Evidence map›Paper›PMID 28470491›Full record

ArticleObesity surgery2017

The Role of Gastrojejunostomy Size on Gastric Bypass Weight Loss.

Almino Cardoso Ramos, João Caetano Marchesini, Eduardo Lemos de Souza Bastos, Manoela Galvão Ramos, Maíra Danielle Gomes de Souza, Josemberg Marins Campos, Alvaro Bandeira Ferraz

Abstract read
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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 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 11% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  7. Review
  8. Key techniques of laparoscopic RouxZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Review
  9. RESULTS OF MECHANIC VERSUS MOTORIZED STAPLER USED IN GASTRIC SURGERY: PROSPECTIVE STUDY.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2024
    Article
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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

7 authors at 2 institutions in 1 country.

Almino Cardoso RamosPostgraduate Surgery Program, Federal University of Pernambuco, Recife, Brazil. ramos.almino@gmail.com.ORCID 0000-0001-6805-1750
João Caetano MarchesiniMarchesini Institute, Curitiba, Brazil.
Eduardo Lemos de Souza BastosGastro-Obeso-Center-Advanced Institute for Digestive and Bariatric Surgery, Sao Paulo, Brazil.
Manoela Galvão RamosGastro-Obeso-Center-Advanced Institute for Digestive and Bariatric Surgery, Sao Paulo, Brazil.
Maíra Danielle Gomes de SouzaPostgraduate Surgery Program, Federal University of Pernambuco, Recife, Brazil.
Josemberg Marins CamposPostgraduate Surgery Program, Federal University of Pernambuco, Recife, Brazil.
Alvaro Bandeira FerrazPostgraduate Surgery Program, Federal University of Pernambuco, Recife, Brazil.
Universidade Federal de Pernambuco · BRGastro Obeso Center · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe laparoscopic Roux-en-Y gastric bypass (LRYGB) has been considered a reference procedure in the bariatric surgery. The linear-stapled gastrojejunostomy (GJ) has proved to be safe and effective, but its optimal size referred to postoperative weight loss remains poorly understood.

objectivesEvaluate the role of the linear-stapled GJ size in the mid-term post-LRYGB weight loss and occurrence of complications. MATERIALS AND

methodsFrom January to April 2014, 128 patients underwent LRYGB with linear-stapled GJ in a 2-year follow-up. The LRYGB were carried out with the same technical steps, except for the length of the GJ. In GJ-15-mm group (n = 64), the GJ was constructed with white 45-mm cartridge in an extension of only 15 mm whereas in GJ-45-mm group (n = 64), the GJ was achieved using full extension of the cartridge. The body mass index (BMI) reduction was recorded for 24 months after procedure.

resultsThe mean ages were 38 ± 10.6 and 41.3 ± 12.3 years, and there were 45 (70.3%) and 51 (79.7%) females in the GJ-15-mm and GJ-45-mm groups, respectively. The analysis on raw BMI data showed that both groups had significant reduction of BMI over time (p ≤ 0.05); however, reduction was greater in the GJ-15-mm group from 18 months onwards (p ≤ 0.05). The only complication observed was a case (1.56%) of stenosis in the group GJ-15 mm.

conclusionThe global analysis of BMI reduction indicated that the narrower GJ used (GJ-15-mm group) represented a favoring factor decreasing significantly more the BMI when compared to the wider one (GJ-45-mm group).

Indexed as

Weight LossAdultBody Mass IndexFemaleFollow-Up StudiesGastric BypassHumansJejunoileal BypassJejunostomyLaparoscopyMaleMiddle AgedObesity, MorbidPostoperative ComplicationsSurgical StomasTreatment OutcomeBariatric surgeryGastric bypassGastroenterostomyMorbid obesityWeight loss

Identifiers

PMID28470491
OpenAlexW2610546963

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.