Evidence map›Paper›PMID 27981458›Full record

SynthesisObesity surgery2017

Bariatric Surgery or Non-surgical Weight Loss for Idiopathic Intracranial Hypertension? A Systematic Review and Comparison of Meta-analyses.

James H Manfield, Kenny K-H Yu, Evangelos Efthimiou, Ara Darzi, Thanos Athanasiou, Hutan Ashrafian

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Obesity surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 5 pooled it
7.0field-weighted citation impact, top 3% 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

28 citing papers in PubMed, 5 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Therapeutic role of GLP-1 receptor agonists in idiopathic intracranial hypertension: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
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  5. Guideline
  6. Observational
  7. Article
  8. Review
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  13. New Options (or not) for Treatment of Idiopathic Intracranial Hypertension.Current neurology and neuroscience reports · 2022
    Review
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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

6 authors at 3 institutions in 1 country.

James H ManfieldDepartment of Neurosurgery, Royal Preston Hospital, Preston, Lancashire, UK.
Kenny K-H YuDepartment of Neurosurgery, Royal Preston Hospital, Preston, Lancashire, UK.
Evangelos EfthimiouDepartment of Bariatric Surgery, Chelsea and Westminster Hospital, London, UK.
Ara DarziDepartment of Surgery and Cancer, Imperial College London, 3rd Floor Chelsea and Westminster Hospital Campus, 369 Fulham Road, London, SW10 9NH, UK.
Thanos AthanasiouDepartment of Surgery and Cancer, Imperial College London, 3rd Floor Chelsea and Westminster Hospital Campus, 369 Fulham Road, London, SW10 9NH, UK.
Hutan AshrafianDepartment of Bariatric Surgery, Chelsea and Westminster Hospital, London, UK. h.ashrafian@imperial.ac.uk.
Chelsea and Westminster Hospital · GBRoyal Preston Hospital · GBImperial College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdiopathic intracranial hypertension (IIH) is associated with obesity and weight loss by any means is considered beneficial in this condition.

objectivesThis study aims to appraise bariatric surgery vs. non-surgical weight-loss (medical, behavioural and lifestyle) interventions in IIH management.

methodsA systematic review and meta-analyses of surgical and non-surgical studies.

resultsBariatric surgery achieved 100% papilloedema resolution and a reduction in headache symptoms in 90.2%. Non-surgical methods offered improvement in papilloedema in 66.7%, visual field defects in 75.4% and headache symptoms in 23.2%. Surgical BMI decrease was 17.5 vs. 4.2 for non-surgical methods.

conclusionsWhilst both bariatric surgery and non-surgical weight loss offer significant beneficial effects on IIH symptomatology, future studies should address the lack of prospective and randomised trials to establish the optimal role for these interventions.

Indexed as

Life StyleObesity, MorbidPseudotumor CerebriBariatric SurgeryHumansWeight LossBariatric surgeryBenign intracranial hypertensionIdiopathic intracranial hypertensionMetabolic surgeryObesityPseudotumor cerebriWeight loss

Identifiers

PMID27981458
PMCPMC5237659
OpenAlexW2564969070

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.