Evidence map›Paper›PMID 25070485›Full record

ArticleObesity surgery2015

Safety and effectiveness of Roux-en-Y gastric bypass in patients between the ages of 17 and 19.

Christopher DuCoin, Rena C Moon, Mertalaine Mulatre, Andre F Teixeira, Muhammad A Jawad

Abstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. 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

5 authors.

Christopher DuCoinDepartment of Bariatric Surgery, Orlando Regional Medical Center & Bariatric and Laparoscopy Center, Orlando Health, 89 Copeland Dr, 1st Floor, Orlando, FL, USA.
Rena C Moon
Mertalaine Mulatre
Andre F Teixeira
Muhammad A Jawad

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBariatric surgery is becoming more appealing as an option in addressing adolescent obesity. Concerns that may be encountered status postbariatric surgery include complications and failure to lose weight. The aim of our study is to describe safety and effectiveness of laparoscopic Roux-en-Y gastric bypass (LRYGB) in patients between the ages of 17 and 19.

methodsA retrospective chart review was completed on LRYGB patients between January 2005 and May 2012. Fifteen patients less than 20 years of age were included. One patient was lost to follow-up, and therefore, 14 patients under the age of 20 were matched to 14 patients greater than 20 years of age for gender (p > 0.99), preoperative body mass index (BMI) (p > 0.96), and follow-up interval (p > 0.80).

resultsMean postoperative BMI at last follow-up did not show statistical difference between the two (p > 0.74). Mean percentage of excess weight loss (%EWL) in patients under the age of 20 was 43.1 ± 14.6, 70.5 ± 17.0, 69.8 ± 17.3, and 54.8 ± 8.5 % at postoperative 6, 12, 24, and 36 months, respectively. In patients over the age of 20, mean %EWL was 39.9 ± 12.6, 67.0 ± 18.6, 60.2 ± 11.3, and 56.2 ± 6.2 %. Both group of patients showed improvement/remission of their comorbid conditions. No statistical difference was present between the two groups in terms of weight loss and comorbidity resolution. Each group had a single patient that required a revision for weight regain.

conclusionLRYGB in younger patients almost the age of 20 is both safe and effective when compared to matched adults in regard to weight loss, comorbid condition, and complications.

Indexed as

AdolescentAdultBody Mass IndexCase-Control StudiesComorbidityFemaleGastric BypassHumansLaparoscopyMaleObesity, MorbidPediatric ObesityPostoperative PeriodRetrospective StudiesTreatment OutcomeWeight Loss

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Registered trials

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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.