Evidence map›Paper›PMID 24622719›Full record

ArticleThe lancet. Diabetes & endocrinology2014

Mechanisms of changes in glucose metabolism and bodyweight after bariatric surgery.

Sten Madsbad, Carsten Dirksen, Jens J Holst

3 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in The lancet. Diabetes & endocrinology, 2014. 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 147 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
147citing papers in PubMed, 4 pooled it
31.4field-weighted citation impact, top 1% 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.

NCT06287307 phase4not yet recruitingstarted 2024, after this paper: background citation

Semaglutide 2.4mg for Low Responders After Bariatric Surgery

Ran2024Enrolled152Registered outcomes55Posted comparisons0ConditionsObesity, Obesity, Morbid, Weight GainArmsPlacebo, Semaglutide 2.4 MG/0.75 ML Subcutaneous Solution [WEGOVY]
Open the trial in the graph
NCT02713555 nacompletednot on this mapstarted 2016, after this paper: background citation

Effects of Hepatic Insulin Resistance on Type 2 Diabetes Mellitus in Morbidly Obese Subjects Following Roux-en-Y Gastric Bypass Surgery or Gastric Sleeve Surgery

TypeinterventionalSponsorUniversity of AarhusRan2016 to 2021Enrolled30ConditionsDiabetes Mellitus, Type 2, ObesityArmsRoux-en-Y Gastric Bypass, Gastric Sleeve
NCT03723486 unknown statusnot on this mapstarted 2015, after this paper: background citation

Changes in the Intestinal and Oral Microbiome of Morbidly Obese Patients Undergoing Gastric Bypass Surgery in Relation to Insulin Resistance and Metabolic Syndrome

TypeobservationalSponsorUniversity Health Network, TorontoRan2015 to 2023Enrolled120ConditionsObesity
3 · Its place in the literature

Who cites it

147 citing papers in PubMed, 4 syntheses or guidelines pooled it, 298 citations in OpenAlex.

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  7. Effects of physical form ofThe British journal of nutrition · 2024
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  18. Impact of sleeve gastrectomy on the course of metabolic associated fatty liver disease.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Observational
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87 more citing papers are in PubMed but not listed here.

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

3 authors at 2 institutions in 1 country.

Sten MadsbadDepartment of Endocrinology, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark. Electronic address: sten.madsbad@regionh.dk.
Carsten DirksenDepartment of Endocrinology, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark; NNF Centre for Basic Metabolic Research, Panum Institute, University of Copenhagen, Copenhagen, Denmark.
Jens J HolstNNF Centre for Basic Metabolic Research, Panum Institute, University of Copenhagen, Copenhagen, Denmark; Department of Biomedical Sciences, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark.
Hvidovre Hospital · DKUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bariatric surgery is the most effective treatment for obesity and also greatly improves glycaemic control, often within days after surgery, independently of weight loss. Laparoscopic adjustable gastric banding (LAGB) was designed as a purely restrictive procedure, whereas vertical sleeve gastrectomy (VSG) and Roux-en-Y gastric bypass (RYGB) induce changes in appetite through regulation of gut hormones, resulting in decreased hunger and increased satiation. Thus, VSG and RYBG more frequently result in remission of type 2 diabetes than does LAGB. With all three of these procedures, remission of diabetes is associated with early increases in insulin sensitivity in the liver and later in peripheral tissues; VSG and RYBG are also associated with improved insulin secretion and an exaggerated postprandial rise in glucagon-like peptide 1. The vagal pathway could have a role in the neurohumoral regulatory pathways that control appetite and glucose metabolism after bariatric surgery. Recent research suggests that changes in bile acid concentrations in the blood and altered intestinal microbiota might contribute to metabolic changes after surgery, but the mechanisms are unclear. In this Series paper, we explore the possible mechanisms underlying the effects on glucose metabolism and bodyweight of LAGB, VSG, and RYGB surgery. Elucidation of these mechanisms is providing knowledge about bodyweight regulation and the pathophysiology of type 2 diabetes, and could help to identify new drug targets and improved surgical techniques.

Indexed as

Body WeightBariatric SurgeryDiabetes Mellitus, Type 2Feeding BehaviorGlucoseObesityGlucose

Identifiers

PMID24622719
OpenAlexW2025079391

What OpenQuestion holds

Textmetadata
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.