Evidence map›Paper›PMID 31377992›Full record

Trial reportObesity surgery2020

Effect of Laparoscopic Sleeve Gastrectomy on Static and Dynamic Measures of Glucose Homeostasis and Incretin Hormone Response 4-Years Post-Operatively.

Thinzar Min, Sarah L Prior, Rachel Churm, Gareth Dunseath, Jonathan D Barry, Jeffrey W Stephens

Open access · hybridAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Obesity surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

15 citing papers in PubMed, 24 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

6 authors at 4 institutions in 1 country.

Thinzar MinDiabetes Research Group, Swansea University Medical School, Grove Building, Singleton Campus, Swansea, SA2 8PP, UK. thinzar.min@swansea.ac.uk.ORCID 0000-0003-4467-3840
Sarah L PriorDiabetes Research Group, Swansea University Medical School, Grove Building, Singleton Campus, Swansea, SA2 8PP, UK.
Rachel ChurmDiabetes Research Group, Swansea University Medical School, Grove Building, Singleton Campus, Swansea, SA2 8PP, UK.
Gareth DunseathDiabetes Research Group, Swansea University Medical School, Grove Building, Singleton Campus, Swansea, SA2 8PP, UK.
Jonathan D BarryWelsh Institute of Metabolic & Obesity Surgery, Morriston Hospital, Swansea Bay UHB, Swansea, SA6 6NL, UK.
Jeffrey W StephensDiabetes Research Group, Swansea University Medical School, Grove Building, Singleton Campus, Swansea, SA2 8PP, UK.
Swansea University · GBMorriston Hospital · GBNeath Port Talbot Hospital · GBSwansea Bay University Health Board · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is limited literature available on the long-term effect of bariatric surgery especially laparoscopic sleeve gastrectomy (LSG) on the incretin hormone response.

aimOur primary aim was to investigate changes in glucose metabolism and incretin hormone responses in participants with impaired glucose regulation approximately 4 years after LSG. The secondary aim was to examine the long-term incretin hormone changes of biliopancreatic diversion (BPD).

methodA non-randomised prospective study comprising of 10 participants undergoing LSG and 6 participants undergoing BPD. Serial measurements of glucose, insulin, C-peptide, glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP) were performed during an oral glucose tolerance test pre-operatively and 1 month, 6 months and at approximately 4-7 years post-operatively. Area under the curve (AUC) was examined at 60 and 120 min.

resultsIn the LSG group, a significant reduction in 2-h plasma glucose (2 h PG), HbA1c and HOMA-IR was observed at 4 years. Compared with pre-operative levels, significant increases in post-glucose GLP-1 secretion were observed at 1 and 6 months, but not maintained at 4 years. A linear increase was seen in post-glucose GIP response at 1 month and 6 months and 4 years. Within the BPD group, a reduction in HbA1c along with an increase GLP-1 response was observed at 7 years.

conclusionAn increase in GLP-1 response was not preserved at 4 years, but a significant increase in GIP response was observed along with improved glycaemic control following LSG.

Indexed as

AdultBlood GlucoseC-PeptideFemaleFollow-Up StudiesGastrectomyGastric Inhibitory PolypeptideGlucagon-Like Peptide 1GlucoseGlucose Tolerance TestHomeostasisHumansIncretinsInsulinLaparoscopyMaleBlood GlucoseC-PeptideGastric Inhibitory PolypeptideGlucagon-Like Peptide 1GlucoseIncretinsInsulinBariatric surgeryDiabetesIncretin hormone changesSleeve gastrectomy

Identifiers

PMID31377992
OpenAlexW2966112931

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.