Roux-en-Y surgery suppresses hunger by altering gut hormone signaling
Is it true that Roux-en-Y surgery suppresses hunger by altering gut hormone signaling?
Yes. Evidence from clinical reviews and studies confirms that Roux-en-Y bariatric surgery alters gastrointestinal anatomy and promotes changes in gut hormone signaling—specifically increasing satiety hormones like GLP-1 and PYY and altering ghrelin—which help suppress hunger and food intake.
Verdict: SUPPORTED · 5 sources for, 0 against · Last checked
Multiple contemporary reviews and clinical studies confirm that bariatric surgeries, including Roux-en-Y gastric bypass, induce structural and physiological changes in the GI tract that lead to enhanced secretion of satiety-promoting gut hormones (such as GLP-1 and PYY) and altered ghrelin signaling, thereby suppressing appetite and hunger. None of the retrieved papers contradict this physiological mechanism.
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Lampropoulos, C., Mulita, F., Alexandrides, T., Kehagias, D., Kalavrizioti, D., Albanopoulos, K., Georgopoulos, N., Papachristou, E., & Kehagias, I. (2022). Ghrelin, glucagon-like peptide-1, and peptide YY secretion in patients with and without weight regain during long-term follow-up after bariatric surgery: a cross-sectional study. doi.org. https://doi.org/10.5114/pm.2022.116492
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E, M., K, B., A, B., H, F., M, G., N, K., J, R., & B, F. (2025). Obesity as a Multifactorial Chronic Disease: Molecular Mechanisms, Systemic Impact, and Emerging Digital Interventions.. doi.org. https://doi.org/10.3390/cimb47100787
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Anastasiou, I., Kounatidis, D., Rebelos, E., Vallianou, N., Tentolouris, A., Tentolouris, N., Dalamaga, M., & Karampela, I. (2025). Hormonal Alterations in Individuals with Obesity After Metabolic Bariatric Surgery: A Narrative Review. doi.org. https://doi.org/10.3390/medicina61101724
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Nguyen, N. T. & Park, J. (2025). Peptide YY in Type 2 Diabetes: A Complementary Gut Hormone with Therapeutic Potential Beyond GLP-1. doi.org. https://doi.org/10.3390/nu17213468
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Chapela, S., Álvarez-Córdova, L., Martinuzzi, A., Suárez, R., Gonzalez, V., Manrique, E., Castaño, J., Rossetti, G., Cobellis, L., Pilone, V., Frías-Toral, E., & Schiavo, L. (2025). Neurobiological and Microbiota Alterations After Bariatric Surgery: Implications for Hunger, Appetite, Taste, and Long-Term Metabolic Health. doi.org. https://doi.org/10.3390/brainsci15040363
What does the evidence say?
Multiple contemporary reviews and clinical studies confirm that bariatric surgeries, including Roux-en-Y gastric bypass, induce structural and physiological changes in the GI tract that lead to enhanced secretion of satiety-promoting gut hormones (such as GLP-1 and PYY) and altered ghrelin signaling, thereby suppressing appetite and hunger. None of the retrieved papers contradict this physiological mechanism.
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