Evidence map›Paper›PMID 31679986›Full record

ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2020

Laparoscopic sleeve gastrectomy induces sustained changes in gray and white matter brain volumes and resting functional connectivity in obese patients.

Yuanyuan Wang, Gang Ji, Yang Hu, Guanya Li, Yueyan Ding, Chunxin Hu, Lei Liu, Wenchao Zhang, Karen M von Deneen, Yu Han and 7 more

Abstract read
In one paragraph

Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. A review of brain structural and functional changes using MRI technology in patients who received bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2025
    Review
  7. Article
  8. Stimulant medications in children with ADHD normalize the structure of brain regions associated with attention and reward.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Article
  9. Article
  10. Review
  11. Resting-state network functional connectivity before and after bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2023
    Article
  12. Review
  13. Article
  14. Long-term changes in insula-mesolimbic structural and functional connectivity in obese patients after laparoscopic sleeve gastrectomy.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2022
    Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Yuanyuan WangCenter for Brain Imaging, School of Life Science and Technology, Xidian University, Xi'an, China.
Gang JiState Key Laboratory of Cancer Biology, National Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi'an, China. Electronic address: jigang@fmmu.edu.cn.
Yang HuCenter for Brain Imaging, School of Life Science and Technology, Xidian University, Xi'an, China.
Guanya LiCenter for Brain Imaging, School of Life Science and Technology, Xidian University, Xi'an, China.
Yueyan DingCenter for Brain Imaging, School of Life Science and Technology, Xidian University, Xi'an, China.
Chunxin HuCenter for Brain Imaging, School of Life Science and Technology, Xidian University, Xi'an, China.
Lei LiuCenter for Brain Imaging, School of Life Science and Technology, Xidian University, Xi'an, China.
Wenchao ZhangCenter for Brain Imaging, School of Life Science and Technology, Xidian University, Xi'an, China.
Karen M von DeneenCenter for Brain Imaging, School of Life Science and Technology, Xidian University, Xi'an, China.
Yu HanDepartment of Radiology, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Guangbin CuiDepartment of Radiology, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Huaning WangDepartment of Psychiatry, Xijing Hospital, The Fourth Military Medical University, Xi'an, Xi'an, China.
Peter ManzaLaboratory of Neuroimaging, National Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland.
Nora D VolkowLaboratory of Neuroimaging, National Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland.
Yongzhan NieState Key Laboratory of Cancer Biology, National Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi'an, China.
Gene-Jack WangLaboratory of Neuroimaging, National Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland. Electronic address: gene-jack.wang@nih.gov.
Yi ZhangCenter for Brain Imaging, School of Life Science and Technology, Xidian University, Xi'an, China. Electronic address: yizhang@xidian.edu.cn.

Funding

Neurobiology of Substance Abuse and AddictionZIAAA000550 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI VOLKOW, NORA D. · 2009 to 2025
$115.1M
Intramural NIH HHS Z99 AA999999
6 · The paper itself

Abstract

backgroundObesity is associated with decreased brain gray- (GM) and white-matter (WM) volumes in regions. Laparoscopic sleeve gastrectomy (LSG) is an effective bariatric surgery associated with neuroplastic changes in patients with obesity at 1 month postLSG.

objectiveTo investigate whether LSG can induce sustained neuroplastic recovery of brain structural abnormalities, and whether structural changes are accompanied by functional alterations.

settingUniversity hospital, longitudinal study.

methodsStructural magnetic resonance imaging and voxel-based morphometry analysis were employed to assess GM/WM volumes in 30 obese participants at preLSG and 1 and 3 months postLSG. One-way analysis of variance modeled time effects on GM/WM volumes, and then alterations in resting-state functional connectivity (RSFC) were assessed.

resultsSignificant time effects on GM volumes were in caudate (F = 11.20), insula (INS; F = 10.11), posterior cingulate cortex (PCC; F = 13.32), and inferior frontal gyrus (F = 12.18), and on WM volumes in anterior cingulate cortex (F = 15.70), PCC (F = 15.56), and parahippocampus (F = 17.96, P

conclusionLSG induces sustained structural brain changes, which might mediate long-term benefits of bariatric surgery in weight reduction. Associations between regional GM volume and RSFC suggest that LSG-induced structural changes contribute to RSFC changes.

Indexed as

GastrectomyGray MatterLaparoscopyWhite MatterAdolescentAdultFemaleHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedObesityRestYoung AdultFunctional connectivityInsulaLaparoscopic sleeve gastrectomyObesityPosterior cingulate cortex

Identifiers

PMID31679986
PMCPMC6994381

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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.