Evidence map›Paper›PMID 30888593›Full record

Trial reportObesity surgery2019

Four Weeks of Preoperative Omega-3 Fatty Acids Reduce Liver Volume: a Randomised Controlled Trial.

Nathalie Bakker, Rick S van den Helder, Remy W F Geenen, Michiel A Hunfeld, Huib A Cense, Ahmet Demirkiran, Alexander P J Houdijk

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Obesity surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02206256 (Omega-3 Fatty Acids in Bariatric Gastric Bypass Surgery), which is not on this map. Cited by 17 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 6 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.

NCT02206256 phase4completednot on this map

Omega-3 Fatty Acids in Bariatric Gastric Bypass Surgery: Effect on Liver Volume, Immune Response and Erythrocyte Function

TypeinterventionalSponsorMedical Center AlkmaarRan2014 to 2016Enrolled62ConditionsMorbid ObesityArmsOmega-3 fatty acid capsules, Low calorie diet
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 6 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Low-energy diets before metabolic bariatric surgery: A systematic review of the effect on total body weight, liver volume, glycemia and side effects.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Guideline
  6. Pooled it
  7. Review
  8. Article
  9. Review
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  11. Article
  12. Review
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  14. Systematic review of preoperative n-3 fatty acids in major gastrointestinal surgery.BMJ surgery, interventions, & health technologies · 2023
    Article
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  16. Review
  17. 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

7 authors at 2 institutions in 3 countries.

Nathalie BakkerDepartment of Surgery, Red Cross Hospital Beverwijk, Beverwijk, Netherlands. nbakker@rkz.nl.ORCID http://orcid.org/0000-0002-9330-2870
Rick S van den HelderDepartment of Surgery, Red Cross Hospital Beverwijk, Beverwijk, Netherlands.
Remy W F GeenenDepartment of Surgery, Northwest Clinics Alkmaar, Alkmaar, Netherlands.
Michiel A HunfeldDepartment of Surgery, Red Cross Hospital Beverwijk, Beverwijk, Netherlands.
Huib A CenseDepartment of Surgery, Red Cross Hospital Beverwijk, Beverwijk, Netherlands.
Ahmet DemirkiranDepartment of Surgery, Red Cross Hospital Beverwijk, Beverwijk, Netherlands.
Alexander P J HoudijkDepartment of Surgery, Red Cross Hospital Beverwijk, Beverwijk, Netherlands.
Rode Kruis Ziekenhuis · NLMedisch Centrum Alkmaar · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWeight loss before bariatric surgery with a low-calorie diet (LCD) has several advantages, including reduction of liver volume and an improved access to the lesser sac. Disadvantages include performing surgery in a state of undernutrition, side effects, costs and patient compliance. Omega-3 fatty acids may serve as an alternative to reduce liver steatosis. MATERIALS AND

methodsA randomised controlled open-label trial was done to compare the effects of a LCD with Modifast (800 kcal/day) during 2 weeks with 2 g of omega-3 fatty acids a day and a normal diet (2000 kcal/day) during 4 weeks. Total liver volume (TLV) and volume of the left liver lobe (LLL), visceral fat area (VFA) and muscle area (SMA) at the L3-L4 level were measured with MRI before and after preoperative treatment.

resultsSixty-two morbidly obese women undergoing laparoscopic Roux-en-Y gastric bypass surgery (LRYGB) were recruited. In both groups, there was a significant decrease in LLL, TLV and VFA. For LLL and TLV reduction, the LCD had a significantly larger effect (p < 0.05). Only in the LCD group was there a significant decrease in SMA with significantly more side effects and worse compliance.

conclusionBoth the LCD and omega-3 diet reduced LLL, TLV and VFA. The LCD outperformed the omega-3 diet in LLL and TLV reduction, but induced significant loss of SMA and had worse compliance due to more side effects. Omega-3 fatty acids may provide a safe and more patient-friendly alternative for a LCD and further research is indicated.

trial registrationThe study is registered at www.clinicaltrials.gov (NCT02206256).

Indexed as

AdolescentAdultAgedBody CompositionCaloric RestrictionCombined Modality TherapyDietary Fats, UnsaturatedDietary SupplementsFatty Acids, Omega-3Fatty LiverFemaleGastric BypassHumansIntra-Abdominal FatLaparoscopyLiverDietary Fats, UnsaturatedFatty Acids, Omega-3Laparoscopic Roux-en-Y gastric bypassLiver volumeLow calorie dietMuscle massOmega-3 fatty acidsVisceral fat

Identifiers

PMID30888593
OpenAlexW2923277913

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.