Trial reportObesity surgery2015
Argon plasma coagulation of gastrojejunal anastomosis for weight regain after gastric bypass.
Trial report in Obesity surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 33 papers, 3 of them syntheses that pooled 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.
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.
A Multicenter Randomized Clinical Trial of Carbon Dioxide (CO2) Versus Air Insufflation for the Application of Argon Plasma to Reduce the Gastrojejunal Anastomosis in Individuals With Weight Regain After Bypass Surgery.
Hybrid Argon Plasma Coagulation and Endoscopic Sleeve Gastroplasty Trial: A Single-Center Randomized Controlled Validation Trial in a Community Setting
Who cites it
33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 93 citations in OpenAlex.
- Therapeutic Options for Recurrence of Weight and Obesity Related Complications After Metabolic and Bariatric Surgery: An IFSO Position Statement.Obesity surgery · 2024Guideline
- The use of endoluminal techniques in the revision of primary bariatric surgery procedures: a systematic review.Surgical endoscopy · 2020Pooled it
- Endoscopic Treatment of Weight Regain Following Roux-en-Y Gastric Bypass: a Systematic Review and Meta-analysis.Obesity surgery · 2018Pooled it
- Influence of the argon plasma coagulation protocol in endoscopic procedures on body composition in patients with recurrent weight gain after Roux-en-Y gastric bypass: a randomized clinical trial.Surgical endoscopy · 2026Trial
- Endobariatric Management of Metabolic Dysfunction-Associated Steatotic Liver Disease: A Narrative Review.Biomedicines · 2026Review
- NATURAL HISTORY OF THE GASTROJEJUNAL ANASTOMOSIS IN PATIENTS UNDERGOING ROUX-EN-Y GASTRIC BYPASS.Arquivos de gastroenterologia · 2026Article
- Strategies to Manage Obesity: Endoscopic Bariatric and Metabolic Therapies.Methodist DeBakey cardiovascular journal · 2025Review
- Weight Regain after Metabolic Surgery: Beyond the Surgical Failure.Journal of clinical medicine · 2024Review
- Endoscopic Revisional Gastroplasty After Bariatric Surgery with a Single-Channel Endoscope.Obesity surgery · 2024Article
- Long-term follow-up after transoral outlet reduction following Roux-en-Y gastric bypass: Back to stage 0?Endoscopy international open · 2023Article
- Roux-en-Y gastric bypass pouch outlet reduction using argon plasma coagulation to treat weight regain: a randomized controlled trial with a sham control group.Endoscopy international open · 2023Article
- Bariatric endoscopy: from managing complications to primary metabolic procedures.Journal of minimally invasive surgery · 2023Review
- Pharmaco-endoscopic therapy for weight regain post-gastric bypass: a case report.Journal of surgical case reports · 2023Article
- Transoral Outlet Reduction (TORe) for the Treatment of Weight Regain and Dumping Syndrome after Roux-en-Y Gastric Bypass.Medicina (Kaunas, Lithuania) · 2023Review
- Efficacy of the argon plasma coagulation in patients with weight regain after gastric bypass: a randomized control trial.Endoscopy international open · 2023Article
- Therapeutic endoscopy for the treatment of post-bariatric surgery complications.World journal of gastroenterology · 2022Review
- Endoscopic Management of Weight Recurrence Following Bariatric Surgery.Frontiers in endocrinology · 2022Review
- Endoscopic therapy of weight regain after bariatric surgery.World journal of gastrointestinal surgery · 2021Review
- Article
- Multidisciplinary Approach for Weight Regain-how to Manage this Challenging Condition: an Expert Review.Obesity surgery · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe failure of approximately 20 % of obese patients who undergo Roux-en-Y gastric bypass (RYGB) to maintain weight loss over the following 18-24 months is related to the surgical procedure, to the patient, or both. Although the underlying mechanisms are uncertain, one factor that has been postulated is the dilation of the gastrojejunal anastomosis. The objective was to evaluate the safety and efficacy of the serial use of argon plasma coagulation (APC) in reducing the diameter of the dilated gastrojejunal anastomosis and post-RYGB weight regain.
methodsWe carried out a prospective, nonrandomized study of 30 patients, with no control or sham group, monitoring RYGB weight regain associated with dilation of the gastrojejunal anastomosis over a postoperative period of 18 months. Each patient underwent three sessions of APC in the anastomosis separated by 8 weeks, with a final endoscopic examination 8 weeks after the last session.
resultsThere was a loss of 15.48 kg (range = 8.0-16.0 kg) of the 19.6 kg (range = 7.0-39.0 kg) of regained weight after RYGB and a reduction of 66.89 % in the final anastomotic diameter, with statistically significant reductions between each APC session. Previous body mass index significantly decreased up to the final examination, and the final weight was close to but not at the same level as the nadir.
conclusionsOur study indicates that the use of APC to treat weight regain after RYGB is a safe and effective procedure and promotes a reduction in gastrojejunal anastomosis, final weight, and BMI, with a low rate of complications.
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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.