P31: INTESTINAL GIP RELEASE MODIFICATIONS WOULD BE RELATED TO DUODENAL EXCLUSION: BARIATRIC SURGERY CONSEQUENCES

Abstract

Abstract Introduction The surgical techniques employed in the treatment of obesity discovered consequences on the global enterohomonal equilibrium. Many hypotheses focused on these enterohormonal system to explain the improvement of Type 2 Diabetes mellitus; as many other functional improvements. GIP is a hormone released for the duodenal and jejunal K cells, which had been implied in the glucose homeostasis. Our purpose was studied the changes in K cells populations, that could be related to the GIP serum level. Method We employed 16 non obese euglycemic male Wistar rats, randomised in the surgical groups. These groups were the surgical techniques (Sleeve gastric –SG-, Roux en Y Gastric Bypass –RYGB- and massive intestinal resection –IR50-), and two controls (fasting and Sham). After three months, rats were sacrificed. The intestinal portions (duodenum, jejunum and ileum) were resected and processed for the immunocytochemical technique. Result analysis showed several aspects. We found a significant increase of GIP K-cells (number GIP+/mm2 intestinal portion) in the duodenum of RYGB and RI50 versus both control groups. Other data showed a significant decrease of GIP K-cells in SG jejunum versus both control groups. Ileum did not significances. Conclusion GIP hormone was related to the nutrient flow through the intestine. Our data showed that GIP expression was inverse to the exclusion to this flow, as in RYGB technique. The increase was severe in IR50 too, which the duodenum was not affected. This mechanism revealed a complex physiologic mechanism, probably established by the feed-back with other hormones, as PPY. Take-home message The metabolic consequences after bariatric surgeries are related in enterohormones changes. The GIP release cellularity suffer changes according to the flow of nutrients.