Evidence map›Paper›PMID 19575272›Full record

Trial reportObesity surgery2009

Improvement in glycemic control in morbidly obese type 2 diabetic subjects by gastric stimulation.

Arthur Bohdjalian, Gerhard Prager, Christoph Rosak, Rudolf Weiner, Ralf Jung, Markus Schramm, Ricardo Aviv, Karin Schindler, Walid Haddad, Norbert Rosenthal and 1 more

Abstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Obesity surgery, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.2field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Review
  3. Use of Bioelectronics in the Gastrointestinal Tract.Cold Spring Harbor perspectives in medicine · 2019
    Review
  4. Neurostimulation of the gastrointestinal tract: review of recent developments.Neuromodulation : journal of the International Neuromodulation Society · 2015
    Review
  5. The DIAMOND system in the treatment of type 2 diabetes mellitus in an obese patient.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2014
    Article
  6. Article
  7. Review
  8. Article
  9. Gastric stimulation for weight loss.World journal of gastroenterology · 2012
    Review
  10. Review
  11. [Indications and principles of metabolic surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2010
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 3 countries.

Arthur BohdjalianDepartment of Surgery, Medical University of Vienna, Waehringer Guertel 18-20, Vienna 1090, Austria.
Gerhard Prager
Christoph Rosak
Rudolf Weiner
Ralf Jung
Markus Schramm
Ricardo Aviv
Karin Schindler
Walid Haddad
Norbert Rosenthal
Bernhard Ludvik
Krankenhaus Sachsenhausen · DEMedical University of Vienna · ATTirat Carmel Mental Health Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastric electrical stimulation synchronized to the refractory period of gastric electrical activity and applied during meals was evaluated for safety and for improvement of body weight and glycemic control in obese type 2 diabetes.

methodsThe study involved obese diabetic type 2 (ODM) patients in a multicenter open-label European feasibility trial. A total of 24 ODM (nine males, 15 females) treated with insulin and/or oral hyperglycemic agents and body mass index between 33.3 to 49.7 kg/m(2) were implanted laparoscopically with a TANTALUS system.

resultsThere were 18 adverse events related to the implant procedure or the device reported in 12 subjects. All were short lived and resolved with no sequelae. In the 21 subjects that reached the 1-year visit weight was reduced by 4.5 +/- 2.7 kg (p < 0.05) and HbA1c by 0.5 +/- 0.3% (p < 0.05). In a subgroup (n = 11) on stable or reduced oral medication, weight was reduced by 6.3 +/- 3.4 kg (p < 0.05) and HbA1c by 0.9 +/- 0.4% (p < 0.05). The group on insulin (n = 6) had no significant changes in weight and HbA1c.

conclusionsThe TANTALUS system is well tolerated in obese type 2 diabetic subjects. Gastric electrical stimulation can potentially improve glucose metabolism and induce weight loss in obese diabetic patients, who are not well controlled on oral antidiabetic therapy. Further evaluation is required to determine whether this effect is due to induced weight loss and/or to direct signal dependent mechanisms.

Indexed as

Electric Stimulation TherapyAdolescentAdultBlood GlucoseDiabetes Mellitus, Type 2Electrodes, ImplantedFeasibility StudiesFeeding BehaviorFemaleGlycated HemoglobinHumansHypoglycemic AgentsMaleMiddle AgedObesity, MorbidTreatment OutcomeBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic Agents

Identifiers

PMID19575272
OpenAlexW2106384740

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.