Evidence map›Paper›PMID 26781694›Full record

ArticleObesity surgery2016

Laparoscopic Conversion of Gastric Bypass Complication to Sleeve Gastrectomy: Technique and Early Results.

Chung-Yen Chen, Wei-Jei Lee, Hui-Ming Lee, Jung-Chien Chen, Kong-Han Ser, Yi-Chih Lee, Shu-Chun Chen

Abstract 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 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Review
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  6. Review
  7. Article
  8. Article
  9. Revisional surgery after one anastomosis/mini gastric bypass: A narrative review.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2020
    Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. One-anastomosis gastric bypass as an alternative procedure of choice in morbidly obese patients.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2018
    Review
  15. Recent advancements in bariatric/metabolic surgery.Annals of gastroenterological surgery · 2017
    Review
  16. Article
  17. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Chung-Yen ChenDepartment of Surgery, Min-Sheng General Hospital, Tauoyan, Taiwan.
Wei-Jei LeeDepartment of Surgery, Min-Sheng General Hospital, Tauoyan, Taiwan. wjlee_obessurg_tw@yahoo.com.tw.
Hui-Ming LeeDepartment of Surgery, Min-Sheng General Hospital, Tauoyan, Taiwan.
Jung-Chien ChenDepartment of Surgery, Min-Sheng General Hospital, Tauoyan, Taiwan.
Kong-Han SerDepartment of Surgery, Min-Sheng General Hospital, Tauoyan, Taiwan.
Yi-Chih LeeDepartment of International Business, Chien Hsin University of Science and Technology, Tauoyan, Taiwan.
Shu-Chun ChenDepartment of Surgery, Min-Sheng General Hospital, Tauoyan, Taiwan.
Min Sheng General Hospital · TWChien Hsin University of Science and Technology · TWE-Da Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic gastric bypass is a commonly performed bariatric surgery for the treatment of morbid obesity. Revision surgery for patients who have gastric bypass complications is a challenge for bariatric surgeon. Our aim is to present the early results of the conversions of gastric bypass complications to sleeve gastrectomies.

methodsFrom January 2001 to April 2015, 49 of 2382 gastric bypasses underwent revisional surgery to convert gastric bypasses to sleeve gastrectomies. The demographic data, surgical parameters, and outcomes were studied.

resultsThe mean age of the study group was 35.0 years (range 20 to 55), and the average body mass index (BMI) prior to the reoperation was 25.3 kg/m(2). Seven patients had previous laparoscopic Roux-en-Y gastric bypasses (LRYGBs), and 42 had laparoscopic single anastomosis (mini-) gastric bypasses (LSAGBs). The main reasons for the revisions were malnutrition (58 %), weight regain (10 %), intolerance (18 %), and others (14 %). The revisional surgeries had longer operative times, greater blood loss, and longer flatus passage times than the primary gastric bypass surgeries. Four patients (8.1 %) developed major complications during revisional surgery, including three (6.1 %) cases of leakage and one (2.0 %) case of internal bleeding. No mortality was noted. After conversion to sleeve gastrectomy, the body weights of the patients remained stable, and all patients improved in terms of malnutrition, including anemia, hypoalbuminemia, and secondary hyperparathyroidism.

conclusionsConversion to sleeve gastrectomy is an effective and safe option for patients with gastric bypass complications. The conversions to sleeve gastrectomy resulted in significant improvements in malnutrition and maintained weight loss at the early follow-ups.

Indexed as

GastrectomyReoperationWeight LossAdultFemaleGastric BypassHumansLaparoscopyMaleMiddle AgedObesity, MorbidRetrospective StudiesTreatment FailureTreatment OutcomeYoung AdultGastric bypassMorbid obesityRevisionSleeve gastrectomy

Identifiers

PMID26781694
OpenAlexW2286768339

What OpenQuestion holds

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Registered trials

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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.