Evidence map›Paper›PMID 27822766›Full record

ArticleObesity surgery2017

Changes in Outcomes, Satiety and Adverse Upper Gastrointestinal Symptoms Following Laparoscopic Adjustable Gastric Banding.

Paul R Burton, Geraldine J Ooi, Cheryl Laurie, Margaret Anderson, Katrina Parker, Eldho Paul, Geoff Hebbard, Paul E O'Brien, Wendy A Brown

Abstract read
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Surgery-related gastrointestinal symptoms in a prospective study of bariatric surgery patients: 3-year follow-up.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2017
    Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. The Band Must Not Be Abandoned.Obesity surgery · 2017
    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

9 authors.

Paul R BurtonCentre for Obesity Research and Education (CORE), Monash University, Level 6, 99 Commercial Road, Prahran, Melbourne, VIC, 3181, Australia. paul.burton@monash.edu.
Geraldine J OoiCentre for Obesity Research and Education (CORE), Monash University, Level 6, 99 Commercial Road, Prahran, Melbourne, VIC, 3181, Australia.
Cheryl LaurieCentre for Obesity Research and Education (CORE), Monash University, Level 6, 99 Commercial Road, Prahran, Melbourne, VIC, 3181, Australia.
Margaret AndersonCentre for Obesity Research and Education (CORE), Monash University, Level 6, 99 Commercial Road, Prahran, Melbourne, VIC, 3181, Australia.
Katrina ParkerCentre for Obesity Research and Education (CORE), Monash University, Level 6, 99 Commercial Road, Prahran, Melbourne, VIC, 3181, Australia.
Eldho PaulDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.
Geoff HebbardDepartment of Gastroenterology and University of Melbourne, The Royal Melbourne Hospital, Parkville, Australia.
Paul E O'BrienCentre for Obesity Research and Education (CORE), Monash University, Level 6, 99 Commercial Road, Prahran, Melbourne, VIC, 3181, Australia.
Wendy A BrownCentre for Obesity Research and Education (CORE), Monash University, Level 6, 99 Commercial Road, Prahran, Melbourne, VIC, 3181, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient-reported outcomes and perceptions are critical to the overall efficacy and acceptability of a surgical procedure. Outcomes, such as patient satisfaction and perceived success of the surgery and adverse symptoms, have not been described in detail following bariatric surgery. The associations and predictors of patient satisfaction have not been defined. This study aimed to examine long-term outcomes and perceptions after laparoscopic adjustable gastric banding (LAGB).

methodsWe conducted a prospective study of outcomes, satiety and adverse upper gastrointestinal symptoms, as well as quality of life and subjective patient satisfaction in LAGB patients. Data were collected at 3 years (T1) and 8 years post-operatively (T2).

resultsOne-hundred and sixty patients completed follow-up at T1 and T2. The average age was 44.0 ± 11.2 years. At T2, the total body weight loss was 17.8 ± 11.9 %. Satisfaction decreased significantly between time points (8.6 ± 1.8 vs 7.2 ± 2.9, p < 0.01), and quality of life reduced slightly across all domains. Hunger scores remained low (3.8 ± 1.8 vs 3.9 ± 1.8, p = 0.61). The dysphagia score did not change significantly (p = 0.54). There was minimal change in frequency of regurgitation, although there was significant increase in patient assessment of how bothered they were by regurgitation. Multivariate analysis identified increased awareness of regurgitation as a principal driver of reduced satisfaction.

conclusionsWeight loss, satiety and adverse symptoms demonstrated only slight changes between 3 and 8 years post-operatively. Despite this, overall satisfaction and perception of success of the procedure reduced markedly. This appeared mediated by reduced tolerance of adverse symptoms. These data inform follow-up practises aimed at optimizing outcomes.

Indexed as

SatiationAdultDeglutition DisordersFemaleGastrointestinal DiseasesGastroplastyHumansLaparoscopyMaleMiddle AgedObesity, MorbidPatient SatisfactionPostoperative PeriodProspective StudiesQuality of LifeTreatment OutcomeAdjustable gastric bandBariatric surgeryDysphagiaOutcomesQuality of lifeRegurgitationSatiety

Identifiers

PMID27822766

What OpenQuestion holds

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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.