Evidence map›Paper›PMID 31709832›Full record

ArticleAmerican journal of physiology. Gastrointestinal and liver physiology2020

Roux-en-Y gastric bypass surgery improves hepatic glucose metabolism and reduces plasma kisspeptin levels in morbidly obese patients with type 2 diabetes.

C Robb Flynn, Vance L Albaugh, Robyn A Tamboli, Justin M Gregory, Amma Bosompem, Reem M Sidani, Jason J Winnick

Open access · bronzeAbstract read
In one paragraph

Article in American journal of physiology. Gastrointestinal and liver physiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
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

7 authors at 2 institutions in 1 country.

C Robb FlynnDepartment of Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee.
Vance L AlbaughDepartment of Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee.ORCID 0000-0002-5267-8951
Robyn A TamboliDepartment of Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee.
Justin M GregoryIan Burr Division of Pediatric Endocrinology and Diabetes, Vanderbilt University School of Medicine, Nashville, Tennessee.ORCID 0000-0003-2700-0062
Amma BosompemDepartment of Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee.
Reem M SidaniDepartment of Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee.
Jason J WinnickUniversity of Cincinnati College of Medicine, Department of Internal Medicine, Division of Endocrinology, Diabetes and Metabolism, Cincinnati, Ohio.ORCID 0000-0002-9494-8171
Vanderbilt University · USUniversity of Cincinnati Medical Center · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2002 to 2026
$29.9M
TRANSGENIC MOUSE/ ES CELL SHARES RESOURCESP60DK020593 · NIDDK · VANDERBILT UNIVERSITY · PI POWERS, ALVIN C · 1986 to 2011
$28.1M
Role of the Omentum in the Treatment of Morbid ObesityR01DK070860 · NIDDK · VANDERBILT UNIVERSITY · PI ABUMRAD, NAJI N · 2005 to 2009
$4.2M
Pathogenesis, Targeted Therapeutics, and New Vaccines for Childhood DiseaseK12HD087023 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Michael R. DeBaun, Juan C Salazar · 2016 to 2026
$4.1M
The effect of exercise on hepatic glucose metabolism in type 2 diabetes mellitusK01DK093799 · NIDDK · VANDERBILT UNIVERSITY · PI WINNICK, JASON · 2012 to 2014
$338k
Relevance of the Route of Insulin Delivery to the Develpment of HypoglycemiaF32DK100114 · NIDDK · VANDERBILT UNIVERSITY · PI GREGORY, JUSTIN · 2013 to 2014
$110k
NCATS NIH HHS UL1 TR000445NICHD NIH HHS K12 HD087023NIDDK NIH HHS F32 DK100114NIDDK NIH HHS K01 DK093799NIDDK NIH HHS P30 DK058404NIDDK NIH HHS P60 DK020593NIDDK NIH HHS R01 DK070860
6 · The paper itself

Abstract

Roux-en-Y gastric bypass surgery (RYGB) is known to improve whole-body glucose metabolism in patients with type 2 diabetes (T2D), although the mechanisms are not entirely clear and are likely multifactorial. The aim of this study was to assess fasting hepatic glucose metabolism and other markers of metabolic activity before and after RYGB in patients with and without T2D. Methods: Metabolic characteristics of patients who are obese with T2D were compared with those without the disease (non-T2D) before and 1 and 6 mo after RYGB. Fasting plasma insulin and the insulin:glucagon ratio were markedly reduced as early as 1 mo after RYGB in both patients with T2D and without T2D. Despite this reduction, endogenous glucose production and fasting plasma glucose levels were lower in both groups after RYGB, with the reductions being much larger in T2D. Plasma kisspeptin, an inhibitor of insulin secretion, was reduced only in T2D after surgery. Improved hepatic glucose metabolism and lower plasma kisspeptin in T2D after RYGB may link improved hepatic function with enhanced insulin responsiveness after surgery.

Indexed as

Anastomosis, Roux-en-YAdolescentAdultBlood GlucoseDiabetes Mellitus, Type 2FemaleGlucagonGlucoseHumansInsulinKisspeptinsLiverMaleMiddle AgedObesity, MorbidTreatment OutcomeBlood GlucoseGlucagonGlucoseInsulinKisspeptinsglucagonhepatic glucose metabolisminsulin secretionweight loss surgery

Identifiers

PMID31709832
PMCPMC7052573
OpenAlexW2987372489

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.