Evidence map›Paper›PMID 30448983›Full record

ArticleObesity surgery2019

Incidence of Diabetes Mellitus, Cardiovascular Diseases, and Cancer in Patients Undergoing Malabsorptive Surgery (Biliopancreatic Diversion and Biliointestinal Bypass) vs Medical Treatment.

Antonio E Pontiroli, Valerio Ceriani, Giuliano Sarro, Giancarlo Micheletto, Alessandro Giovanelli, Ahmed S Zakaria, Marco Fanchini, Chiara Osio, Italo Nosari, Anna Maria Veronelli and 2 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

10 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
  2. Observational
  3. Regulation of macrophage functions by FABP-mediated inflammatory and metabolic pathways.Biochimica et biophysica acta. Molecular and cell biology of lipids · 2021
    Review
  4. Article
  5. Article
  6. Prevention of Diabetes and Cardiovascular Disease in Obesity.International journal of molecular sciences · 2020
    Review
  7. Review
  8. Article
  9. The Effect of Bariatric Surgery Prior to Lower-Extremity Total Joint Arthroplasty: A Systematic Review.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2019
    Review
  10. Article
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

12 authors at 6 institutions in 2 countries.

Antonio E PontiroliDipartimento di Scienze della Salute, Università degli Studi di Milano, Milan, Italy. antonio.pontiroli@unimi.it.ORCID http://orcid.org/0000-0002-8217-7672
Valerio CerianiIRCCS Multimedica, Milan, Italy.
Giuliano SarroOspedale Civile, Magenta, Milan, Italy.
Giancarlo MichelettoINCO e Dipartimento di Chirurgia Generale, Istituto Clinico Sant'Ambrogio, Milan, Italy.
Alessandro GiovanelliINCO e Dipartimento di Chirurgia Generale, Istituto Clinico Sant'Ambrogio, Milan, Italy.
Ahmed S ZakariaASST Santi Paolo e Carlo, Milan, Italy.
Marco FanchiniASST Santi Paolo e Carlo, Milan, Italy.
Chiara OsioIRCCS Multimedica, Milan, Italy.
Italo NosariIstituto Humanitas Gavazzeni, Bergamo, Italy.
Anna Maria VeronelliASST Santi Paolo e Carlo, Milan, Italy.
Franco FolliDipartimento di Scienze della Salute, Università degli Studi di Milano, Milan, Italy.
LAGB10 working group
Istituto Clinico Sant'Ambrogio · ITMultiMedica · ITOspedale San Paolo · ITUniversity of Milan · ITAOL (United States) · USAzienda Socio Sanitaria Territoriale Santi Paolo e Carlo

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsBariatric surgeries such as gastric banding (LAGB), gastric bypass (RYGB), vertical banded gastroplasty (VBG), and sleeve gastrectomy (LSG) decrease body weight in morbid obesity, leading to the resolution of coexisting diabetes mellitus and arterial hypertension in the majority of cases as well as improvements of renal function and liver steatosis. BS (LAGB, RYGB, VBG, and LSG) also reduce incident cases of diabetes, of cardiovascular diseases, and of cancer; these therapeutic and preventive effects on comorbidities of obesity have not been analyzed for malabsorptive surgeries such as biliopancreatic diversion (BPD) or biliointestinal bypass (BIBP). The aim of this study was to analyze the incidence of comorbidities, i.e., diabetes, cardiovascular diseases, and cancer, in obese subjects undergoing BPD and BIBP, in comparison with standard medical treatment of obesity. PATIENTS AND

methodsMedical records of 1983 obese patients (body mass index (BMI) > 35 kg/m

resultsObservation period was 12.0 ± 3.48 years (mean ± SD). Compared to non-surgical patients matched for age, body mass index, and blood pressure, malabsorptive surgeries were associated with reduced new incident cases of diabetes (p = 0.001), cardiovascular diseases (p = 0.001), hyperlipidemia (p = 0.001), oculopathy (p = 0.021), and cancer (p = 0.001). The preventive effect of BS was similar in both nondiabetic and diabetic patients for cardiovascular diseases and hyperlipidemia (both p = 0.001). The preventive effect was significant in nondiabetic subjects for coronary heart disease and for cancer, not significant in diabetic subjects.

conclusionPatients undergoing malabsorptive bariatric surgery show less incident cases of diabetes, cardiovascular diseases, hyperlipidemia, oculopathy, and cancer than controls receiving medical treatment.

Indexed as

AdolescentAdultAgedAnastomosis, SurgicalBile DuctsBiliary Tract Surgical ProceduresBiliopancreatic DiversionCardiovascular DiseasesComorbidityDiabetes MellitusEye DiseasesFemaleHumansHyperlipidemiasIncidenceIntestinesBariatric surgeryBiliointestinal bypassBiliopancreatic diversionCancerCardiovascular diseaseDiabetes mellitusHyperlipidemiaICD-10Kidney diseasesLiver diseasesLogistic regression analysisObesityOculopathy

Identifiers

PMID30448983
OpenAlexW2900794925

What OpenQuestion holds

Textmetadata
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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.