Evidence map›Paper›PMID 27785188›Full record

ArticleGastroenterology research2012

Effect of Acute Surgical Stress on Serum Ghrelin Levels.

Nikolaos Kontoravdis, George Vassilikostas, Emmanuel Lagoudianakis, Apostolos Pappas, Charalampos Seretis, Nikolaos Panagiotopoulos, Nikolaos Koronakis, John Chrysikos, George Karanikas, Ioannis Manouras and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Gastroenterology research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.1field-weighted citation impact, top 57% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Effect of Ghrelin Hormone as a Diagnostic Factor on Appendicitis.Gastroenterology research and practice · 2020
    Article
  2. Review
  3. In search of acute surgical stress biomarkers: Is ghrelin a potential candidate?Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2013
    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

12 authors at 1 institution in 1 country.

Nikolaos KontoravdisSecond Department of Surgery, Aretaieion University Hospital, University of Athens, Greece.
George VassilikostasSecond Department of Surgery, Aretaieion University Hospital, University of Athens, Greece.
Emmanuel LagoudianakisSecond Department of Surgery, 401 Army General Hospital, Athens, Greece.
Apostolos Pappas1st Department of Propaedeutic Surgery, Hippokrateion Hospital, Athens Medical School, University of Athens, Q. Sofias 114 avenue, 11527 Athens, Greece.
Charalampos SeretisSecond Department of Surgery, 401 Army General Hospital, Athens, Greece.
Nikolaos PanagiotopoulosSecond Department of Surgery, 401 Army General Hospital, Athens, Greece.
Nikolaos KoronakisSecond Department of Surgery, 417 NIMTS (Military Veterans' Fund Hospital), Athens, Greece.
John ChrysikosSecond Department of Surgery, 417 NIMTS (Military Veterans' Fund Hospital), Athens, Greece.
George KaranikasSecond Department of Surgery, 417 NIMTS (Military Veterans' Fund Hospital), Athens, Greece.
Ioannis Manouras1st Department of Propaedeutic Surgery, Hippokrateion Hospital, Athens Medical School, University of Athens, Q. Sofias 114 avenue, 11527 Athens, Greece.
Ioanis LegakisDepartment of Endocrinology, Henry Dunant Hospital, Athens, Greece.
Dionysios VorosSecond Department of Surgery, Aretaieion University Hospital, University of Athens, Greece.
Aretaeio Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGhrelin is an appetite hormone that influences the gastrointestinal function and regulates energy metabolism. Growing evidence also suggests that this hormone plays a central role in immune modulation. Each surgical operation is followed by a series of inflammatory and metabolic changes that constitute the stress response. The aim of our study is to evaluate the effect of stress during different types of abdominal surgery in ghrelin serum levels.

methodsAn overall of 25 patients were prospectively allocated in two groups based on the type of surgical operation. Group A (n = 10) patients were scheduled to undergo cholecystectomy, whereas Group B (n = 15) patients underwent colectomy. Serum ghrelin concentrations were evaluated in each patient preoperatively, after the induction of general anesthesia and tracheal intubation, one and five hours after the beginning of surgery and the morning of the first and second postoperative day.

resultsIn both groups serum ghrelin concentrations reached their peak level at 24 hr (Group A: 8.4 ± 3.4 ng/mL; Group B: 7.4 ± 1.8 ng/mL) and these values were significantly higher than those in the preoperative period (Group A: 5.0 ±1.5 ng/mL; Group B: 4.8 ± 0.6 ng/mL) (P < 0.05). Forty eight hours after surgery the levels of ghrelin returned to their preoperative status. Patients' gender, age, ASA score and type of surgical procedure did not influence the serum ghrelin levels.

conclusionsSerum ghrelin concentration appears to elevate in response to surgical stress. Future studies are needed to improve comprehension of the mechanisms underlying responses of this hormone to acute surgical stress and to evaluate their possible clinical implications.

Indexed as

Abdominal surgeryCholecystectomyColectomyGhrelinStress

Identifiers

PMID27785188
PMCPMC5051122
OpenAlexW2071154682

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.