Evidence map›Paper›PMID 28502028›Full record

ArticleObesity surgery2017

Hypoglycemia Following Bariatric Surgery: Our 31-Year Experience.

Alex D Michaels, J Hunter Mehaffey, W Brenton French, Bruce D Schirmer, Jennifer L Kirby, Peter T Hallowell

Open access · greenAbstract read
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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Observational
  12. Article
  13. Hypoglycemia After Gastric Bypass Surgery: Current Concepts and Controversies.The Journal of clinical endocrinology and metabolism · 2018
    Review
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 1 institution in 1 country.

Alex D MichaelsUVA Department of Surgery, University of Virginia Health System, PO Box 800709, Charlottesville, VA, 22908-0709, USA.
J Hunter MehaffeyUVA Department of Surgery, University of Virginia Health System, PO Box 800709, Charlottesville, VA, 22908-0709, USA.
W Brenton FrenchUVA Department of Surgery, University of Virginia Health System, PO Box 800709, Charlottesville, VA, 22908-0709, USA.
Bruce D SchirmerUVA Department of Surgery, University of Virginia Health System, PO Box 800709, Charlottesville, VA, 22908-0709, USA.
Jennifer L KirbyUVA Division of Endocrinology and Metabolism, Department of Medicine, University of Virginia Health System, PO Box 801406, Charlottesville, VA, 22908-1306, USA.
Peter T HallowellUVA Department of Surgery, University of Virginia Health System, PO Box 800709, Charlottesville, VA, 22908-0709, USA. PTH2F@virginia.edu.
University of Virginia Health System · US

Funding

INTERDISCIPLINARY TRAINING PROGRAM IN IMMUNOLOGYT32AI007496 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Michael G. Brown, Coleen A McNamara · 1995 to 2026
$10.2M
Cardiovascular Surgery Training ProgramT32HL007849 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI KRON, IRVING L., LAUBACH, VICTOR E · 1998 to 2025
$7.0M
Pathogenesis/Immunology Of Animal And Human RetrovirusesZ01AI000074 · NIAID · NIAID EXTRAMURAL ACTIVITIES · PI CHESEBRO, BRUCE · 1985 to 2008
$445k
Intramural NIH HHS Z01 AI000074National Institute of Allergy and Infectious Diseases T32AI0074NHLBI NIH HHS T32 HL007849NHLBI NIH HHS T32HL07849NIAID NIH HHS T32 AI007496
6 · The paper itself

Abstract

purposeThe purposes of this study are to identify the cumulative incidence of post-bariatric surgery hypoglycemia (PBSH), describe its symptomatology, and characterize treatment patterns at a large academic institution. MATERIALS AND

methodsAll patients who underwent bariatric surgery at a single institution from 1985 to 2015 were identified using a clinical database, administrative billing data identified patients who were treated for hypoglycemia, and chart reviews were performed to make a diagnosis of PBSH based on Whipple's triad. PBSH cases were reviewed including patient diabetes history, symptomatology, and treatment measures. Univariate analyses were performed to identify correlations based on symptomatology, laboratory values, and treatments utilized.

resultsNinety (2.6%) of 3487 patients were diagnosed with PBSH with preoperative median age of 43 years, mean BMI of 50.0 kg/m

conclusionsPBSH onset and severity are highly variable. Successful management of these patients can prove difficult and should include dietary therapy, the selective use of pharmacotherapy and surgery, and the use of a multidisciplinary team including bariatric surgeons and endocrinologists.

Indexed as

AdultBariatric SurgeryFemaleGlycated HemoglobinHumansHypoglycemiaIncidenceMaleMiddle AgedObesity, MorbidRetrospective StudiesGlycated HemoglobinHyperinsulinemic hypoglycemiaPBGHPBSHPost-bariatric surgery hypoglycemiaPost-gastric bypass hypoglycemia

Identifiers

PMID28502028
PMCPMC5683940
OpenAlexW2612270906

What OpenQuestion holds

Textmetadata
LicenceTDM
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.