Evidence map›Paper›PMID 28547566›Full record

Trial reportObesity surgery2017

Incidence and Predictors of Hypoglycemia 1 Year After Laparoscopic Sleeve Gastrectomy.

Anna Belligoli, Marta Sanna, Roberto Serra, Roberto Fabris, Chiara Dal Pra', Scilla Conci, Paola Fioretto, Luca Prevedello, Mirto Foletto, Roberto Vettor and 1 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Obesity surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
3.5field-weighted citation impact, top 8% 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

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Insulinoma after sleeve gastrectomy: A case report.World journal of clinical cases · 2022
    Article
  16. Observational
  17. Postbariatric hypoglycemia: symptom patterns and associated risk factors in the Longitudinal Assessment of Bariatric Surgery study.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2021
    Article
  18. Article
  19. Review
  20. Diet approach before and after bariatric surgery.Reviews in endocrine & metabolic disorders · 2020
    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

11 authors at 1 institution in 1 country.

Anna BelligoliCenter for the Study and the Integrated Management of Obesity, University Hospital of Padova, Padova, Italy. anna.belligoli@libero.it.ORCID http://orcid.org/0000-0002-7343-3021
Marta SannaCenter for the Study and the Integrated Management of Obesity, University Hospital of Padova, Padova, Italy.
Roberto SerraCenter for the Study and the Integrated Management of Obesity, University Hospital of Padova, Padova, Italy.
Roberto FabrisCenter for the Study and the Integrated Management of Obesity, University Hospital of Padova, Padova, Italy.
Chiara Dal Pra'Center for the Study and the Integrated Management of Obesity, University Hospital of Padova, Padova, Italy.
Scilla ConciCenter for the Study and the Integrated Management of Obesity, University Hospital of Padova, Padova, Italy.
Paola FiorettoCenter for the Study and the Integrated Management of Obesity, University Hospital of Padova, Padova, Italy.
Luca PrevedelloCenter for the Study and the Integrated Management of Obesity, University Hospital of Padova, Padova, Italy.
Mirto FolettoCenter for the Study and the Integrated Management of Obesity, University Hospital of Padova, Padova, Italy.
Roberto VettorCenter for the Study and the Integrated Management of Obesity, University Hospital of Padova, Padova, Italy.
Luca BusettoCenter for the Study and the Integrated Management of Obesity, University Hospital of Padova, Padova, Italy.
University of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHypoglycemia is a known adverse event following gastric bypass. The incidence of hypoglycemia after laparoscopic sleeve gastrectomy (LSG) is still under investigation. The aim of our study was to verify the presence of oral glucose tolerance test (OGTT)-related hypoglycemia after LSG and to identify any baseline predictors of its occurrence.

methodsWe analyzed 197 consecutive non-diabetic morbid obese patients that underwent LSG. All patients were studied before and 12 months after LSG. Evaluation included anthropometric parameters, 3-h OGTT for blood glucose (BG), insulin and c-peptide, lipid profile, interleukin-6 (IL-6), tumor necrosis factor alpha (TNF-α), highly sensitive C-reactive protein (hsCRP), and leptin. Hypoglycemia was defined as BG ≤ 2.7 mmol/l.

resultsAfter surgery, 180 patients completed the OGTT. Eleven patients did not complete the test for gastric intolerance, and in six patients, the test was stopped earlier for the onset of severe symptomatic hypoglycemia. Of the patients, 61/186 (32.8%) had at least one OGTT-related hypoglycemia. The highest frequency of hypoglycemic events occurred 150' after glucose load (20.2%). At baseline, patients with hypoglycemic events after surgery (Hypo) were younger (40 ± 11 vs 46 ± 10 years; p < 0.001), less obese (BMI 46 ± 5.7 vs 48.4 ± 7.9 kg/m

conclusionThese findings confirm the high incidence of post-prandial hypoglycemia 1 year after LSG. Hypoglycemia is more frequent in younger patients with lower fasting glucose and higher triglyceride levels before surgery.

Indexed as

AdultBlood GlucoseFastingFemaleFollow-Up StudiesGastrectomyGlucose Tolerance TestHumansHypoglycemiaIncidenceInsulinLaparoscopyMaleMiddle AgedObesity, MorbidPrognosisBlood GlucoseInsulinBariatric surgeryHypoglycemiaLaparoscopic sleeve gastrectomy

Identifiers

PMID28547566
OpenAlexW2617248654

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.