Evidence map›Paper›PMID 25379859›Full record

ArticleAnnals of surgery2014

Roux-en-Y gastric bypass versus adjustable gastric banding to reduce nonalcoholic fatty liver disease: a 5-year controlled longitudinal study.

Robert Caiazzo, Guillaume Lassailly, Emmanuelle Leteurtre, Gregory Baud, Hélène Verkindt, Violeta Raverdy, David Buob, Marie Pigeyre, Philippe Mathurin, François Pattou

Registry-linked trialAbstract readComparative StudyControlled Clinical Trial
PubMed Publisher
In one paragraph

Article in Annals of surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03341429 (BARI-OPTIMISE), which is not on this map. Cited by 107 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 10 pooled it
13.1field-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.

NCT03341429 phase4completedstarted 2018, after this paper: background citation

BARI-OPTIMISE: a Double-blinded, Randomised, Placebo-controlled Trial of Liraglutide 3.0 mg in Patients With Poor Weight-loss and a Suboptimal Glucagon-like Peptide-1 Response Following Bariatric Surgery

Ran2018Enrolled70Registered outcomes18Posted comparisons0ConditionsObesityArmsLiraglutide Pen Injector [Saxenda], Placebo
Open the trial in the graph
3 · Its place in the literature

Who cites it

107 citing papers in PubMed, 10 syntheses or guidelines pooled it, 222 citations in OpenAlex.

  1. Pooled it
  2. Guideline
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  7. ESPEN guideline on clinical nutrition in liver disease.Clinical nutrition (Edinburgh, Scotland) · 2019
    Guideline
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  20. Bariatric surgery for treatment of morbid obesity in adults.The Korean journal of internal medicine · 2025
    Review

47 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

10 authors at 3 institutions in 1 country.

Robert Caiazzo*General and Endocrine Surgery, Lille University Hospital, Lille, France †Inserm U 859, European Genomic Institute for Diabetes, Lille University, Lille, France ‡Hepathology, Lille University Hospital, Lille, France §Inserm U 995, Lille, France ¶Pathology, Lille University Hospital, Inserm U 837, Lille, France ‖Nutrition, Lille University Hospital, Lille, France.
Guillaume Lassailly
Emmanuelle Leteurtre
Gregory Baud
Hélène Verkindt
Violeta Raverdy
David Buob
Marie Pigeyre
Philippe Mathurin
François Pattou
Inserm · FREuropean Genomic Institute for Diabetes · FRUniversité de Lille · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare the long-term benefit of gastric bypass [Roux-en-Y gastric bypass (RYGB)] versus adjustable gastric banding (AGB) on nonalcoholic fatty liver disease (NAFLD) in severely obese patients.

backgroundNAFLD improves after weight loss surgery, but no histological study has compared the effects of the various bariatric interventions.

methodsParticipants consisted of 1236 obese patients (body mass index=48.4±7.6 kg/m), enrolled in a prospective longitudinal study for up to 5 years after RYGB (n=681) or AGB (n=555). Liver biopsy samples were available for 1201 patients (97.2% of those at risk) at baseline, 578 patients (47.2%) at 1 year, and 413 patients (68.9%) at 5 years.

resultsAt baseline, NAFLD was present in 86% patients and categorized as severe [NAFLD activity score (NAS)≥3] in 22% patients. RYGB patients had a higher body mass index (49.8±8.2 vs 46.8±6.5 kg/m, P<0.001) and more severe NAFLD (NAS: 2.0±1.5 vs 1.7±1.4, P=0.004) than AGB patients. Weight loss at 5 years was 25.5%±11.8% after RYGB versus 21.4%±12.7% after AGB (P<0.001). When analyzed with a mixed model, all NAFLD parameters improved after surgery (P<0.001) and improved significantly more after RYGB than after AGB [steatosis (%): 1 year, 7.9±13.7 vs 17.9±21.5, P<0.001/5 years, 8.7±7.1 vs 14.5±20.8, P<0.05; NAS: 1 year, 0.7±1.0 vs 1.1±1.2, P<0.001/5 years, 0.7±1.2 vs 1.0±1.3, P<0.05]. In multivariate analysis, the superiority of RYGB was primarily but not entirely explained by weight loss.

conclusionsThe improvement of NAFLD was superior after RYGB than after AGB.

Indexed as

BiopsyBody Mass IndexFemaleGastric BypassGastroplastyHumansLongitudinal StudiesMaleMiddle AgedNon-alcoholic Fatty Liver DiseaseObesity, MorbidProspective StudiesTreatment Outcome

Identifiers

PMID25379859
OpenAlexW2332106446

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.