RT journal article T1 The role of glucagon after bariatric/metabolic surgery: much more than an “anti-insulin” hormone A1 Pérez Arana, Gonzalo Martín A1 Díaz Gómez, Alfredo Luis A1 Bancalero-de los Reyes, José A1 Gracia Romero, Manuel Ángel A1 Ribelles García, Antonio A1 Visiedo García, Francisco Manuel A1 González Domínguez, Álvaro A1 Almorza Gomar, David A1 Prada Oliveira, José Arturo A2 Anatomía y Embriología Humana A2 Estadística e Investigación Operativa K1 alpha cell K1 diabetes K1 glucagon K1 glucose K1 incretin K1 Roux-en-Y gastric bypass K1 sleeve gastrectomy AB The biological activity of glucagon has recently been proposed to both stimulate hepatic glucose production and also include a paradoxical insulinotropic effect, which could suggest a new role of glucagon in the pathophysiology type 2 diabetes mellitus (T2DM). An insulinotropic role of glucagon has been observed after bariatric/metabolic surgery that is mediated through the GLP-1 receptor on pancreatic beta cells. This effect appears to be modulated by other members of the proglucagon family, playing a key role in the beneficial effects and complications of bariatric/metabolic surgery. Glucagon serves a dual role after sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB). In addition to maintaining blood glucose levels, glucagon exhibits an insulinotropic effect, suggesting that glucagon has a more complex function than simply an “anti-insulin hormone”. PB Frontiers Media SA SN 1664-2392 YR 2023 FD 2023 LK http://hdl.handle.net/10498/31488 UL http://hdl.handle.net/10498/31488 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 11-nov-2026