Evidence map›Paper›PMID 28265415›Full record

ArticleBMC obesity2017

Metabolic improvements following Roux-en-Y surgery assessed by solid meal test in subjects with short duration type 2 diabetes.

Sudha S Shankar, Lori A Mixson, Manu Chakravarthy, Robin Chisholm, Anthony J Acton, RoseMarie Jones, Samer G Mattar, Deborah L Miller, Lea Petry, Chan R Beals and 3 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in BMC obesity, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00957957 (Gut Hormone Profiling in Peripheral Blood After Bariatric Surgery in Obese Patients With Type 2 Diabetes), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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.

NCT00957957 completednot on this map

Gut Hormone Profiling in Peripheral Blood After Bariatric Surgery in Obese Patients With Type 2 Diabetes

TypeobservationalSponsorMerck Sharp & Dohme LLCRan2010 to 2014Enrolled22ConditionsObesity, Morbid, Diabetes Mellitus Type 2
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Methodological issues in assessing change in dietary intake and appetite following gastric bypass surgery: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021
    Pooled it
  2. 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

13 authors at 4 institutions in 1 country.

Sudha S ShankarExperimental Medicine, Merck and Company, Rahway, NJ USA.
Lori A MixsonExperimental Medicine, Merck and Company, Rahway, NJ USA.
Manu ChakravarthyExperimental Medicine, Merck and Company, Rahway, NJ USA.
Robin ChisholmDivision of Endocrinology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN USA.
Anthony J ActonDivision of Endocrinology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN USA.
RoseMarie JonesCommunity Bariatric Services, Indianapolis, IN USA.
Samer G MattarDepartment of Surgery, Oregon Health & Science University, Portland, OR USA.
Deborah L MillerExperimental Medicine, Merck and Company, Rahway, NJ USA.
Lea PetryExperimental Medicine, Merck and Company, Rahway, NJ USA.
Chan R BealsExperimental Medicine, Merck and Company, Rahway, NJ USA.
S Aubrey StochExperimental Medicine, Merck and Company, Rahway, NJ USA.
David E KelleyExperimental Medicine, Merck and Company, Rahway, NJ USA.
Robert V ConsidineDivision of Endocrinology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN USA.
Merck & Co., Inc., Rahway, NJ, USA (United States) · USIndiana University – Purdue University Indianapolis · USIndiana University School of MedicineOregon Health & Science University · US

Funding

Translation CoreP30DK097512 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI Carmella Evans-Molina · 2015 to 2026
$17.4M
NIDDK NIH HHS P30 DK097512
6 · The paper itself

Abstract

backgroundGlucose homeostasis improves within days following Roux-en-Y gastric bypass (RYGB) surgery. The dynamic metabolic response to caloric intake following RYGB has been assessed using liquid mixed meal tolerance tests (MMTT). Few studies have evaluated the glycemic and hormonal response to a solid mixed meal in subjects with diabetes prior to, and within the first month following RYGB.

methodsSeventeen women with type 2 diabetes of less than 5 years duration participated. Fasting measures of glucose homeostasis, lipids and gut hormones were obtained pre- and post-surgery. MMTT utilizing a solid 4 oz chocolate pudding performed pre-, 2 and 4 weeks post-surgery. Metabolic response to 4 and 2 oz MMTT assessed in five diabetic subjects not undergoing surgery.

resultsSignificant reductions in fasting glucose and insulin at 3 days, and in fasting betatrophin, triglycerides and total cholesterol at 2 weeks post-surgery. Hepatic insulin clearance was greater at 3 days post-surgery. Subjects exhibited less hunger and greater feelings of fullness and satisfaction during the MMTT while consuming 52.9 ± 6.5% and 51.0 ± 6.5% of the meal at 2 and 4 weeks post-surgery respectively. At 2 weeks post-surgery, glucose and insulin response to MMTT were improved, with greater GLP-1 and PYY secretion. Improved response to solid MMTT not replicated by consumption of smaller pudding volume in diabetic non-surgical subjects.

conclusionsWith a test meal of size and composition representative of the routine diet of post-RYGB subjects, improved glycemic and gut hormone responses occur which cannot be replicated by reducing the size of the MMTT in diabetic subjects not undergoing surgery.

trial registrationClinical Trials.gov Identifier: NCT00957957 August 11, 2009.

Indexed as

C-peptideGLP-1GlucoseGut hormonesInsulinMeal testRoux-en-Y

Identifiers

PMID28265415
PMCPMC5331732
OpenAlexW2590863221

What OpenQuestion holds

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Registered trials

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.