Evidence map›Paper›PMID 20587720›Full record

Trial reportDiabetes care2010

Potential additional effect of omentectomy on metabolic syndrome, acute-phase reactants, and inflammatory mediators in grade III obese patients undergoing laparoscopic Roux-en-Y gastric bypass: a randomized trial.

Miguel F Herrera, Juan Pablo Pantoja, David Velázquez-Fernández, Javier Cabiedes, Carlos Aguilar-Salinas, Eduardo García-García, Alfredo Rivas, Christian Villeda, Diego F Hernández-Ramírez, Andrea Dávila and 1 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes care, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02641925 (The Effect of Visceral Fat Removal for Gastric Cancer Patients With Metabolic Syndrome, Randomized Pilot Study), which is not on this map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
8.3field-weighted citation impact, top 2% 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.

NCT02641925 naunknown statusnot on this mapstarted 2015, after this paper: background citation

The Effect of Visceral Fat Removal for Gastric Cancer Patients With Metabolic Syndrome, Randomized Pilot Study: Omentectomy for Metabolic Syndrome (OMS)

TypeinterventionalSponsorKeimyung University Dongsan Medical CenterRan2015 to 2020Enrolled60ConditionsMetabolic Syndrome, Gastric CancerArmsOmentum preserving, Total omentectomy
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Omentectomy added to Roux-en-Y gastric bypass surgery: a randomized, controlled trial.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
    Trial
  5. Review
  6. Review
  7. Mesenteric fat cryolipolysis attenuates insulin resistance in the Ossabaw swine model of the metabolic syndrome.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2023
    Article
  8. Article
  9. Article
  10. Review
  11. HIV and antiretroviral therapy-related fat alterations.Nature reviews. Disease primers · 2020
    Review
  12. Article
  13. Review
  14. Mesenteric visceral lipectomy using tissue liquefaction technology reverses insulin resistance and causes weight loss in baboons.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2018
    Article
  15. Article
  16. Review
  17. Article
  18. The impact of bariatric surgery on inflammation: quenching the fire of obesity?Current opinion in endocrinology, diabetes, and obesity · 2016
    Review
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Miguel F HerreraDepartment of Surgery, Instituto Nacional de Ciencias Médicas y Nutrición, Salvador Zubirán, Tlalpan, Mexico. herreram@quetzal.innsz.mx
Juan Pablo Pantoja
David Velázquez-Fernández
Javier Cabiedes
Carlos Aguilar-Salinas
Eduardo García-García
Alfredo Rivas
Christian Villeda
Diego F Hernández-Ramírez
Andrea Dávila
Aarón Zaraín
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXUniversidad Nacional Autónoma de México · MXNational Institute of Genomic Medicine · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the additional effect of sudden visceral fat reduction by omentectomy on metabolic syndrome, acute-phase reactants, and inflammatory mediators in patients with grade III obesity (G-III O) undergoing laparoscopic Roux-en-Y gastric bypass (LRYGB). RESEARCH DESIGN AND

methodsTwenty-two patients were randomized into two groups, LRYGB alone or with omentectomy. Levels of interleukin-6, C-reactive protein, tumor necrosis factor-alpha, leptin, adiponectin, glucose, total cholesterol, HDL cholesterol, LDL cholesterol, and triglycerides, as well as clinical characteristics, were evaluated before surgery and at 1, 3, 6, and 12 months after surgery. Results were compared between groups.

resultsBaseline characteristics were comparable in both groups. Mean operative time was significantly higher in the group of patients who underwent omentectomy (P < 0.001). Median weight of the omentum was 795 +/- 341 g. In one patient, a duodenal perforation occurred at the time of omentectomy. BMI, blood pressure, glucose, total cholesterol, LDL, and triglycerides significantly improved in both groups at 1, 3, 6, and 12 months of follow-up when compared with basal values. However, there were no consistent statistically significant differences among the groups in terms of metabolic syndrome components, acute-phase reactants, and inflammatory mediators.

conclusionsOmentectomy does not have an ancillary short-term significant impact on the components of metabolic syndrome and does not induce important changes in the inflammatory mediators in patients undergoing LRYGB. Operative time is more prolonged when omentectomy is performed.

Indexed as

Gastric BypassAcute-Phase ProteinsAdiponectinAdultBlood GlucoseC-Reactive ProteinFemaleHumansInflammation MediatorsInterleukin-6Intra-Abdominal FatLaparoscopyLeptinLipidsMaleMetabolic SyndromeAcute-Phase ProteinsAdiponectinADIPOQ protein, humanBlood GlucoseC-Reactive ProteinIL6 protein, humanInflammation MediatorsInterleukin-6LeptinLipidsTumor Necrosis Factor-alpha

Identifiers

PMID20587720
PMCPMC2890331
OpenAlexW2124346940

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.