Evidence map›Paper›PMID 30941693›Full record

SynthesisObesity surgery2019

Heterogeneity in the Definition and Clinical Characteristics of Dumping Syndrome: a Review of the Literature.

Ben Gys, Philip Plaeke, Bas Lamme, Thierry Lafullarde, Niels Komen, Anthony Beunis, Guy Hubens

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Obesity surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Approach to Meal-Related Nausea and Vomiting.Gastroenterology & hepatology · 2025
    Article
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  3. Article
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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

7 authors at 3 institutions in 2 countries.

Ben GysDepartment of Abdominal Surgery, University Hospital Antwerp, Edegem, Belgium. ben.gys@gmail.com.ORCID 0000-0001-7531-087X
Philip PlaekeLaboratory of Experimental Medicine and Pediatrics, University of Antwerp, Antwerp, Belgium.
Bas LammeDepartment of Surgery, Albert Schweitzer Hospital, Dordrecht, The Netherlands.
Thierry LafullardeDepartment of Surgery, Sint-Dimpna Hospital, Geel, Belgium.
Niels KomenDepartment of Abdominal Surgery, University Hospital Antwerp, Edegem, Belgium.
Anthony BeunisDepartment of Abdominal Surgery, University Hospital Antwerp, Edegem, Belgium.
Guy HubensDepartment of Abdominal Surgery, University Hospital Antwerp, Edegem, Belgium.
Antwerp University Hospital · BEAlbert Schweitzer Ziekenhuis · NLUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNo real consensus regarding the definition of dumping syndrome (DS) seems to exist and few subtyping is used in clinical practice. Knowledge is needed for correct design of trials and establishment of uniform treatment strategies. The aim of this study is to explore the distribution of clinical characteristics related to the subtypes of DS.

methodsA comprehensive search was performed in Cochrane, Google Scholar, PubMed, and ResearchGate. Data were collected on the definition and diagnostics of DS used in each study.

resultsTwenty-seven clinical trials were included. Seventeen articles clearly provided a definition of DS and ten of these differentiated between early and late DS. Diagnose of DS was based on clinical symptoms (24 articles), hemodynamic parameters (e.g., tachycardia, hypotension; 9 articles), and biochemical analysis (e.g., blood sugar level; 12 articles). Questionnaires were used in 13 articles. A total of 67 different symptoms were correlated with dumping syndrome. Two symptoms were exclusively correlated with early and nine with late DS. Nine articles differentiated between early and late dumping based on timing since the last meal. Hypoglycemia was correlated with late DS in ten articles.

conclusionsThis study reveals a vast heterogeneity in the definition and clinical characteristics of DS after RYGB. We feel that a standardized definition is required to provide a firm parameter in the evaluation and setup of clinical trials. A better understanding and description of the definition and diagnostic criteria of DS after RYGB is crucial to improve scientific reporting.

Indexed as

Diagnostic Techniques, Digestive SystemTerminology as TopicClinical Trials as TopicConsensusDiagnosis, DifferentialDumping SyndromeHumansObesity, MorbidPractice Guidelines as TopicSurveys and QuestionnairesDefinitionDumpingHeterogeneityReviewRYGBSyndrome

Identifiers

PMID30941693
OpenAlexW2929982438

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.