Evidence map›Paper›PMID 31529392›Full record

Trial reportObesity surgery2020

Bariatric Surgery After Previous Antireflux Surgery Without Takedown of the Previous Fundoplication: a Prospective Study.

Radwan Kassir, Patrice Lointier, Christophe Breton, Pierre Blanc

Abstract 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Radwan KassirDepartment of Digestive Surgery, CHU Félix Guyon, Saint Denis, La réunion, France. radwankassir42@hotmail.Fr.ORCID 0000-0002-3987-5272
Patrice LointierDepartment of Digestive Surgery, Clinique de la châtaigneraie, Beaumont, France.
Christophe BretonDepartment of Bariatric Surgery, Clinique Chirurgicale Mutualiste de Saint-Etienne, Saint-Etienne, France.
Pierre BlancDepartment of Bariatric Surgery, Clinique Chirurgicale Mutualiste de Saint-Etienne, Saint-Etienne, France.
Clinique Mutualiste Chirurgicale · FRCentre Hospitalier Universitaire de La Réunion · FRClinique Ambroise Paré · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe increased prevalence of reflux disease in obese patients, combined with widespread availability of laparoscopic antireflux surgery, has increased the likelihood that more patients will seek bariatric surgery having previously undergone fundoplication.

objectivesThis study examined our series of laparoscopic bariatric surgery after previous antireflux surgery without takedown of the previous fundoplication. We discuss our results, our technique and the tips and tricks to avoid complication after this procedure.

settingPrivate practice.

methodsWe operated on patients suffering from obesity who had already undergone laparoscopic Nissen. The patients were eligible for bariatric surgery according to the French National Institute of Health's criteria for bariatric surgery. The pre-operative assessment involved gastroscopy with biopsies looking for Helicobacter pylori, oesophago-gastroduodenoscopy, investigation for sleep apnoea syndrome and a full laboratory assessment. The patients took part in their choice of surgery.

resultsThe patients' post-operative course was uncomplicated. No patients had symptoms of gastro-esophageal reflux late after surgery and good gastrointestinal comfort was achieved (no pain, no reflux). All of the patients were satisfied. Length of stay was 3 to 5 days. All patients exhibited significant weight loss.

conclusionBariatric surgery is possible after fundoplication without taking down the fundoplication. It appears to be a viable alternative in patients seeking weight loss surgery after fundoplication, which is currently assumed contraindicated.

Indexed as

Bariatric SurgeryFundoplicationAdultCombined Modality TherapyContraindications, ProcedureFeasibility StudiesFemaleFranceGastroesophageal RefluxGastroscopyHumansLaparoscopyMaleMiddle AgedObesity, MorbidPostoperative ComplicationsAntireflux surgeryGastric bypassMinibypassMorbid obesitySurgery

Identifiers

PMID31529392
OpenAlexW2973486851

What OpenQuestion holds

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Registered trials

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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.