Evidence map›Paper›PMID 29909515›Full record

ArticleObesity surgery2018

Influence of Biliopancreatic Diversion on Pregnancy Outcomes in Comparison to Other Bariatric Surgery Procedures.

S De Carolis, A Botta, Gelsomina Del Sordo, R Guerrisi, S Salvi, M P De Carolis, A Iaconelli, P Giustacchini, M Raffaelli, A Lanzone

Abstract readComparative Study
PubMed Publisher
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 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
2.6field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Article
  7. Article
  8. Observational
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  11. 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

10 authors at 1 institution in 1 country.

S De CarolisDepartment of Woman and Child Health, Università Cattolica del Sacro Cuore, Rome, Italy.
A BottaDepartment of Woman and Child Health, Università Cattolica del Sacro Cuore, Rome, Italy.
Gelsomina Del SordoDepartment of Woman and Child Health, Università Cattolica del Sacro Cuore, Rome, Italy. gelsomina_delsordo@hotmail.it.ORCID 0000-0002-2922-5145
R GuerrisiDepartment of Woman and Child Health, Università Cattolica del Sacro Cuore, Rome, Italy.
S SalviDepartment of Woman and Child Health, Università Cattolica del Sacro Cuore, Rome, Italy.
M P De CarolisDepartment of Woman and Child Health, Università Cattolica del Sacro Cuore, Rome, Italy.
A IaconelliDepartment of Internal Medicine, Università Cattolica del Sacro Cuore, Rome, Italy.
P GiustacchiniDivision of Endocrine and Metabolic Surgery, Università Cattolica del Sacro Cuore, Rome, Italy.
M RaffaelliDivision of Endocrine and Metabolic Surgery, Università Cattolica del Sacro Cuore, Rome, Italy.
A LanzoneDepartment of Woman and Child Health, Università Cattolica del Sacro Cuore, Rome, Italy.
Università Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPregnancy after bariatric surgery (BS) has an increased risk for small-for-gestational-age infants (SGA), shorter length of gestation, and probably perinatal mortality. The aim of this study was to investigate if biliopancreatic diversion could impair pregnancy outcomes in comparison to other bariatric surgery procedures.

methodsWe conducted a cohort retrospective single-center study in 65 women before and after BS. Thirty-one pregnancies occurred before BS, while 109 after BS, amongst which n = 51 after biliopancreatic diversion (BPD) and n = 58 after non-malabsorptive procedures.

resultsThe pregnancy outcomes after BS in comparison with those before BS resulted less affected by diabetes, hypertensive disorders, macrosomia, and large-for-gestational-age (LGA), but more complicated by preterm births (14.5 versus 4.0%) and low birth weight (LBW) infants (28.9 versus 0%). Moreover, mean birth weight resulted lower after BS than before BS (p < 0.001). In pregnancies after BPD in comparison to those before BS, the LBW rate (42.5%) resulted a drastic increase (p < 0.001), and mean birth weight (p < 0.001) and mean birth weight centile (p < 0.001) were lower after BPD. When pregnancy outcomes after BPD were compared with those after non-malabsorptive procedures, the rate of congenital anomalies, preterm births, LBW, and SGA resulted an increase (p = 0.002, 0.008, 0.032, and < 0.001, respectively).

conclusionsBPD drastically reduced diabetes, hypertensive disorders, macrosomia, and LGA; however, it was associated with the poorest pregnancy outcomes in comparison to those observed after other BS procedures. On the basis of the present study, we recommend a cautious multidisciplinary selection of severely obese patients for BPD during the fertile age.

Indexed as

Biliopancreatic DiversionAdultBariatric SurgeryBirth WeightFemaleFetal MacrosomiaHumansInfant, NewbornInfant, Small for Gestational AgeMaleObesity, MorbidPreconception CarePregnancyPregnancy ComplicationsPregnancy OutcomeRetrospective StudiesBariatric surgeryBiliopancreatic diversionCongenital anomaliesObesityPregnancy outcomes

Identifiers

PMID29909515
OpenAlexW2807870632

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.