Evidence map›Paper›PMID 26975203›Full record

ArticleObesity surgery2016

Approach to Poor Weight Loss After Laparoscopic Sleeve Gastrectomy: Re-sleeve Vs. Gastric Bypass.

Salman AlSabah, Nourah Alsharqawi, Ahmed Almulla, Shehab Akrof, Khaled Alenezi, Waleed Buhaimed, Saud Al-Subaie, Mohanned Al Haddad

Abstract readComparative Study
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, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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, 4 syntheses or guidelines pooled it.

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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

8 authors.

Salman AlSabahAl-Amiri Hospital, Kuwait City, Kuwait. salman.k.alsabah@gmail.com.ORCID 0000-0002-8081-8544
Nourah AlsharqawiAl-Amiri Hospital, Kuwait City, Kuwait.
Ahmed AlmullaAl-Amiri Hospital, Kuwait City, Kuwait.
Shehab AkrofAl-Amiri Hospital, Kuwait City, Kuwait.
Khaled AleneziAl-Amiri Hospital, Kuwait City, Kuwait.
Waleed BuhaimedAl-Amiri Hospital, Kuwait City, Kuwait.
Saud Al-SubaieAl-Amiri Hospital, Kuwait City, Kuwait.
Mohanned Al HaddadAl-Amiri Hospital, Kuwait City, Kuwait.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic sleeve gastrectomy (LSG) is increasing worldwide; however, long-term follow-up results included insufficient weight loss and weight regain. This study aims at assessing the outcomes of converting LSG to laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic re-sleeve gastrectomy (LRSG).

methodsA total of 1300 patients underwent LSG from 2009 to 2012, of which 12 patients underwent LRYGB and 24 patients underwent LRSG in Al-Amiri Hospital alone. Data included length of stay, percentage excessive weight loss (EWL%), and body mass index (BMI).

resultsTwenty-four patients underwent conversion from LSG to LRSG, and 12 patients underwent conversion from LSG to LRYGB due to insufficient weight loss and weight regain. Eighty-five percent were females. The mean weight and BMI prior to LSG for the LRYGB and LRSG patients were 136.5 kg and 52, and 134 kg and 50, respectively. The EWL% after the initial LSG was 37.9 and 43 %, for LRYGB and LRSG, respectively. There were no complications recorded. Results of conversion of LSG to LRYGB involved a mean EWL% 61.3 % after 1 year (p value 0.009). Results of LRSG involved a mean EWL% of 57 % over interval of 1 year (p value 0.05). Comparison of the EWL% of LRYGB and LRSG for failed primary LSG was not significant (p value 0.097).

conclusionFollowing our algorithm, revising an LSG with an LRSG or LRYGB for poor weight loss is feasible with good outcomes. Larger and longer follow-up studies are needed to verify our results.

Indexed as

Weight LossAdultAlgorithmsBody Mass IndexFeasibility StudiesFemaleFollow-Up StudiesGastrectomyGastric BypassGastroplastyHumansLaparoscopyMaleMiddle AgedObesityReoperationConversionLaparoscopic re-sleeve gastrectomyLaparoscopic Roux-en-Y gastric bypassLaparoscopic sleeve gastrectomyMalabsorptive proceduresRedoRevisionalWeight lossWeight regain

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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.