Evidence map›Paper›PMID 26446491›Full record

ArticleObesity surgery2016

Impact of Duodenal-Jejunal Exclusion on Satiety Hormones.

Charlotte de Jonge, Sander S Rensen, Froukje J Verdam, Royce P Vincent, Steve R Bloom, Wim A Buurman, Carel W le Roux, Nicole D Bouvy, Jan Willem M Greve

Open access · greenAbstract read
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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
2.9field-weighted citation impact, top 9% 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, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
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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

9 authors at 4 institutions in 2 countries.

Charlotte de JongeDepartment of General Surgery and NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands. c.dejonge@maastrichtuniversity.nl.
Sander S RensenDepartment of General Surgery and NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands. s.rensen@maastrichtuniversity.nl.
Froukje J VerdamDepartment of General Surgery and NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands. F.J.Verdam@umcutrecht.nl.
Royce P VincentDepartment of Clinical Biochemistry, King's College Hospital NHS Foundation Trust, Denmark Hill, SE5 9RS, London, UK. royce.vincent@nhs.net.
Steve R BloomDepartment of Medicine, Imperial College London, Du Cane Road, W12 0NN, London, UK. s.bloom@imperial.ac.uk.
Wim A BuurmanSchool for Mental Health and Neuroscience, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands. w.buurman@maastrichtuniversity.nl.
Carel W le RouxDepartment of Medicine, Imperial College London, Du Cane Road, W12 0NN, London, UK. carel.leroux@ucd.ie.
Nicole D BouvyDepartment of General Surgery and NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands. n.bouvy@maastrichtuniversity.nl.
Jan Willem M GreveDepartment of General Surgery, Atrium Medical Center Parkstad, Henri Dunantstraat 5, 6419 PC, Heerlen, The Netherlands. j.greve@atriummc.nl.
Maastricht University · NLImperial College London · GBAtrium Medisch Centrum Parkstad · NLKing's College Hospital NHS Foundation Trust · GB

Funding

Medical Research Council G7811974
6 · The paper itself

Abstract

objectiveBariatric procedures that exclude the proximal small intestine lead to significant weight loss which is probably mediated by changes in hormones that alter appetite, such as peptide YY (PYY), ghrelin, cholecystokinin (CCK), and leptin. Here, the effect of the non-surgical duodenal-jejunal bypass liner (DJBL) on concentrations of hormones implicated in appetite control was investigated. SUBJECTS: A two-center prospective study was conducted between January and December 2010. Seventeen obese subjects with type 2 diabetes were treated with the DJBL for 24 weeks. Fasting concentrations of leptin and meal responses of plasma PYY, CCK, and ghrelin were determined prior to and after implantation of the DJBL.

resultsAt baseline, subjects had an average body weight of 116.0 ± 5.8 kg. One week after implantation, subjects had lost 4.3 ± 0.6 kg (p < 0.01), which progressed to 12.7 ± 1.3 kg at week 24 (p < 0.01). Postprandial concentrations of PYY and ghrelin increased (baseline vs. week 1 vs. week 24 PYY: 2.6 ± 0.2 vs. 4.1 ± 0.4 vs. 4.1 ± 0.7 nmol/L/min and ghrelin: 7.8 ± 1.8 vs. 11.0 ± 1.8 vs. 10.6 ± 1.8 ng/mL/min, all p < 0.05). In parallel, the CCK response decreased (baseline vs. week 1 vs. week 24: 434 ± 51 vs. 229 ± 52 vs. 256 ± 51 pmol/L/min, p < 0.01). Fasting leptin concentrations also decreased (baseline vs. week 24: 98 ± 17 vs. 53 ± 10 ng/mL, p < 0.01).

conclusionsDJBL treatment induces weight loss paralleled by changes in concentrations of hormones involved in appetite control.

Indexed as

BariatricsCholecystokininDiabetes Mellitus, Type 2DuodenumFemaleGhrelinHumansJejunumLeptinMaleMiddle AgedObesity, MorbidPeptide YYPostprandial PeriodProspective StudiesTreatment OutcomeCholecystokininGhrelinLeptinPeptide YYBariatric surgeryGut hormonesObesitySatiety

Identifiers

PMID26446491
OpenAlexW1665862512

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.