Evidence map›Paper›PMID 29616467›Full record

SynthesisObesity surgery2018

Left Gastric Artery Embolisation for the Treatment of Obesity: a Systematic Review.

Ali Kordzadeh, Bruno Lorenzi, Muhammad A Hanif, Alexandros Charalabopoulos

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Obesity surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Bariatric Artery Embolization for Obese Patients. An Up-to-Date Review.Journal of the Belgian Society of Radiology · 2023
    Article
  3. Review
  4. Medical Devices in Obesity Treatment.Current diabetes reports · 2019
    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

4 authors at 2 institutions in 1 country.

Ali KordzadehDepartment of Vascular, Endovascular and Renal Access, Mid Essex Hospitals Services NHS Trust, Broomfield, UK. Alikordzadeh@gmail.com.ORCID 0000-0003-1820-6691
Bruno LorenziDepartment of General and Upper Gastrointestinal Surgery, Regional Oesophagogastric Centre, Mid Essex Hospitals Services NHS Trust, Broomfield, UK.
Muhammad A HanifDepartment of Interventional Radiology, Mid Essex Hospitals Services NHS Trust, Broomfield, UK.
Alexandros CharalabopoulosDepartment of General and Upper Gastrointestinal Surgery, Regional Oesophagogastric Centre, Mid Essex Hospitals Services NHS Trust, Broomfield, UK.
Mid Essex Hospital Services NHS Trust · GBBroomfield Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndovascular left gastric artery (LGA) embolisation has gained significant attention in the treatment of obesity/morbid obesity and reduction of ghrelin. The objective of this systematic review is to evaluate the recent literature, strengths, limitations and practical aspects of this new procedure in combination with its physiological and anatomical paradigm.

methodsA systematic electronic search of literature from 1966 to June 2017 in Medline, CINHAL, Embase, Scopus and Cochrane library in English language and adult subjects was conducted. This search was conducted in accordance with Preferred Reporting in Systematic Review and Meta-Analysis (PRISMA) guidelines. Quality assessment of the articles was performed, using Oxford critical appraisal skills programme (CASP), and their recommendation for practice was examined through National Institute for health Care Excellence (NICE). Inter-related reliability (Cronbach's Alpha) was assessed between the two independent reviewers.

resultsA total of n = 62 individuals were subjected to LGA embolisation. At 1-3 months, 7-11% and, at 12 months, 2% weight reduction was associated with ghrelin concentration reduction of 36% at 6 months. There was Haemoglobin A1c reduction (7.4 to 6.3%) and improved quality of life (SF-36 questionnaire) at 6 months (9.5 points) (range, 3.2-17.2). Despite immediate epigastric pain and mucosal ulceration, no long-term adverse outcome was identified. The overall length of stay was 2-3 days.

conclusionsThe outcome of this review (level of evidence 3) suggests LGA embolisation is feasible and effective and perhaps a safe procedure in the treatment of obesity and reduction of ghrelin. However, further trials are highly advocated.

Indexed as

Embolization, TherapeuticGastric ArteryHumansObesity, MorbidBariatricsGastric artery embolisation (GAE)Left gastric artery (LGA)Morbid obesityObesitySystematic review

Identifiers

PMID29616467
OpenAlexW2796180241

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.