Evidence map›Paper›PMID 30515622›Full record

ArticleObesity surgery2019

Improvement in Non-alcoholic Fatty Liver Disease Score Correlates with Weight Loss in Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy: a Two-Centre Study from an Asian Cohort.

Zong Jie Koh, Hrishikesh Pandurang Salgaonkar, Wei Jie Jonathan Lee, Guo Wei Kim, Chun Hai Tan, Anton Cheng, Davide Lomanto, Jimmy Bok Yan So, Yock Young Dan, Asim Shabbir

Abstract read
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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 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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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

10 authors at 2 institutions in 1 country.

Zong Jie KohDepartment of General Surgery, National University Health System, 1E, Kent Ridge Road, Singapore, 119228, Singapore. zong_jie_koh@nuhs.edu.sg.ORCID http://orcid.org/0000-0001-5655-7199
Hrishikesh Pandurang SalgaonkarDepartment of General Surgery, National University Health System, 1E, Kent Ridge Road, Singapore, 119228, Singapore.
Wei Jie Jonathan LeeDepartment of Gastroenterology, National University Health System, 1E, Kent Ridge Road, Singapore, 119228, Singapore.
Guo Wei KimDepartment of General Surgery, National University Health System, 1E, Kent Ridge Road, Singapore, 119228, Singapore.
Chun Hai TanDepartment of General Surgery, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore, 768828, Singapore.
Anton ChengDepartment of General Surgery, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore, 768828, Singapore.
Davide LomantoDepartment of General Surgery, National University Health System, 1E, Kent Ridge Road, Singapore, 119228, Singapore.
Jimmy Bok Yan SoDepartment of General Surgery, National University Health System, 1E, Kent Ridge Road, Singapore, 119228, Singapore.
Yock Young DanDepartment of Gastroenterology, National University Health System, 1E, Kent Ridge Road, Singapore, 119228, Singapore.
Asim ShabbirDepartment of General Surgery, National University Health System, 1E, Kent Ridge Road, Singapore, 119228, Singapore.
National University Health System · SGKhoo Teck Puat Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIncidence of non-alcoholic fatty liver disease (NAFLD) is on the rise and is one of the most common causes of chronic liver disease worldwide. Obesity and metabolic syndrome are considered the most significant risk factors. Bariatric surgery is the only treatment modality in morbid obesity which allows long-term weight loss with improvement in associated co-morbid conditions. However, the effects of bariatric surgery on NAFLD are not well established. NAFLD fibrosis score (NFS) is a validated non-invasive scoring system used to assess advanced fibrosis. We used the NFS to analyse the impact of weight loss on NAFLD following sleeve gastrectomy. MATERIALS AND

methods174 patients who underwent bariatric surgery between 2010 and 2016 were retrospectively reviewed. Multivariate analysis was performed using pre-operative patient characteristics, biochemical markers and TANITA body analysis measurements to determine significant risk factors for NFS > 0.675. Additionally, the NFS was calculated at 6 months, 1 year and 2 years post-operatively to determine correlation with weight loss.

resultsPre-operatively, 13.8% of our patients had significant fibrosis by NFS. Mean change in NFS was - 0.46 ± 1.02, - 0.55 ± 0.98 and - 0.55 ± 1.12 at 6 months, 1 year and 2 years respectively. This was significantly correlated with percent of total weight loss with R coefficients of 0.253, 0.292 and 0.274 respectively (P < 0.05). 79.2% of patients with NFS > 0.675 achieved resolution by 2 years post-operatively.

conclusionBased on our study, we conclude that sleeve gastrectomy may be a viable treatment option for management of NAFLD in the obese.

Indexed as

Non-alcoholic Fatty Liver DiseaseGastrectomyHumansLaparoscopyObesity, MorbidRetrospective StudiesWeight LossBariatric surgeryNon-alcoholic fatty liver diseaseNon-alcoholic steatohepatitisObesitySleeve gastrectomy

Identifiers

PMID30515622
OpenAlexW2902187124

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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.