Evidence map›Paper›PMID 20144347›Full record

Trial reportJournal of diabetes science and technology2009

Gastric electrical stimulation with the TANTALUS System in obese type 2 diabetes patients: effect on weight and glycemic control.

Claudia P Sanmiguel, Jeffrey L Conklin, Scott A Cunneen, Philip Barnett, Edward H Phillips, Mark Kipnes, John Pilcher, Edy E Soffer

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Journal of diabetes science and technology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Endoscopic bariatrics: Current status and emerging technologies.World journal of gastrointestinal endoscopy · 2025
    Review
  3. Review
  4. Review
  5. Use of Bioelectronics in the Gastrointestinal Tract.Cold Spring Harbor perspectives in medicine · 2019
    Review
  6. Review
  7. Expanding Indications of Gastric Electrical Stimulation.Journal of neurogastroenterology and motility · 2015
    Article
  8. A numerical scale to assess the outcomes of metabolic/bariatric surgery (NOMS).Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2015
    Article
  9. Article
  10. Article
  11. Neurostimulation of the gastrointestinal tract: review of recent developments.Neuromodulation : journal of the International Neuromodulation Society · 2015
    Review
  12. 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
  13. Article
  14. Comparison of percentage excess weight loss after laparoscopic sleeve gastrectomy and laparoscopic adjustable gastric banding.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2014
    Article
  15. Article
  16. Article
  17. Gastric stimulation for weight loss.World journal of gastroenterology · 2012
    Review
  18. Review
  19. Article
  20. Surgical approaches to the treatment of obesity.Nature reviews. Gastroenterology & hepatology · 2011
    Review
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

8 authors at 3 institutions in 1 country.

Claudia P SanmiguelCedars Sinai Medical Center, Los Angeles, California, USA.
Jeffrey L Conklin
Scott A Cunneen
Philip Barnett
Edward H Phillips
Mark Kipnes
John Pilcher
Edy E Soffer
Cedars-Sinai Medical Center · USDiabetes & Glandular Disease Clinic · USDimension Technologies (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe TANTALUS System is an investigational device that consists of an implantable pulse generator connected to gastric electrodes. The system is designed to automatically detect when eating starts and only then deliver sessions of gastric electrical stimulation (GES) with electrical pulses that are synchronized to the intrinsic antral slow waves. We report the effect of this type of GES on weight loss and glucose control in overweight/obese subjects with type 2 diabetes mellitus (T2DM). This study was conducted under a Food and Drug Administration/Institutional Review Board-approved investigational device exemption.

methodFourteen obese T2DM subjects on oral antidiabetes medication were enrolled and implanted laparoscopically with the TANTALUS System (body mass index 39 +/- 1 kg/m(2), hemoglobin A1c [HbA1c] 8.5 +/- 0.2%).Gastric electrical stimulation was initiated four weeks after implantation. Weight, HbA1c, fasting blood glucose, blood pressure, and lipid levels were assessed during the study period.

resultsEleven subjects reached the 6-month treatment period endpoint. Gastric electrical stimulation was well tolerated by all subjects. In those patients completing 6 months of therapy, HbA1c was reduced significantly from 8.5 +/- 0.7% to 7.6 +/- 1%, p < .01. Weight was also significantly reduced from 107.7 +/- 21.1 to 102.4 +/- 20.5 kg, p < .01. The improvement in glucose control did not correlate with weight loss (R(2) = 0.05, p = .44). A significant improvement was noted in blood pressure, triglycerides, and cholesterol (low-density lipoprotein only).

conclusionsShort-term therapy with the TANTALUS System improves glucose control, induces weight loss, and improves blood pressure and lipids in obese T2DM subjects on oral antidiabetes therapy.

Indexed as

Body WeightElectric StimulationAdultBlood GlucoseBody Mass IndexDiabetes Mellitus, Type 2Electrodes, ImplantedFemaleGlycated HemoglobinHumansMaleMiddle AgedObesityStomachTreatment OutcomeWeight LossBlood GlucoseGlycated Hemoglobin

Identifiers

PMID20144347
PMCPMC2769967
OpenAlexW2081185999

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.