Evidence map›Paper›PMID 30937874›Full record

ArticleObesity surgery2019

A Real-World, Insurance-Based Algorithm Using the Two-Fold Running Suture Technique for Transoral Outlet Reduction for Weight Regain and Dumping Syndrome After Roux-En-Y Gastric Bypass.

Lea Fayad, Michael Schweitzer, Micheal Raad, Cem Simsek, Roberto Oleas, Margo K Dunlap, Tazkia Shah, Jay Doshi, Margueritta El Asmar, Andreas Oberbach and 6 more

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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
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

8 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. Argon plasma coagulation prior to endoscopic sleeve gastroplasty for weight loss.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2022
    Article
  3. Review
  4. Review
  5. Endoscopic therapy of weight regain after bariatric surgery.World journal of gastrointestinal surgery · 2021
    Review
  6. Review
  7. Article
  8. 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

16 authors at 2 institutions in 2 countries.

Lea FayadJohns Hopkins Medical Institutions, Baltimore, MD, USA.
Michael SchweitzerJohns Hopkins Medical Institutions, Baltimore, MD, USA.
Micheal RaadJohns Hopkins Medical Institutions, Baltimore, MD, USA.
Cem SimsekJohns Hopkins Medical Institutions, Baltimore, MD, USA.
Roberto OleasJohns Hopkins Medical Institutions, Baltimore, MD, USA.
Margo K DunlapJohns Hopkins Medical Institutions, Baltimore, MD, USA.
Tazkia ShahJohns Hopkins Medical Institutions, Baltimore, MD, USA.
Jay DoshiJohns Hopkins Medical Institutions, Baltimore, MD, USA.
Margueritta El AsmarJohns Hopkins Medical Institutions, Baltimore, MD, USA.
Andreas OberbachDepartment of Diagnostics, Fraunhofer Institute for Cell Therapy and Immunology, Leipzig, Germany.
Vikesh K SinghJohns Hopkins Medical Institutions, Baltimore, MD, USA.
Kimberly SteeleJohns Hopkins Medical Institutions, Baltimore, MD, USA.
Thomas MagnussenJohns Hopkins Medical Institutions, Baltimore, MD, USA.
Anthony N KallooJohns Hopkins Medical Institutions, Baltimore, MD, USA.
Mouen A KhashabJohns Hopkins Medical Institutions, Baltimore, MD, USA.
Vivek KumbhariJohns Hopkins Medical Institutions, Baltimore, MD, USA. vkumbhari@gmail.com.ORCID http://orcid.org/0000-0002-7772-9006
Johns Hopkins University · USFraunhofer Institute for Cell Therapy and Immunology · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsTransoral outlet reduction (TORe) by devitalization and/or endoscopic suturing (ES) has been implemented in the management of weight regain post-RYGB. This study aims to assess the efficacy and safety of TORe following an insurance-based algorithm.

methodsA prospectively maintained database of patients who underwent TORe between September 2015 and January 2018 at a single academic center was reviewed. An algorithm was followed whereby management was based on insurance coverage. As part of the algorithm, all patients presented for a repeat endoscopy at 8 weeks. Patients did not receive any diet, lifestyle intervention, or pharmacotherapy.

resultsIn total, 55 patients were included (median age 48 years), out of which 50 were females (90.9%). Patients presented for evaluation at a mean of 8.7 years post-RYGB. The main presenting symptom was combined dumping syndrome (DS) and weight regain (49.1%), followed by weight regain alone (45.5%). Twenty-nine patients required treatment at their second procedure, and 11 required treatment at their third procedure. Average percent total body weight loss (%TBWL) after TORe observed at 3-, 6-, 9-, and 12-month follow-up was 8.2, 9.3, 8.4, and 5.5%, respectively. The mean DS Severity Score was significantly reduced from 23.3 ± 12.4 before TORe to 16.3 ± 6.51 after TORe (p < 0.01). The adverse event rate from TORe was 14.5%.

conclusionTORe is effective in halting ongoing weight regain and achieving moderate short-term weight loss as well as improving DS in post-RYGB patients. Durability at 1 year remains questionable due to weight recidivism.

Indexed as

Suture TechniquesAlgorithmsDumping SyndromeFemaleGastric BypassHumansMaleMiddle AgedMouthNatural Orifice Endoscopic SurgeryObesity, MorbidPostoperative ComplicationsProspective StudiesReoperationTreatment OutcomeWeight GainDumping syndromeEndoscopic suturingRoux-en-Y gastric bypass (RYGB)Transoral outlet reduction (TORe)Weight regain

Identifiers

PMID30937874
OpenAlexW2929848204

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Registered trials

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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.