Evidence map›Paper›PMID 26450709›Full record

ArticleObesity surgery2016

Weight Regain After Gastric Bypass: Influence of Gut Hormones.

Marco Aurelio Santo, Daniel Riccioppo, Denis Pajecki, Flavio Kawamoto, Roberto de Cleva, Leila Antonangelo, Lia Marçal, Ivan Cecconello

Registry-linked trialOpen access · greenAbstract 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. It is linked to trial NCT04118582 (Resting Metabolic Rate), which is not on this map. Cited by 73 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 6 pooled it
10.3field-weighted citation impact, top 1% 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.

NCT04118582 completednot on this map

Resting Metabolic Rate: is a Predictor Weight Regain?

Typeobservational_patient_registrySponsorUniversity of Sao Paulo General HospitalRan2015 to 2018Enrolled48ConditionsSevere ObesityArmsBody composition and resting metabolic rate analisys
3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 6 syntheses or guidelines pooled it, 137 citations in OpenAlex.

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13 more citing papers are in PubMed but not listed here.

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

8 authors at 2 institutions in 1 country.

Marco Aurelio SantoDepartment of Digestive Surgery, University of São Paulo School of Medicine, Av. Arnolfo Azevedo 208, São Paulo, SP, 05673-010, Brazil. santomarco@uol.com.br.
Daniel RiccioppoDepartment of Digestive Surgery, University of São Paulo School of Medicine, Av. Arnolfo Azevedo 208, São Paulo, SP, 05673-010, Brazil.
Denis PajeckiDepartment of Digestive Surgery, University of São Paulo School of Medicine, Av. Arnolfo Azevedo 208, São Paulo, SP, 05673-010, Brazil.
Flavio KawamotoDepartment of Digestive Surgery, University of São Paulo School of Medicine, Av. Arnolfo Azevedo 208, São Paulo, SP, 05673-010, Brazil.
Roberto de ClevaDepartment of Digestive Surgery, University of São Paulo School of Medicine, Av. Arnolfo Azevedo 208, São Paulo, SP, 05673-010, Brazil.
Leila AntonangeloDepartment of Digestive Surgery, University of São Paulo School of Medicine, Av. Arnolfo Azevedo 208, São Paulo, SP, 05673-010, Brazil.
Lia MarçalDepartment of Digestive Surgery, University of São Paulo School of Medicine, Av. Arnolfo Azevedo 208, São Paulo, SP, 05673-010, Brazil.
Ivan CecconelloDepartment of Digestive Surgery, University of São Paulo School of Medicine, Av. Arnolfo Azevedo 208, São Paulo, SP, 05673-010, Brazil.
Universidade de São Paulo · BRHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Roux-en-Y gastric bypass (RYGB) is the gold standard bariatric operation. However, a major concern in late follow-up is the substantial weight regain. Understanding the role of gastrointestinal hormone secretion in this situation is relevant.

methodsThe aim of the present study was to evaluate the influence of gastrointestinal hormones comparing postprandial secretion of ghrelin, glucose-dependent insulinotropic polypeptide (GIP), glucagon-like peptide 1 (GLP-1), and leptin between patients with weight regain and those with favorable weight control. Twenty-four patients with follow-up from 27 to 59 months were divided into two groups according to sustained weight loss: group A (14 patients) had sustained weight losses, and group B (10 patients) had significant weight regain. Basal serum levels of ghrelin, GIP, GLP-1, and leptin after fasting and 30, 60, 90, and 120 min after a standard meal were measured.

resultsThere was no difference in the ghrelin secretion. There was a difference in the GIP secretion, with a higher percentage increase in 30 min in group A (330% × 192.2%; p = 0.01). There were also differences in the GLP-1 secretion, with higher increases in absolute (p = 0.03) and percentage values after 30 min in group A (124% × 46.5%; p = 0.01). There was also a difference between baseline leptin values, with higher levels in group B (p = 0.02).

conclusionsThe secretion of gut hormones in patients with weight regain after RYGB is different from that in patients with satisfactory weight outcome. After meal stimulation, reduced levels of GIP and GLP-1 may indicate the influence of gut hormones in the process of weight regain.

Indexed as

Gastric BypassAdultBendamustine HydrochlorideGastric Inhibitory PolypeptideGhrelinGlucagon-Like Peptide 1HumansLeptinMiddle AgedObesity, MorbidPostprandial PeriodWeight GainBendamustine HydrochlorideGastric Inhibitory PolypeptideGhrelinGlucagon-Like Peptide 1LeptinBariatric surgeryGLP-1IncretinsMorbid obesityWeight regain after bariatric surgeryWeight regain postgastric bypass

Identifiers

PMID26450709
OpenAlexW2176052679

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.