Evidence map›Paper›PMID 31376135›Full record

ArticleObesity surgery2019

Long-Term Modulation of Appetitive Hormones and Sweet Cravings After Adjustable Gastric Banding and Roux-en-Y Gastric Bypass.

Alina I Tsouristakis, Gerardo Febres, Donald J McMahon, Beverly Tchang, Irene M Conwell, Amanda J Tsang, Leaque Ahmed, Marc Bessler, Judith Korner

Open access · greenAbstract read
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 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

27 citing papers in PubMed, 43 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Alina I TsouristakisDepartment of Medicine, Columbia University College of Physicians & Surgeons, 650 West 168th St., BB 20-08, New York, NY, 10032, USA.
Gerardo FebresDepartment of Medicine, Columbia University College of Physicians & Surgeons, 650 West 168th St., BB 20-08, New York, NY, 10032, USA.
Donald J McMahonDepartment of Medicine, Columbia University College of Physicians & Surgeons, 650 West 168th St., BB 20-08, New York, NY, 10032, USA.
Beverly TchangDepartment of Medicine, Columbia University College of Physicians & Surgeons, 650 West 168th St., BB 20-08, New York, NY, 10032, USA.
Irene M ConwellDepartment of Medicine, Columbia University College of Physicians & Surgeons, 650 West 168th St., BB 20-08, New York, NY, 10032, USA.
Amanda J TsangDepartment of Medicine, Columbia University College of Physicians & Surgeons, 650 West 168th St., BB 20-08, New York, NY, 10032, USA.
Leaque AhmedDepartment of Surgery, Wyckoff Heights Hospital, Brooklyn, NY, USA.
Marc BesslerDepartment of Surgery, Columbia University College of Physicians & Surgeons, New York, NY, USA.
Judith KornerDepartment of Medicine, Columbia University College of Physicians & Surgeons, 650 West 168th St., BB 20-08, New York, NY, 10032, USA. jk181@cumc.columbia.edu.ORCID http://orcid.org/0000-0001-5989-8001
Columbia University · USWyckoff Heights Medical Center · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024156 · NCRR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2006 to 2011
$53.0M
MECHANISMS OF BETA CELL FAILURER01DK064819 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ACCILI, DOMENICO · 2003 to 2025
$10.5M
Metabolic and Endocrine Effects of Bariatric SurgeryR01DK072011 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KORNER, JUDITH · 2005 to 2021
$6.2M
TRAINING PROGRAM IN ENDOCRINOLOGY AND METABOLISMT32DK007271 · NIDDK · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI ACCILI, DOMENICO · 1986 to 2019
$6.1M
NCRR NIH HHS UL1 RR024156NIDDK NIH HHS R01 DK064819NIDDK NIH HHS R01 DK072011NIDDK NIH HHS T32 DK007271
6 · The paper itself

Abstract

backgroundRoux-en-Y gastric bypass (RYGB) produces greater weight loss compared with a purely restrictive procedure such as laparoscopic adjustable gastric banding (LAGB).

objectiveThe objective of this study was to quantify changes in hormones that regulate energy homeostasis and appetitive sensations before and after LAGB (n = 18) and RYGB (n = 38) in order to better understand the mechanisms underlying the greater weight loss after RYGB.

methodsA standardized test meal was administered prior to surgery, at 6 months, and annually thereafter to year 2 after LAGB and year 4 after RYGB. Blood samples were obtained in the fasted state and 30, 60, 90, and 120 min post-meal.

resultsProgressive increases in fasting PYY were observed after RYGB together with increases in postprandial area under the curve (AUC) levels that were unchanged after LAGB. GLP-1 AUC increased only after RYGB. There was a weight loss-related increase in fasting ghrelin levels after LAGB that was unchanged 1 year after RYGB despite greater percentage weight loss; ghrelin subsequently increased at years 2-4 post-RYGB. HOMA-IR decreased after both procedures but correlated with weight loss only after LAGB, whereas leptin correlated with weight loss in both groups. Sweet cravings decreased after RYGB.

conclusionA number of weight loss-independent changes in the gut hormonal milieu likely act in concert to promote a decrease in insulin resistance and greater weight loss efficacy after RYGB. A progressive change in hormone levels over time may reflect gut enteroplasticity after RYGB. A decrease in sweet cravings specific to RYGB may further promote superior weight loss outcomes.

Indexed as

ObesityAppetiteBariatric SurgeryCravingGhrelinGlucagon-Like Peptide 1HumansInsulinWeight LossGhrelinGlucagon-Like Peptide 1InsulinAdjustable gastric bandingAppetiteBariatric surgeryGhrelinGlp-1Insulin resistanceMetabolic surgeryPYYRoux-en-Y gastric bypassSweet cravings

Identifiers

PMID31376135
PMCPMC6851479
OpenAlexW2964474122

What OpenQuestion holds

Textmetadata
LicenceTDM
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.