Evidence map›Paper›PMID 24158738›Full record

ArticleObesity surgery2014

Gastric histopathology in laparoscopic sleeve gastrectomy: pre- and post-operative comparison.

Tiago Rafael Onzi, Armando José d'Acampora, Fabricio Miri de Araújo, Ricardo Baratieri, Gilberto Kremer, Humberto Fenner Lyra, Joyce Tarnowsky Leitão

Abstract readComparative StudyEvaluation Study
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Observational
  15. 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

7 authors.

Tiago Rafael OnziDepartment of Surgery, University Hospital, UFSC, Florianópolis, Santa Catarina, Brazil, tiagoonzi@hotmail.com.
Armando José d'Acampora
Fabricio Miri de Araújo
Ricardo Baratieri
Gilberto Kremer
Humberto Fenner Lyra
Joyce Tarnowsky Leitão

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSleeve gastrectomy (SG) produces excellent results in weight reduction and resolution of comorbidities. The histology of the gastric mucosa can be affected by the surgical procedure, with alterations of inflammatory patterns. The objective of this study is to evaluate alterations of the inflammatory patterns of the gastric mucosa in SG and the results in weight loss and resolution of comorbidities.

methodsMorbidly obese patients were selected to undergo SG. Endoscopies were performed pre-operatively and post-operatively after 6 months, with an incisura and 3 cm before the pylorus biopsies. Data on weight, height, and associated diseases were collected. The data were compared, and the biopsies evaluate the inflammatory patterns.

resultsThere was a reduction of body weight with a pre-operative weight of 132.5 ± 15.7 kg and a post-operative weight of 95.8 ±10.6 kg with a p < 0.001. Also, the body mass index (BMI) was reduced significantly with a mean pre-operative of 42.6 ± 10.6 kg/m(2) and a post-operative of 30.9 ± 3.2 kg/m(2) with a p < 0.001. The comorbidities were all resolved or improved. The pattern of gastric histology showed chronic gastritis with inflammatory activity associated with Helicobacter pylori in 33.3 % of the patients, along with foveolar hyperplasia at 58.3 %. The chronic gastritis with discrete inflammatory activity was reduced by 16.7 %, and the foveolar hyperplasia was reduced by 33.3 %.

conclusionThe inflammatory alterations in the pre-operative period were mainly foveolar hyperplasia and chronic gastritis associated with H. pylori, and they were reduced in the post-operative period. A significant reduction of weight and BMI occurred, and a resolution of comorbidities was observed.

Indexed as

GastrectomyLaparoscopyWeight LossAdultBody Mass IndexComorbidityFemaleFollow-Up StudiesGastric MucosaGastritisHelicobacter InfectionsHelicobacter pyloriHumansMaleObesity, MorbidPostoperative Period

Identifiers

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.