Evidence map›Paper›PMID 26288594›Full record

ReviewViszeralmedizin2014

Malabsorption as a Therapeutic Approach in Bariatric Surgery.

Adrian T Billeter, Lars Fischer, Anna-Laura Wekerle, Jonas Senft, Beat Müller-Stich

Open access · bronzeAbstract readReview
In one paragraph

Review in Viszeralmedizin, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

21 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
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  13. Dry Beriberi Post Roux-en-Y Gastric Bypass Surgery.Journal of community hospital internal medicine perspectives · 2023
    Article
  14. Review
  15. Article
  16. Article
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  18. Barocrinology: The Endocrinology of Obesity from Bench to Bedside.Medical sciences (Basel, Switzerland) · 2020
    Review
  19. Article
  20. 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

5 authors at 1 institution in 1 country.

Adrian T BilleterDepartment of General, Visceral, and Transplantation Surgery, University of Heidelberg, Germany.
Lars FischerDepartment of General, Visceral, and Transplantation Surgery, University of Heidelberg, Germany.
Anna-Laura WekerleDepartment of General, Visceral, and Transplantation Surgery, University of Heidelberg, Germany.
Jonas SenftDepartment of General, Visceral, and Transplantation Surgery, University of Heidelberg, Germany.
Beat Müller-StichDepartment of General, Visceral, and Transplantation Surgery, University of Heidelberg, Germany.
Heidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe increasing prevalence of obese patients will lead to a more frequent use of bariatric procedures in the future. Compared to conservative medical therapy, bariatric procedures achieve greater weight loss and superior control of comorbidities, resulting in improved overall mortality.

methodsA search for current literature regarding mechanisms, indications, and outcomes of bariatric surgery was performed.

resultsIn order to care for patients after bariatric surgery properly, it is important to understand its mechanisms of action and effects on gastrointestinal physiology. Recent investigations indicate that the beneficial effects of bariatric procedures are much more complex than simply limiting food intake or an associated malabsorption. Changes in gastrointestinal hormone secretion, energy expenditure, intestinal bacterial colonization, bile acid metabolism, and epigenetic modifications resulting in altered gene expression are likely responsible for the majority of the beneficial effects of bariatric surgery. Malabsorptive bariatric procedures divert the flow of bile and pancreatic enzymes from food and therefore limit the digestion and absorption of nutrients, resulting in reduced calorie intake and subsequent weight loss. Essential micronutrients such as vitamins and trace elements are also absorbed to a lesser extent, potentially leading to severe side effects.

conclusionTo prevent malnutrition, dietary supplementation and regular control of micronutrient levels are mandatory for patients undergoing malabsorptive bariatric procedures, in whom the fat-soluble vitamins A and D are commonly deficient.

Indexed as

Bariatric surgeryBbiliopancreatic diversion with duodenal switchBiliopancreatic diversionBPDBPD-DSGastric bypassMalabsorptionMetabolic surgery

Identifiers

PMID26288594
PMCPMC4513825
OpenAlexW2027700866

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.