Evidence map›Paper›PMID 31175557›Full record

ArticleObesity surgery2019

Analysis of Medium-Term Weight Regain 5 Years After Laparoscopic Sleeve Gastrectomy.

Ashraf A Bakr, Mohamed H Fahmy, Athar S Elward, Hany A Balamoun, Mohamed Y Ibrahim, Ramy M Eldahdoh

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

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  10. Towards precision medicine in bariatric surgery prescription.Reviews in endocrine & metabolic disorders · 2023
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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

6 authors.

Ashraf A BakrDepartment of Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Mohamed H FahmyDepartment of Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Athar S ElwardDepartment of Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Hany A BalamounDepartment of Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt. hanyarmia@hotmail.com.ORCID http://orcid.org/0000-0003-0267-9267
Mohamed Y IbrahimDepartment of Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Ramy M EldahdohDepartment of Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSome patients fail to maintain weight loss after bariatric surgery. Weight regain (WR) disturbs the patients due to possible reappearance of obesity-related comorbidities. This study aimed to assess WR 5 years after laparoscopic sleeve gastrectomy (LSG). PATIENTS AND

methodsThis retrospective study included 100 adults who underwent LGS. The percentage of excess weight loss (%EWL) was recorded. WR was defined as an increase of at least 10% of the lowest postoperative weight. Patients with WR were subjected to CT gastric volumety. Eating behavior was assessed by the Three-Factor Eating Questionnaire-Revised 18-Items (TFEQ-R18).

resultsPreoperative comorbidities improved in 89.5% of the patients. Twenty-five females (32.5%) got pregnant within 3 years after surgery. Age, maximum weight loss, and uncontrolled and emotional eating scales of the TFEQ-R18 were independently affecting %EWL. Also, pregnancy negatively affected %EWL. Fourteen patients regain weight: 11 females and three males. CT volumetry of the 14 patients showed a median stomach volume of 515 mL (range 172-1066 mL). CT estimated gastric volume was negatively correlated with % EWL (r = - 0.674, p = 0.008). Patients who developed WR were significantly older (p = 0.006), with lower maximum weight loss, and having higher scores of uncontrolled and emotional eating scales of TFEQ-R18.

conclusionMedium-term postsurgical weight regain and unsuccessful weight loss in patients who had undergone LSG is associated with older age, maladaptive eating behavior, larger residual stomach, and pregnancy.

Indexed as

AdultBody Mass IndexFeeding BehaviorFemaleFollow-Up StudiesGastrectomyHumansLaparoscopyMaleMiddle AgedObesity, MorbidPostoperative PeriodRetrospective StudiesSurveys and QuestionnairesTime FactorsTreatment OutcomeCT volumetrySleeve gastrectomyWeight regain

Identifiers

PMID31175557

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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.