Evidence map›Paper›PMID 26058753›Full record

ArticleObesity surgery2016

Primordial Influence of Post-operative Compliance on Weight Loss After Adolescent Laparoscopic Adjustable Gastric Banding.

Naziha Khen-Dunlop, Myriam Dabbas, Gianpaolo De Filippo, Jean-Philippe Jais, Erik Hervieux, Caroline Télion, Jean-Marc Chevallier, Jean-Luc Michel, Yves Aigrain, Pierre Bougnères and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
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.

Naziha Khen-DunlopAP-HP, Hôpital Necker-Enfants Malades, Service de Chirurgie Pédiatrique Viscérale, 149 rue de Sevres, 75015, Paris, France. naziha.khen-dunlop@nck.aphp.fr.
Myriam DabbasAP-HP, Hôpital Necker-Enfants malades, Service de Gastroenterologie et Nutrition Pédiatrique, Paris, France. Myriam.dabbas@nck.aphp.fr.
Gianpaolo De FilippoAP-HP, Hôpital Bicêtre, Unité Médico-chirurgicale Obésité de l'Adolescent, Service de Médecine des Adolescents, Le Kremlin Bicêtre, France. gianpaolo.defilipo@bct.aphp.fr.
Jean-Philippe JaisAP-HP, Hôpital Necker-Enfants Malades, Département de Biostatistiques, Paris, France. jean-philippe.jais@nck.aphp.fr.
Erik HervieuxAP-HP, Hôpital Necker-Enfants Malades, Service de Chirurgie Pédiatrique Viscérale, 149 rue de Sevres, 75015, Paris, France. erik.hervieux@nck.aphp.fr.
Caroline TélionAP-HP, Hôpital Necker-Enfants Malades, Départment d'Anesthésie et Réanimation, Paris, France. caroline.telion@nck.aphp.fr.
Jean-Marc ChevallierAP-HP, Hôpital Européen Georges Pompidou, Service de Chirurgie Générale, Paris, France. jean-marc.chevallier@egp.aphp.fr.
Jean-Luc MichelAP-HP, Hôpital Necker-Enfants Malades, Service de Chirurgie Pédiatrique Viscérale, 149 rue de Sevres, 75015, Paris, France. jean-luc.michel@chu-reunion.fr.
Yves AigrainAP-HP, Hôpital Necker-Enfants Malades, Service de Chirurgie Pédiatrique Viscérale, 149 rue de Sevres, 75015, Paris, France. yves.aigrain@nck.aphp.fr.
Pierre BougnèresAP-HP, Hôpital Bicêtre, Service d'Endocrinologie et Diabétologie Pédiatrique, Le Kremlin Bicêtre, France. pierre.bougneres@inserm.fr.
Olivier GouletAP-HP, Hôpital Necker-Enfants malades, Service de Gastroenterologie et Nutrition Pédiatrique, Paris, France. olivier.goulet@nck.aphp.fr.
Yann RévillonAP-HP, Hôpital Necker-Enfants Malades, Service de Chirurgie Pédiatrique Viscérale, 149 rue de Sevres, 75015, Paris, France. yann.revillon@nck.aphp.fr.
Délégation Paris 5 · FRHôpital Necker-Enfants Malades · FRAssistance Publique – Hôpitaux de Paris · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccumulating evidence suggests that the benefits seen in adult bariatric surgery can be reproduced in adolescents. In contrast with North America, bariatric surgery in adolescents is still not well accepted in Europe and indications and protocols have still to be formulated.

methodsThis prospective study tested the gastric banding procedure in 49 patients operated in a single French institution since 2008. The mean age at surgery was 16.2 ± 0.9 years with a weight of 118.8 ± 22.3 kg and body mass index of 42.5 ± 5.9 kg/m(2).

resultsAt 6, 12 and 24 months after surgery, weight was 103.7 ± 20.8 kg, 98.7 ± 21 kg and 93.6 ± 19.3 kg, respectively (p < 0.001), corresponding to excess weight loss (EWL) of 31.6 ± 17.2 %, 41.8 ± 21.4 % and 59.1 ± 24.9 % (p < 0.001), respectively. Multivariate analysis showed that the number of consultations per year was the only variable significantly associated to weight loss. Metabolic disorders were corrected, with a decreased prevalence of insulin resistance from 100 to 17 % and normalisation of homeostasis model assessment-insulin resistance (HOMA-IR) at 24 months (2.09 ± 0.95). Band-related complications were five slippages, one psychological intolerance and two ports repositioning. Six patients (12 %) had the device explanted. The death of a patient was an exceptionally severe adverse event.

conclusionGiven frequent follow-up support by a multidisciplinary team, laparoscopic adjustable gastric banding (LAGB) surgery in adolescent results in sustained weight loss. However, even exceptional, potentially serious complications are possible and long-term follow-up is needed to evaluate the risk/benefit ratio at 5 or 10 years after LAGB surgery.

Indexed as

GastroplastyLaparoscopyPatient ComplianceWeight LossAdolescentFemaleFollow-Up StudiesFranceHumansInsulin ResistanceMaleMultivariate AnalysisObesity, MorbidProspective StudiesReferral and ConsultationAdolescentBariatric surgeryComplicationsLAGBObesityPaediatricsResultsTeen

Identifiers

PMID26058753
OpenAlexW560466715

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.