Evidence map›Paper›PMID 27000884›Full record

ArticleObesity surgery2016

Lung Tissue Volume is Elevated in Obesity and Reduced by Bariatric Surgery.

Arnoldo Santos, Eva Rivas, Roberto Rodríguez-Roisin, Marcelo Sánchez, Jesús Ruiz-Cabello, Ebymar Arismendi, José G Venegas

Abstract read
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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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Metrics of lung tissue heterogeneity depend on BMI but not age.Journal of applied physiology (Bethesda, Md. : 1985) · 2018
    Article
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

7 authors at 4 institutions in 2 countries.

Arnoldo SantosDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Eva RivasServei d'Anestesiologia, Hospital Clínic, Barcelona, Spain.
Roberto Rodríguez-RoisinCIBER de Enfermedades Respiratorias (CIBERES), Madrid, Spain. rororo@clinic.ub.es.
Marcelo SánchezCentre de Diagnòstic per la Imatge (CDI), Hospital Clínic, Barcelona, Spain.
Jesús Ruiz-CabelloCentro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC), Madrid, Spain.
Ebymar ArismendiCIBER de Enfermedades Respiratorias (CIBERES), Madrid, Spain.
José G VenegasDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA. Jvenegas@alum.mit.edu.
Centro de Investigación Biomédica en Red de Enfermedades Respiratorias · ESHospital Clínic de Barcelona · ESMassachusetts General Hospital · USUniversidad Complutense de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBariatric surgery (BS) in severely obese subjects causes a significant reduction of body weight with lung function improvement. We have shown that abnormalities in pulmonary gas exchange in morbidly obese subjects are substantially improved with BS. These abnormalities were thought to be related to reduced lung volumes as well as to abnormal endothelial function induced by low-grade chronic inflammation linked to perivascular adipose tissue (PVAT). In this study, we used computed tomography (CT) to assess whether BS also caused measurable structural changes in the lung tissue volume (Vtiss) and cross-sectional vessel analysis, hypothesizing that these measures could be related to the previously reported lung functional changes.

methodsThis is a post hoc analysis of a previous reported prospective study. Pulmonary vessels and lung volumes, including Vtiss, were quantified in thoracic CT scans. We compared findings in 12 obese women before and after BS and in 8 healthy lean women.

resultsVtiss was significantly elevated in obese subjects before BS compared to control subjects and systematically reduced after BS (by 8 %); other CT lung volumes or vascular areas were not affected in a consistent manner. No relationship was observed between BS-induced individual changes in Vtiss and pulmonary vessel area.

conclusionsVtiss is elevated in morbidly obese subjects, compared to lean individuals of similar body height, and is systematically reduced by BS. These effects do not appear related to vascular changes but may be caused by elevated extravascular lung water, due to low-grade inflammation, and/or hypertrophic PVAT in severe obesity.

Indexed as

AdultAnatomy, Cross-SectionalBariatric SurgeryFemaleHumansInflammationLungLung Volume MeasurementsMiddle AgedObesity, MorbidProspective StudiesRespiratory Function TestsTomography, X-Ray ComputedBariatric surgeryLung tissue volumeObesityPulmonary hemodynamicsThoracic computed tomography

Identifiers

PMID27000884
OpenAlexW2310190396

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.