title: The influence of bypass procedures and other anatomical changes in the gastrointestinal tract on the oral bioavailability of drugs.
abstract: The gastrointestinal (GI) tract plays an important role in the absorption of orally administered drugs. However, in some cases the anatomy of the GI tract is changed due to GI surgery, which has the potential of influencing drug bioavailability. In this review, we aim to compile, review, and comment the existing but sometimes fragmented scientific data regarding the impact of GI surgery on the oral bioavailability of drugs. Relevant reports were gathered through the PubMed database from database inception through January 2012. Drugs for which at least one trial or case report suggested a change in oral bioavailability or absorption caused by GI surgery are discussed in detail. Major methodological differences, such as study design, number of subjects and choice of reference group, were observed in the reported studies. Predicting the impact of GI surgery on the oral bioavailability was therefore difficult to perform, even the most sophisticated classification systems could not be used for predicting purposes.
authors: Faculty of Pharmaceutical Sciences, Laboratory of Medical Biochemistry and Clinical Analysis, Ghent University, Ghent, Belgium. julie.desmet@ugent.be
authors: Julie
authors: J
authors: De Smet
authors: Jan
authors: J
authors: Van Bocxlaer
authors: Koen
authors: K
authors: Boussery
mesh_terms: D000284:Administration, Oral; D050110:Bariatric Surgery; D001682:Biological Availability; D041981:Gastrointestinal Tract / Q000033:anatomy & histology / Q000378:metabolism* / Q000601:surgery; D006801:Humans; D004364:Pharmaceutical Preparations / Q000378:metabolism; D010599:Pharmacokinetics
chemical_list: D004364:Pharmaceutical Preparations