Evidence map›Paper›PMID 30187324›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2019

Sleeve Gastrectomy and Roux-En-Y Gastric Bypass Lead to Comparable Changes in Body Composition in a Multiethnic Asian Population.

Guowei Kim, Chuen Seng Tan, Kah Wei Tan, Serene P Y Lim, Jimmy B Y So, Asim Shabbir

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Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 5 pooled it
3.3field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 5 syntheses or guidelines pooled it, 27 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Guowei KimUniversity Surgical Cluster, National University Health System, Level 8 NUHS Tower Block, 1E Kent Ridge Road, Singapore, 119228, Singapore.ORCID 0000-0002-4705-6808
Chuen Seng TanSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Kah Wei TanUniversity Surgical Cluster, National University Health System, Level 8 NUHS Tower Block, 1E Kent Ridge Road, Singapore, 119228, Singapore.
Serene P Y LimUniversity Surgical Cluster, National University Health System, Level 8 NUHS Tower Block, 1E Kent Ridge Road, Singapore, 119228, Singapore.
Jimmy B Y SoUniversity Surgical Cluster, National University Health System, Level 8 NUHS Tower Block, 1E Kent Ridge Road, Singapore, 119228, Singapore.
Asim ShabbirUniversity Surgical Cluster, National University Health System, Level 8 NUHS Tower Block, 1E Kent Ridge Road, Singapore, 119228, Singapore. cfsasim@nus.edu.sg.
National University Health System · SGNational University of Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChanges in body composition after bariatric surgery such as a sustained loss of body fat are often associated with an inevitable loss of fat free mass. This can contribute to an undesirable disturbance in resting metabolic rate and weight maintenance. Our aim was to study changes in body composition in a multiethnic Asian cohort following bariatric surgery and to identify differences between laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass.

methodsA retrospective review of prospectively collected data on 295 patients who underwent either laparoscopic sleeve gastrectomy (256 patients) or laparoscopic Roux-en-Y gastric bypass (39 patients) was performed. Body composition variables were measured with the analyzer, GAIA 359 PLUS, which included the parameters; total body weight, body mass index, excess weight, basal metabolic rate, fat-free mass, fat mass, and total body water.

resultsThere were no statistical differences in gender, ethnicity, age, weight, height, and body mass index between laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass. At each time point (6, 12, 24, and 36 months) post-operation, there was no significant differences in % total body weight loss, basal metabolic rate, fat mass, fat percentage, and total body water between sleeve gastrectomy and bypass patients. There was significant difference (p < 0.05) in fat free mass only at 3 years post-operation, with sleeve gastrectomy patients having 9.79 kg less fat-free mass than bypass patients. However, after multivariate analysis, we found no statistically significant differences.

conclusionSleeve gastrectomy and gastric bypass seemed to give similar changes to body composition.

Indexed as

GastrectomyGastric BypassLaparoscopyAdipose TissueAdultAsian PeopleBody CompositionBody Mass IndexCohort StudiesFemaleHumansMaleMiddle AgedObesity, MorbidRetrospective StudiesSingaporeBody compositionGastric bypassSleeve gastrectomy

Identifiers

PMID30187324
OpenAlexW2889611988

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.