansia muciniphila and improved metabolic health during a dietary intervention in obesity: relationship with gut microbiome richness and ecology. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2016 [Accessed 16 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/26100928

DePaula AL. Surgical treatment of type 2 diabetes in patients with BMI below 35: mid-term outcomes of the laparoscopic ileal interposition associated with a sleeve gastrectomy in 202 consecutive cases. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2012 [Accessed 8 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/22350720 DOI: https://doi.org/10.1007/s11605-011-1807-0

Diaz Heijtz R. Normal gut microbiota modulates brain development and behavior. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2011 [Accessed 11 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/21282636

Dixon JB. Adjustable gastric banding and conventional therapy for type 2 diabetes: a randomized controlled trial. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2008 [Accessed 8 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/18212316 DOI: https://doi.org/10.1016/S0084-3741(08)79233-3

Dugas LR. Gut microbiota, short chain fatty acids, and obesity across the epide

miologic transition: the METS-Microbiome study protocol. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2018 [Accessed 11 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/30081857

Edimilson Montalti. Pesquisas associam obesidade e diabetes a bactérias no intestino: Estudos investigam alterações na flora intestinal. Campinas. Tese [doutorado]. Unicamp, 2011.

Eric Lespessailles. Vitamin D alteration associated with obesity and bariatric surgery. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2017 [Accessed 8 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/28103699

Everard A et al. Cross‐talk between Akkermansia muciniphila and intestinal epithelium controls diet‐ induced obesity. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2013 [Accessed 16 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/23671105

Fernandes, M. N., Brandão, R. G. C., Aguiar, S. I., Orsini, M. R. D. C. A., Tertuliano, I.

W., Montiel, J. M., & Bartholomeu, D. (2018). Contribuição da Psicologia no preparo para cirurgia de câncer de mama. Lecturas: Educación Física y Deportes, 23(240), 100-108.

Ferrer M. Microbiota from the distal guts of lean and obese adolescents exhibit partial functional redundancy besides clear differences in community structure. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2013 [Accessed 11 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/22891823

Goodrich Julia K et al. Human genetics shape the gut microbiome. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2014 [Accessed 16 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4255478/

Graessler J. Metagenomic sequencing of the human gut microbiome before and after bariatric surgery in obese patients with type 2 diabetes: correlation with inflammatory and metabolic parameters. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2013 [Accessed 9 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/23032991

Gralka E. Metabolomic fingerprint of severe obesity is dynamically affected by bariatric surgery in a procedure-dependent manner. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2015 Accessed 9 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/26581381

Gummesson A. et al. . Intestinal permeability is associated with visceral adiposity in healthy women. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2012 [Accessed 16 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/21852815

Hutler MM. First report from the American College of Surgeons Bariatric Surgery Center Network: laparoscopic sleeve gastrectomy has morbidity and effectiveness positioned between the band and the bypass. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2011 [Accessed 8 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/21865942

John B. Buse. How Do We Define Cure of Diabetes? [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2009 [Accessed 8 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2768219/

June L. Round. The gut microbiota shapes intestinal immune responses during health and disease. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2009 [Accessed 11 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4095778/

Junjie Qin. A human gut microbial gene catalog established by metagenomic sequencing. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2013 [Accessed 8 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3779803/

Kong LC. Gut microbiota after gastric bypass in human obesity: increased richness and associations of bacterial genera with adipose tissue genes. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2013 [Accessed 9 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/23719559

Leuratti L. Unexpected changes in the gastric remnant in asymptomatic patients after Roux-en-Y gastric bypass on vertical banded gastroplasty. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2013 [Accessed 9 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/23129236

Ley RE. Microbial ecology: human gut microbes associated with obesity. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2006 [Accessed 11 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/17183309

Li J et al. Strategies to increase the efficacy of using gut microbiota for the modulation of obesity. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2017 [Accessed 16 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/28742949

Louis S, Tappu RM, Damms-Machado A, Huson DH, Bischoff SC. Characterization of the Gut Microbial Community of Obese Patients Following a Weight-Loss Intervention Using Whole Metagenome Shotgun Sequencing. PLoS One. 2016 Feb 26;11(2):e0149564. doi: 10.1371/journal.pone.0149564. PMID: 26919743; PMCID: PMC4769288. DOI: https://doi.org/10.1371/journal.pone.0149564

Moreno, C. A. S., Silva, A. M., Cecato, J. F., Bartholomeu, D., & Montiel, J. M. (2011). Caracterização das mudanças psicológicas ocasionadas em indivíduos submetidos à cirurgia bariátrica. Encontro: Revista de Psicologia, 14(20), 99-116.

Palleja A. Roux-en-Y gastric bypass surgery of morbidly obese patients induces swift and persistent changes of the individual gut microbiota. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2016 [Accessed 8 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/27306058

Pesquisa nacional de saúde : 2019 : percepção do estado de saúde, estilos de vida, doenças crônicas e saúde bucal : Brasil e grandes regiões / IBGE, Coordenação de Trabalho e Rendimento, [Ministério da Saúde], publicada em 2020.

Ridaura VK et al. Gut microbiota from twins discordant for obesity modulate metabolism in mice. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2013 [Accessed 16 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/24009397

Santacruz A. et al. Gut microbiota composition is associated with body weight, weight gain and biochemical parameters in pregnant women. [PubMed- NCBI]. [online]

Ncbi.nlm.nih.gov. 2010 [Accessed 16 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/20205964

Shade A. Diversity is the question, not the answer. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2017 [Accessed 16 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/27636395

Shoaie S. et al. Quantifying diet-induced metabolic changes of the human gut microbiome. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2015 [Accessed 16 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/26244934

Sociedade Brasileira de Cirurgia Bariátrica e Metabólica, SBCBM (Brasil) (Org.). História da Cirurgia Bariátrica no Brasil. Disponível em: <http://www.sbcbm.org.br/wordpress/pagina-exemplo/historia-da-cirurgia-bariatrica/>. Acesso em: 03 jun. 2017.

Tremaroli V et al. Roux‐en‐Y gastric bypass and vertical banded gastroplasty induce long‐term changes on the human gut microbiome contributing to fat mass regulation. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2015 [Accessed 16 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/26244932

Tremaroli V. Roux-en-Y Gastric Bypass and Vertical Banded Gastroplasty Induce Long-Term Changes on the Human Gut Microbiome Contributing to Fat Mass Regulation. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2015 [Accessed 9 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/26244932

Turnbaugh PJ et al. A core gut microbiome in obese and lean twins. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2009 [Accessed 16 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/19043404

Werling M. Long-term results of a randomized clinical trial comparing Roux-en-Y gastric bypass with vertical banded gastroplasty. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2012 [Accessed 8 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/23180572

Zhang H et al. Human gut microbiota in obesity and after gastric bypass. [PubMed- NCBI]. [online] Ncbi.nlm.nih.gov. 2009 [Accessed 16 Aug. 2018]. Available at: https://www.ncbi.nlm.nih.gov/pubmed/19164560

Published

2022-08-19

How to Cite

MASCARENHAS, M. V.; ACCARDO, C. de M.; OLIVEIRA, R. T. D. D.; MONTIEL, J. M.; LONGO, P. L. Implications of bariatric surgery at intestinal microbiota. Colloquium: health and education, Mooca (SP), v. 2, n. 1, p. e039, 2022. DOI: 10.37497/colloquium.v2i1.39. Disponível em: https://colloquimhealtheducation.com.br/recs/article/view/39. Acesso em: 7 sep. 2024.

Issue

Section

Artigos

Most read articles by the same author(s)