Evidence map›Paper›PMID 31388962›Full record

ArticleObesity surgery2019

A Multi-institutional Study on the Mid-Term Outcomes of Single Anastomosis Duodeno-Ileal Bypass as a Surgical Revision Option After Sleeve Gastrectomy.

Hinali Zaveri, Amit Surve, Daniel Cottam, Peter C Ng, Paul Enochs, Helmuth Billy, Walter Medlin, Christina Richards, LeGrand Belnap, Lindsey S Sharp and 7 more

Abstract readMulticenter Study
PubMed Publisher
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 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
5.3field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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  8. Early results of laparoscopic single‑anastomosis duodeno‑ileal bypass with sleeve gastrectomy: a case series from a single Polish bariatric center.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2024
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  12. Initial experience with laparoscopic revisional single anastomosis duodeno-ileal bypass (SADI-S) after failed sleeve gastrectomy.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 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

17 authors at 5 institutions in 2 countries.

Hinali ZaveriBariatric Medicine Institute, 1046 East 100 South, Salt Lake City, UT, 84102, USA.
Amit SurveBariatric Medicine Institute, 1046 East 100 South, Salt Lake City, UT, 84102, USA.
Daniel CottamBariatric Medicine Institute, 1046 East 100 South, Salt Lake City, UT, 84102, USA. drdanielcottam@yahoo.com.ORCID 0000-0001-8830-0291
Peter C NgRex Bariatric Specialist, 4207 Lake Boone Trail, Suite 120, Raleigh, NC, 27607, USA.
Paul EnochsWakeMed Bariatric Specialist of NC, 160 Macgregor Pines Dr #310, Cary, NC, 27511, USA.
Helmuth BillyVentura Advanced Surgical Associates, 3200 Telegraph Rd, Ventura, CA, 93003, USA.
Walter MedlinBariatric Medicine Institute, 1046 East 100 South, Salt Lake City, UT, 84102, USA.
Christina RichardsBariatric Medicine Institute, 1046 East 100 South, Salt Lake City, UT, 84102, USA.
LeGrand BelnapBariatric Medicine Institute, 1046 East 100 South, Salt Lake City, UT, 84102, USA.
Lindsey S SharpRex Bariatric Specialist, 4207 Lake Boone Trail, Suite 120, Raleigh, NC, 27607, USA.
Dustin M BermudezRex Bariatric Specialist, 4207 Lake Boone Trail, Suite 120, Raleigh, NC, 27607, USA.
Ryan FairleyVentura Advanced Surgical Associates, 3200 Telegraph Rd, Ventura, CA, 93003, USA.
Tricia A BurnsRex Bariatric Specialist, 4207 Lake Boone Trail, Suite 120, Raleigh, NC, 27607, USA.
Krista HerrellRex Bariatric Specialist, 4207 Lake Boone Trail, Suite 120, Raleigh, NC, 27607, USA.
Jaime BullWakeMed Bariatric Specialist of NC, 160 Macgregor Pines Dr #310, Cary, NC, 27511, USA.
Sophia E MenozziRex Bariatric Specialist, 4207 Lake Boone Trail, Suite 120, Raleigh, NC, 27607, USA.
John Ambrose StudentRex Bariatric Specialist, 4207 Lake Boone Trail, Suite 120, Raleigh, NC, 27607, USA.
Rex Hospital · USReproductive Medicine Institute · USUniversity Surgical Associates · USWakeMed · USYahoo (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRecently, a single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) has become increasingly popular for patients with BMI > 50 as a primary or staged surgery. Staging allows surgeons to do the sleeve gastrectomy (SG) first with the conversion only happening when a failure or technical challenge is identified. PURPOSE: We present the mid-term outcomes of SADI bypass surgery after SG.

methodA retrospective analysis was performed on a prospective database from four institutions. Ninety-six patients were identified from 2013 to 2018. Patients were divided into two groups: one had two-stage SADI because of insufficient weight loss, the second had planned two-stage SADI because of super obesity (BMI > 50 kg/m

resultOf 96 patients, 3 patients were completely lost to follow-up. The mean age was 44.8 ± 11.3 years. There were no deaths or conversion to open surgery. The postoperative early complication and late complication rate was 5.3% and 6.4% respectively. At 24 months, group 2 had higher %weight loss (WL) and change in BMI units compared to group 1 with statistically significant difference. The average WL and change in BMI for entire patient's population at 24 months after 2nd stage SADI was 20.5% and 9.4 units respectively. The remission rate for DM was 93.7% with or without the use of medication.

conclusionThe two-stage approach to SADI-S appears technically simpler than a single compromised operation. However, this approach needs more patients to understand its limitations.

Indexed as

Anastomosis, SurgicalGastrectomyAdultDuodenumFemaleHumansHyperparathyroidismHypertensionIleumLength of StayLipidsMaleMiddle AgedObesity, MorbidPatient ReadmissionPostoperative ComplicationsLipidsVitamin K 1ZincLoop duodenal switchRevisionSADISADI-SSleeve gastrectomyWeight loss failure

Identifiers

PMID31388962
OpenAlexW2964461483

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.