Evidence map›Paper›PMID 30666544›Full record

ArticleObesity surgery2019

Systematic Endoscopy 5 Years After Sleeve Gastrectomy Results in a High Rate of Barrett's Esophagus: Results of a Multicenter Study.

Lionel Sebastianelli, Marine Benois, Geoffroy Vanbiervliet, Laurent Bailly, Maud Robert, Nicolas Turrin, Emmanuel Gizard, Mirto Foletto, Marco Bisello, Alice Albanese and 7 more

Abstract readMulticenter 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 97 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 10 pooled it
33.1field-weighted citation impact, top 1% 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

97 citing papers in PubMed, 10 syntheses or guidelines pooled it, 231 citations in OpenAlex.

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37 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 9 institutions in 2 countries.

Lionel SebastianelliUniversité Côte d'Azur, Nice, France.
Marine BenoisUniversité Côte d'Azur, Nice, France.
Geoffroy VanbiervlietUniversité Côte d'Azur, Nice, France.
Laurent BaillyUniversité Côte d'Azur, Nice, France.
Maud RobertDepartment of Digestive Surgery, Center of Bariatric Surgery, Hospital Edouard Herriot, Hospices Civils de Lyon, Lyon, France.
Nicolas TurrinDepartment of Digestive Surgery, Center of Bariatric Surgery, Hospital Saint-Joseph, Marseille, France.
Emmanuel GizardDepartment of Digestive Surgery, Center of Bariatric Surgery, Hospital Saint-Joseph, Marseille, France.
Mirto FolettoWeek Surgery, Bariatric Unit, Padova University Hospital, Padova, Italy.
Marco BiselloWeek Surgery, Bariatric Unit, Padova University Hospital, Padova, Italy.
Alice AlbaneseWeek Surgery, Bariatric Unit, Padova University Hospital, Padova, Italy.
Antonella SantonicolaGastrointestinal Unit, Department of Medicine and Surgery, University of Salerno, 84081, Salerno, Italy.
Paola IovinoGastrointestinal Unit, Department of Medicine and Surgery, University of Salerno, 84081, Salerno, Italy.
Thierry PicheUniversité Côte d'Azur, Nice, France.
Luigi AngrisaniGeneral and Endoscopic Surgery Unit, San Giovanni Bosco Hospital, Naples, Italy.
Laurent TurchiInserm U1091-CNRS UMR7277-Institut de Biologie Valrose-Université Nice Sophia Antipolis, Nice, France.
Luigi SchiavoIX Division of General Surgery, Vascular Surgery, and Applied Biotechnology, Naples University Polyclinic of Campania "Luigi Vanvitelli", Naples, Italy.
Antonio IannelliUniversité Côte d'Azur, Nice, France. iannelli.a@chu-nice.fr.ORCID 0000-0002-1611-071X
Université Côte d'Azur · FRUniversity of Padua · ITHôpital Saint Joseph · FRUniversity of Salerno · ITCentre National de la Recherche Scientifique · FRHospices Civils de Lyon · FRInserm · FROspedale San Giovanni Bosco · ITUniversity of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent evidence has indicated an increased risk of Barrett's esophagus (BE) in the long term after sleeve gastrectomy (SG).

aimThe aim of the study is to investigate the spectrum of gastroesophageal reflux disease (GERD) symptoms as well as the prevalence of BE, at minimum 5 years after SG in patients who underwent SG in different bariatric centers of two countries: France and Italy. PATIENTS AND

methodsFive high volume outpatient centers dedicated to bariatric surgery that routinely perform upper GI endoscopy before any bariatric procedures were invited to participate in the study. From January 2017 to June 2018, each center during scheduled postoperative evaluation after surgery asked a minimum 10 consecutive patients, which had performed SG at least 5 years before and with no evidence of BE preoperatively, to undergo another upper GI endoscopy.

resultsNinety (66 F) consecutive patients were enrolled. The mean follow-up was 78 ± 15 months, and the mean total body weight loss was 25 ± 12%. The prevalence of BE was 18.8% with no significant difference among centers. Weight loss failure was significantly associated with BE (p < 0.01). The prevalence of GERD symptoms, erosive esophagitis, and the usage of PPIs increased from 22%, 10%, and 22% before the SG to 76%, 41%, and 52% at the time of follow-up, respectively (p < 0.05).

conclusionsThis multicenter study show a high rate of BE at least 5 years after SG. Weight loss failure was significantly associated with BE. We suggest to provide systematic endoscopy in these patients to rule out this condition.

Indexed as

AdultBariatric SurgeryBarrett EsophagusEndoscopy, Digestive SystemEsophagitisFemaleFollow-Up StudiesFranceGastrectomyGastroesophageal RefluxHumansItalyMaleMiddle AgedObesity, MorbidPeptic UlcerProton Pump InhibitorsAdenocarcinomaBariatric surgeryBarrett’s esophagusEndoscopyGERDSleeve gastrectomy

Identifiers

PMID30666544
OpenAlexW2913568433

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.