Evidence map›Paper›PMID 29235012›Full record

ArticleObesity surgery2018

Implications of Celiac Disease Among Patients Undergoing Gastric Bypass.

Lindsey M Freeman, Andrew T Strong, Gautam Sharma, Suriya Punchai, John H Rodriguez, Donald F Kirby, Matthew Kroh

Abstract read
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In one paragraph

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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Lindsey M FreemanCase Western Reserve School of Medicine, Case Western Reserve University, 2109 Adelbert Road, Cleveland, OH, 44106, USA. lxf148@case.edu.
Andrew T StrongSection of Surgical Endoscopy, Department of General Surgery, Cleveland Clinic, Cleveland, OH, USA.
Gautam SharmaSection of Surgical Endoscopy, Department of General Surgery, Cleveland Clinic, Cleveland, OH, USA.
Suriya PunchaiSection of Surgical Endoscopy, Department of General Surgery, Cleveland Clinic, Cleveland, OH, USA.
John H RodriguezSection of Surgical Endoscopy, Department of General Surgery, Cleveland Clinic, Cleveland, OH, USA.
Donald F KirbyCenter for Human Nutrition, Department of Gastroenterology, Cleveland Clinic, Cleveland, OH, USA.
Matthew KrohSection of Surgical Endoscopy, Department of General Surgery, Cleveland Clinic, Cleveland, OH, USA.
Cleveland Clinic · USCase Western Reserve University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBariatric surgery is generally safe and effective, but co-existing malabsorptive processes may increase the risk of complications or nutritional deficiencies. Bariatric surgery has not been well studied in the setting of pre-existing celiac disease. MATERIALS AND

methodsPatients who underwent Roux-en-Y gastric bypass (RYGB) from January 2002 to December 2015 were retrospectively reviewed for either diagnosis of or serum testing for celiac disease. Identified patients were re-reviewed for adherence to American Gastroenterological Association (AGA) diagnostic criteria. Patient demographics, operative data, and post-operative weight loss and nutritional parameters were collected.

resultsOf the > 12,000 patients who underwent bariatric surgery during this study period, there were 342 patients that had abnormal serology or pathology results. Expert review confirmed three patients (0.8%) with celiac disease diagnosed before RYGB procedure. All were female, with an average age of 33 years and a mean BMI of 44.07 kg/m

conclusionThough many bariatric patients may carry a presumptive diagnosis of celiac disease, a small percentage of these meet AGA diagnostic criteria. RYGB appears safe in this population with comparable weight loss in non-celiac counterparts. Increased attention to vitamin D levels may be warranted post-operatively.

Indexed as

Celiac DiseaseGastric BypassObesity, MorbidAdultFemaleHumansMaleRetrospective StudiesBariatric surgeryCeliac diseaseGastric bypassMalabsorptionNutritional deficiencyRoux-en-Y

Identifiers

PMID29235012
OpenAlexW2775707012

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.