Evidence map›Paper›PMID 25691349›Full record

ArticleObesity surgery2015

Effects of Duodenal-Jejunal Bypass Liner (EndoBarrier®) on Gastric Emptying in Obese and Type 2 Diabetic Patients.

Eduardo Guimarães Hourneaux de Moura, Guilherme Sauniti Lopes, Bruno Costa Martins, Ivan Roberto Bonotto Orso, Artur Martins Novaes Coutinho, Suzana Lopes de Oliveira, Paulo Sakai, Manoel dos Passos Galvão-Neto, Marco Aurélio Santo, Marcelo Tatit Sapienza and 2 more

Open access · greenAbstract read
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 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
6.2field-weighted citation impact, top 3% 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.

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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Changes in Time of Gastric Emptying After Surgical and Endoscopic Bariatrics and Weight Loss: A Systematic Review and Meta-Analysis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2020
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  7. Measures of glucose homeostasis during and after duodenal exclusion using a duodenal-jejunal bypass liner in a normoglycemic, nonobese canine model.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2022
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  15. Medical devices for the treatment of obesity.Nature reviews. Gastroenterology & hepatology · 2017
    Review
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  17. Article
  18. Endoscopic Devices for Obesity.Current obesity reports · 2016
    Review
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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

12 authors at 3 institutions in 1 country.

Eduardo Guimarães Hourneaux de MouraGastrointestinal Endoscopy Unit, University of São Paulo School of Medicine, São Paulo, Brazil, eduardoghdemoura@gmail.com.
Guilherme Sauniti Lopes
Bruno Costa Martins
Ivan Roberto Bonotto Orso
Artur Martins Novaes Coutinho
Suzana Lopes de Oliveira
Paulo Sakai
Manoel dos Passos Galvão-Neto
Marco Aurélio Santo
Marcelo Tatit Sapienza
Ivan Cecconello
Carlos Alberto Buchpiguel
Universidade de São Paulo · BRHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRGastro Obeso Center · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe duodenal-jejunal bypass liner (DJBL) is a promising technique for treating obesity and type 2 diabetes mellitus (T2DM). However, despite promising results, its mechanism of action has not been elucidated. It is thought to promote changes in gastric emptying owing to the neuro-endocrine axis.

objectiveThe aim of this paper was to study DJBL-induced changes in gastric emptying and the relationship of those changes with weight loss and T2DM.

methodsTwenty-five patients with obesity and T2DM met inclusion criteria. Scintigraphic gastric emptying testing was performed prior to implantation, 16 weeks after implantation, and 4 weeks after removal. The average gastric retention was compared between tests, to examine the relationship between gastric emptying and those who lost more than 10 % of total body weight. Similarly, we compared average gastric retention between those who achieved a glycated hemoglobin target lower than 7 %.

resultsAverage gastric retention was greater after DJBL implantation compared with the baseline (first hour, 74 ± 16.3 %, p = 0.001; second hour, 45 ± 25 %, p < 0.001; fourth hour, 15.8 ± 15 %, p < 0.001). There was no difference between the baseline and 4 weeks after device removal (fourth hour, p = 0.057). Gastric retention was similar between patients who achieved T2DM control and those who did not (p = 0.73). Additionally, no difference was seen between patients who lost more than 10 % of body weight and those who did not (p = 0.275).

conclusionsDJBL delays gastric emptying but is reversible after withdrawal. The changes in gastric emptying have no relationship to weight loss and T2DM control.

Indexed as

Gastric EmptyingProstheses and ImplantsBariatric SurgeryDiabetes Mellitus, Type 2DuodenumFemaleHumansJejunumMaleMiddle AgedObesity, MorbidProspective StudiesRadionuclide Imaging

Identifiers

PMID25691349
OpenAlexW2043618122

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.