ArticleObesity surgery2018
Low-Purine Diet Is More Effective Than Normal-Purine Diet in Reducing the Risk of Gouty Attacks After Sleeve Gastrectomy in Patients Suffering of Gout Before Surgery: a Retrospective Study.
Article in Obesity surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Effects of bariatric surgery on hyperuricemia and gout: a systematic review of the literature.Updates in surgery · 2025Pooled it
- Associations between diet composition, dietary pattern, and weight outcomes after bariatric surgery: a systematic review.International journal of obesity (2005) · 2023Pooled it
- Trial
- Trial
- Impact of Bariatric Surgery on Gout Medication: a Nationwide Cohort Study.Obesity surgery · 2026Article
- Exercise and hyperuricemia: an opinion article.Annals of medicine · 2024Article
- Widely Targeted Metabolomics Revealed the Metabolic Basis of Physiological Function and Flavor of Natto.Metabolites · 2024Article
- Research progress on bariatric surgery for hyperuricemia.BMC surgery · 2024Review
- Review
- Long-term impact of sleeve gastrectomy on serum uric acid levels.Turkish journal of medical sciences · 2023Article
- Role of diet in hyperuricemia and gout.Best practice & research. Clinical rheumatology · 2021Review
- Long-Term Results of the Mediterranean Diet After Sleeve Gastrectomy.Obesity surgery · 2020Article
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundObese patients with preoperative gout often suffer of gouty attacks after bariatric surgery (BS), probably due to the lack of an adequate postoperative diet.
objectivesThe objectives of the study are to assess whether sleeve gastrectomy (SG) is effective in reducing the frequency of gouty attacks and also whether a postoperative low-purine diet (LPD) may further reduce these attacks as compared to a normal-purine diet (NPD) in a series of patients suffering of gout before SG.
methodsIn this retrospective study, we measured and compared total body weight (TBW), body mass index (BMI), uric acid levels (UAL), anti-gout medication (allopurinol) requirements, and frequency in gouty attacks in 40 patients that underwent SG and who received either a LPD (n = 24) or NPD (n = 16). Compliance in following the prescribed diet was assessed in both groups study.
resultsBefore surgery, LPD and NPD patients had hyperuricemia and were receiving allopurinol. One year after SG, LPD and NPD groups showed a significant decrease in serum UAL (p < 0.001 and p = 0.00175, respectively). However, serum UAL decreased more significantly with the LPD compared to the NPD (p < 0.001). Furthermore, while NPD group showed a significant decrease in allopurinol requirements (p = 0.00130) and on the frequency in gouty attacks (p < 0.001), LPD group were off allopurinol therapy and had no gouty attacks 12 months after SG. Both groups showed high compliance in following the prescribed diets.
conclusionLPD is more effective in reducing the frequency of gouty attacks after SG compared with NPD in patients suffering of gout before surgery.
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