Evidence map›Paper›PMID 26337693›Full record

ArticleObesity surgery2016

Gastrointestinal Physiological Changes and Their Relationship to Weight Loss Following the POSE Procedure.

J C Espinós, R Turró, G Moragas, A Bronstone, J N Buchwald, F Mearin, A Mata, H Uchima, J Turró, S Delgado-Aros

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 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
7.4field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. 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
    Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Endoscopic bariatrics: Current status and emerging technologies.World journal of gastrointestinal endoscopy · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Endobariatrics: a Still Underutilized Weight Loss Tool.Current treatment options in gastroenterology · 2023
    Review
  13. Review
  14. Primary Bariatric Procedures.Digestive diseases and sciences · 2022
    Review
  15. Endoscopic bariatrics: current therapies and future directions.Translational gastroenterology and hepatology · 2022
    Review
  16. Endoscopic sleeve gastroplasty is feasible after failed modified primary obesity surgery endoluminal procedure.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2021
    Article
  17. Bariatric and Metabolic Endoscopy: A New Paradigm.Clinical and translational gastroenterology · 2021
    Review
  18. 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

10 authors at 2 institutions in 1 country.

J C EspinósUnidad de Endoscopia, Centro Médico Teknon, Barcelona, Catalonia, Spain.
R TurróUnidad de Endoscopia, Centro Médico Teknon, Barcelona, Catalonia, Spain.
G MoragasCETIR Grup Médic Barcelona, Barcelona, Catalonia, Spain.
A BronstoneDivision of Scientific Research Writing, Medwrite Medical Communications, Maiden Rock, WI, USA.
J N BuchwaldDivision of Scientific Research Writing, Medwrite Medical Communications, Maiden Rock, WI, USA.
F MearinUnidad de Endoscopia, Centro Médico Teknon, Barcelona, Catalonia, Spain.
A MataUnidad de Endoscopia, Centro Médico Teknon, Barcelona, Catalonia, Spain.
H UchimaUnidad de Endoscopia, Centro Médico Teknon, Barcelona, Catalonia, Spain.
J TurróUnidad de Endoscopia, Centro Médico Teknon, Barcelona, Catalonia, Spain.
S Delgado-ArosNeuro-Enteric Translational Science (NETS) Research Group, Institut Hospital del Mar d'Investigacions Mèdiques. IMIM-Parc de Salut Mar. PRBB, c/ Dr. Aiguader, 88, 08003, Barcelona, Catalonia, Spain. delgadoaross@gmail.com.
Hospital Quirón Teknon · ESParc de Salut · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary Obesity Surgery Endolumenal (POSE) is a novel bariatric endoscopic procedure that has been shown to reduce weight safely through 12 months. The study investigated potential mechanisms of weight loss following POSE.

methodsPatients with class I-II obesity received transmural plications in the gastric fundus and distal gastric body. Patients were evaluated at baseline and at 2- and 6-month follow-up with gastric-emptying (GE) scintigraphy, a validated test of intake capacity (kcal) and plasma glucose homeostasis hormones/gastrointestinal peptides. Weight was recorded through 15 months. Mean data and 95% CIs are reported. Regression modeling assessed variables that influenced total weight loss (%TWL) and excess weight loss (%EWL).

resultsPOSE was performed on 18 patients (14 F/4 M); mean age 39 years (34-44), body mass index (BMI, kg/m(2)) 36 (95% CI, 35; 37). At 15 months (n = 15), mean TWL was 19.1 ± 6.6% (15.5; 22.8) and EWL was 63.7 ± 25.1% (49.8; 77.6). At 2 and 6 months (n = 18), intake capacity decreased significantly from 901 (685; 1117) to 473 (345; 600) and 574 kcal (418; 730), respectively (p < 0.001). At 2 months, GE was delayed but returned to baseline levels at 6 months (n = 18). Glucose/insulin ratio improved (p < 0.05). Postprandial decrease in ghrelin was enhanced (p = 0.03) as well as postprandial increase in PYY (p = 0.001). The best model for EWL prediction 15 months after POSE (R (2): 66%, p = 0.006) included pre-POSE BMI, post-POSE GE, and postprandial PYY increase.

conclusionsThe POSE procedure was followed by significant sustained weight loss and improved glucose homeostasis and satiation peptide responses. Weight loss following POSE may be mediated through changes in gastrointestinal neuro-endocrine physiology.

Indexed as

AdultAppetite RegulationBariatric SurgeryBlood GlucoseEnergy IntakeFemaleGastric EmptyingGastric FundusGastroscopyHomeostasisHumansMaleMiddle AgedObesityPeptidesPostprandial PeriodBlood GlucosePeptidesBariatric surgeryGlucose homeostasisHormonesIncisionless Operating PlatformPOSESatietyWeight loss

Identifiers

PMID26337693
OpenAlexW1206384052

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.