Evidence map›Paper›PMID 28569357›Full record

ArticleObesity surgery2017

Complications Following the Mini/One Anastomosis Gastric Bypass (MGB/OAGB): a Multi-institutional Survey on 2678 Patients with a Mid-term (5 Years) Follow-up.

Mario Musella, Antonio Susa, Emilio Manno, Maurizio De Luca, Francesco Greco, Marco Raffaelli, Stefano Cristiano, Marco Milone, Paolo Bianco, Antonio Vilardi and 7 more

Abstract readMulticenter Study
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 98 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 11 pooled it
20.3field-weighted citation impact, top 1% 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

98 citing papers in PubMed, 11 syntheses or guidelines pooled it, 224 citations in OpenAlex.

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38 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 8 institutions in 2 countries.

Mario MusellaAdvanced Biomedical Sciences Department, "Federico II" University, AOU "Federico II" - Via S. Pansini 5 Building, 12 80131, Naples, Italy. mario.musella@unina.it.ORCID 0000-0002-7669-5115
Antonio SusaClinica "S. Maria Maddalena", Rovigo, Italy.
Emilio MannoAORN "A. Cardarelli", Naples, Italy.
Maurizio De Luca"S. Bortolo" General Hospital, Vicenza, Italy.
Francesco GrecoClinica "Castelli", Bergamo, Italy.
Marco RaffaelliDepartment of Surgery, Catholic Sacred Heart University, Rome, Italy.
Stefano CristianoClinica "S. Maria della Pietà", Casoria, Italy.
Marco MiloneAdvanced Biomedical Sciences Department, "Federico II" University, AOU "Federico II" - Via S. Pansini 5 Building, 12 80131, Naples, Italy.
Paolo BiancoAdvanced Biomedical Sciences Department, "Federico II" University, AOU "Federico II" - Via S. Pansini 5 Building, 12 80131, Naples, Italy.
Antonio VilardiClinica "S. Maria Maddalena", Rovigo, Italy.
Ivana DamianoAORN "A. Cardarelli", Naples, Italy.
Gianni Segato"S. Bortolo" General Hospital, Vicenza, Italy.
Laura PedrettiClinica "Castelli", Bergamo, Italy.
Piero GiustacchiniDepartment of Surgery, Catholic Sacred Heart University, Rome, Italy.
Domenico FicoClinica "S. Maria della Pietà", Casoria, Italy.
Gastone VerouxAORN "G. Garibaldi", Catania, Italy.
Luigi PiazzaAORN "G. Garibaldi", Catania, Italy.
Federico II University Hospital · ITHumanitas Castelli · ITOspedale Antonio Cardarelli · ITOspedale Garibaldi · ITOspedale San Bortolo · ITOspedale Santa Maria · ITOspedale Santa Maria della Misericordia di Rovigo · ITUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, several articles have reported considerable results with the Mini/One Anastomosis Gastric Bypass (MGB/OAGB) in terms of both weight loss and resolution of comorbidities. Despite those positive reports, some controversies still limit the widespread acceptance of this procedure. Therefore, a multicenter retrospective study, with the aim to investigate complications following this procedure, has been designed. PATIENTS AND

methodsTo report the complications rate following the MGB/OAGB and their management, and to assess the role of this approach in determining eventual complications related especially to the loop reconstruction, in the early and late postoperative periods, the clinical records of 2678 patients who underwent MGB/OAGB between 2006 and 2015 have been studied.

resultsIntraoperative and early complications rates were 0.5 and 3.1%, respectively. Follow-up at 5 years was 62.6%. Late complications rate was 10.1%. A statistical correlation was found for perioperative bleeding both with operative time (p < 0.001) or a learning curve of less than 50 cases (p < 0.001). A statistical correlation was found for postoperative duodenal-gastro-esophageal reflux (DGER) with a preexisting gastro-esophageal-reflux disease (GERD) or with a gastric pouch shorter than 9 cm, (p < 0.001 and p = 0.001), respectively. An excessive weight loss correlated with a biliopancreatic limb longer than 250 cm (p < 0.001).

conclusionsOur results confirm MGB/OAGB to be a reliable bariatric procedure. According to other large and long-term published series, MGB/OAGB seems to compare very favorably, in terms of complication rate, with two mainstream procedures as standard Roux-en-Y gastric bypass (RYGBP) and laparoscopic sleeve gastrectomy (LSG).

Indexed as

AdultComorbidityFemaleFollow-Up StudiesGastrectomyGastric BypassGastroesophageal RefluxHumansIntraoperative ComplicationsMaleMiddle AgedObesity, MorbidPostoperative ComplicationsRetrospective StudiesSurveys and QuestionnairesTreatment OutcomeEarly complicationsIntraoperative complicationsLate complicationsMid term follow upMini gastric bypassOne anastomosis gastric bypass

Identifiers

PMID28569357
OpenAlexW2620313550

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.