Evidence map›Paper›PMID 28361493›Full record

ArticleObesity surgery2017

Understanding Objections to One Anastomosis (Mini) Gastric Bypass: A Survey of 417 Surgeons Not Performing this Procedure.

Kamal K Mahawar, Cynthia-Michelle Borg, Kuldeepak Singh Kular, Michael J Courtney, Karim Sillah, William R J Carr, Neil Jennings, Brijesh Madhok, Rishi Singhal, Peter K Small

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 35 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 5 pooled it
7.7field-weighted citation impact, top 2% 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

35 citing papers in PubMed, 5 syntheses or guidelines pooled it, 58 citations in OpenAlex.

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  16. Comparison of the Long-term Outcomes of RYGB and OAGB as Conversion Procedures After Failed LSG - a Case-Control Study.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022
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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

10 authors at 4 institutions in 1 country.

Kamal K MahawarBariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK. kamal_mahawar@hotmail.com.
Cynthia-Michelle BorgUniversity Hospital Lewisham, Lewisham and Greenwich NHS Trust, London, UK.
Kuldeepak Singh KularKular Hospital, Bija, Punjab, India.
Michael J CourtneyBariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.
Karim SillahBariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.
William R J CarrBariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.
Neil JenningsBariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.
Brijesh MadhokRoyal Derby Hospital, Derby, UK.
Rishi SinghalBirmingham Heartlands Hospital, Birmingham, UK.
Peter K SmallBariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.
Sunderland Royal Hospital · GBHeartlands Hospital · GBRoyal Derby Hospital · GBUniversity Hospital Lewisham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite published experience with thousands of patients, the uptake of One Anastomosis/Mini Gastric Bypass (OAGB/MGB) has been less than enthusiastic and many surgeons still harbour objections to this procedure. The purpose of this study was to understand these objections scientifically.

methodsBariatric surgeons from around the world were invited to participate in a questionnaire-based survey on SurveyMonkey®. Surgeons already performing this procedure were excluded.

resultsFour hundred seventeen bariatric surgeons (from 42 countries) not currently performing OAGB/MGB took the survey. There were 211/414 (50.97%) and 188/414 (45.41%) respondents who expressed concerns that it will lead to an increased risk of gastric and oesophageal cancers respectively. A total of 62/416 (14.9%) and 201/413 (n = 48.6%) surgeons respectively felt that OAGB/MGB was associated with a higher early (30-day) and late complication rate compared to the RYGB. Moreover, 7.8% (n = 32/411) and 16.26% (n = 67/412) of the respondents were concerned that OAGB/MGB carried a higher early (30-day) and late mortality, respectively, in comparison with the RYGB. There were 79/410 (19.27%) and 88/413 (21.3%) respondents who were concerned that OAGB/MGB was not an effective procedure for weight loss and co-morbidity resolution, respectively. A total of 258/411 (62.77%) respondents reported that OAGB/MGB was not approved by their national society as a mainstream bariatric procedure; 51.0% of these surgeons would start performing this procedure if it was.

conclusionsSurgeons not performing OAGB/MGB cite a number of concerns for not performing this operation. This survey is the first scientific attempt to understand these objections scientifically.

Indexed as

AdultAttitude of Health PersonnelComorbidityComprehensionFemaleGastric BypassHumansMaleObesity, MorbidPostoperative ComplicationsRefusal to TreatSurgeonsSurveys and QuestionnairesWeight LossBile refluxGastric cancerMalnutritionMini gastric bypassObjectionsOesophageal cancerOmega loop gastric bypassOne anastomosis gastric bypassSingle anastomosis gastric bypass

Identifiers

PMID28361493
OpenAlexW2598762006

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.