Evidence map›Paper›PMID 24012983›Full record

Trial reportGastroenterology2013

Aspiration therapy leads to weight loss in obese subjects: a pilot study.

Shelby Sullivan, Richard Stein, Sreenivasa Jonnalagadda, Daniel Mullady, Steven Edmundowicz

3 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Gastroenterology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 57 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 3 pooled it
6.7field-weighted citation impact, top 3% 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.

NCT02302898 completednot on this mapstarted 2015, after this paper: background citation

Characteristics Associated With Weight Regain After Roux-en-Y Gastric Bypass

TypeobservationalSponsorWashington University School of MedicineRan2015 to 2016Enrolled2ConditionsObesityArmsEating Behavior Evaluation, Measurement of Functional gastric volume, Measurement of gastric pouch and GJ size
NCT02881684 naunknown statusnot on this mapstarted 2016, after this paper: background citation

Weight Reduction by Aspiration Therapy in Asian Patients With Morbid Obesity

TypeinterventionalSponsorThe University of Hong KongRan2016 to 2018Enrolled15ConditionsObesityArmsAspiration Therapy (AspireAssist®), Lifestyle Therapy
NCT03598920 completednot on this mapstarted 2018, after this paper: background citation

Study of Safety and Efficacy Assessment of Aspiration Therapy for Morbidly Obese Adolescents

TypeobservationalSponsorUniversity Hospital OstravaRan2018 to 2021Enrolled20ConditionsObesity, MorbidArmsAsspireAssist, Nutritional consulting
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 3 syntheses or guidelines pooled it, 180 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Endoscopic bariatrics: Current status and emerging technologies.World journal of gastrointestinal endoscopy · 2025
    Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Update on Endoscopic Treatments for Obesity.Current obesity reports · 2024
    Review
  12. Article
  13. Endoscopic Bariatric Therapy for Obesity and Metabolic Syndrome.The Korean journal of helicobacter and upper gastrointestinal research · 2023
    Review
  14. Overview on the endoscopic treatment for obesity: A review.World journal of gastroenterology · 2023
    Review
  15. Review
  16. Article
  17. Primary Bariatric Procedures.Digestive diseases and sciences · 2022
    Review
  18. Article
  19. Endoscopic Procedures for Weight Loss.Current obesity reports · 2021
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Shelby SullivanDivision of Gastroenterology, Washington University School of Medicine, St Louis, Missouri. Electronic address: ssulliva@dom.wustl.edu.
Richard Stein
Sreenivasa Jonnalagadda
Daniel Mullady
Steven Edmundowicz
Washington University in St. Louis · US

Funding

Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
NCATS NIH HHS UL1 TR000448
6 · The paper itself

Abstract

BACKGROUND &

aimsObese patients rarely achieve long-term weight loss with only lifestyle interventions. We evaluated the use of endoscopic aspiration therapy for obesity. Aspiration therapy involves endoscopic placement of a gastrostomy tube (A-Tube) and the AspireAssist siphon assembly (Aspire Bariatrics, King of Prussia, PA) to aspirate gastric contents 20 minutes after meal consumption.

methodsWe performed a pilot study of 18 obese subjects who were randomly assigned (2:1) to groups that underwent aspiration therapy for 1 year plus lifestyle therapy (n = 11; mean body mass index, 42.6 ± 1.4 kg/m(2)) or lifestyle therapy only (n = 7; mean body mass index, 43.4 ± 2.0 kg/m(2)). Lifestyle intervention comprised a 15-session diet and behavioral education program.

resultsTen of the 11 subjects who underwent aspiration therapy and 4 of the 7 subjects who underwent lifestyle therapy completed the first year of the study. After 1 year, subjects in the aspiration therapy group lost 18.6% ± 2.3% of their body weight (49.0% ± 7.7% of excess weight loss [EWL]) and those in the lifestyle therapy group lost 5.9% ± 5.0% (14.9% ± 12.2% of EWL) (P < .04). Seven of the 10 subjects in the aspiration therapy group completed an additional year of therapy and maintained a 20.1% ± 3.5% body weight loss (54.6% ± 12.0% of EWL). There were no adverse effects of aspiration therapy on eating behavior and no evidence of compensation for aspirated calories with increased food intake. No episodes of binge eating in the aspiration therapy group or serious adverse were reported.

conclusionsIn a pilot study, aspiration therapy appears to be a safe and effective long-term weight loss therapy for obesity.

Indexed as

Weight LossAdultBody Mass IndexEndoscopy, GastrointestinalFeeding BehaviorFemaleFollow-Up StudiesGastrostomyHumansLife StyleMaleMiddle AgedObesityPilot ProjectsSuctionTreatment Outcomealanine aminotransferaseALTaspiration therapy plus lifestyle therapyATBDI-IIBeck Depression InventoryBMIbody mass indexEating Disorder ExaminationEDEEndoscopic Bariatric TherapyEWLexcess weight losslifestyle therapy onlyLTObesityOverweightPEGpercutaneous endoscopic gastrostomyPercutaneous Endoscopic Gastrostomyrandomized controlled trialRCT

Identifiers

PMID24012983
PMCPMC4025911
OpenAlexW2136191370

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.