Evidence map›Paper›PMID 31845146›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2020

Cardiovascular Benefits and Lipid Profile Changes 5 Years After Bariatric Surgery: A Comparative Study Between Sleeve Gastrectomy and Roux-en-Y Gastric Bypass.

Costantino Voglino, Andrea Tirone, Cristina Ciuoli, Nicoletta Benenati, Barbara Paolini, Federica Croce, Ilaria Gaggelli, Maria Laura Vuolo, Roberto Cuomo, Luca Grimaldi and 1 more

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In one paragraph

Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 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

11 authors at 1 institution in 1 country.

Costantino VoglinoDepartment of Surgical Sciences, Unit of BariatricSurgery, S. Maria Alle Scotte Hospital, University of Siena, Siena, SI, Italy. costantinovoglino@gmail.com.ORCID http://orcid.org/0000-0002-9748-0236
Andrea TironeDepartment of Surgical Sciences, Unit of BariatricSurgery, S. Maria Alle Scotte Hospital, University of Siena, Siena, SI, Italy.
Cristina CiuoliDepartment of Medical Sciences, Unit of Endocrinology, S. Maria Alle Scotte Hospital, University of Siena, Siena, SI, Italy.
Nicoletta BenenatiDepartment of Medical Sciences, Unit of Endocrinology, S. Maria Alle Scotte Hospital, University of Siena, Siena, SI, Italy.
Barbara PaoliniDepartment of Innovation, experimentation and clinical research, Unit of dietetics and clinical nutrition, S. Maria Alle Scotte Hospital,University of Siena, Siena, SI, Italy.
Federica CroceDepartment of Diagnostic Imaging and Laboratory Medicine, Unit of Diagnostic Imaging, Ospedali Riuniti della Valdichiana, Montepulciano, SI, Italy.
Ilaria GaggelliDepartment of Surgical Sciences, Unit of BariatricSurgery, S. Maria Alle Scotte Hospital, University of Siena, Siena, SI, Italy.
Maria Laura VuoloDepartment of Surgical Sciences, Unit of BariatricSurgery, S. Maria Alle Scotte Hospital, University of Siena, Siena, SI, Italy.
Roberto CuomoDepartment of Surgical Sciences, Unit of Plastic and Reconstructive Surgery, S. Maria Alle Scotte Hospital, University of Siena, Siena, SI, Italy.
Luca GrimaldiDepartment of Surgical Sciences, Unit of Plastic and Reconstructive Surgery, S. Maria Alle Scotte Hospital, University of Siena, Siena, SI, Italy.
Giuseppe VuoloDepartment of Surgical Sciences, Unit of BariatricSurgery, S. Maria Alle Scotte Hospital, University of Siena, Siena, SI, Italy.
University of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionVisceral adipose tissue has been linked with cardiovascular events. Visceral adiposity index (VAI) is a routinely applicable tool for evaluation of visceral adipose dysfunction and linked to 10 year-cardiovascular risk. No previous studies have evaluated the changes over time of the VAI in patients who underwent different types of bariatric surgery. MATERIALS AND

methodsWe reviewed data of 42 patients who underwent laparoscopic sleeve gastrectomy (LSG) and 61 patients who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB). VAI, lipid profile, and several anthropometric variables were measured before and after 5 years following surgery.

resultsDuring the studied time period, the BMI was similar between LSG and LRYGB patients (34.1 vs 31.6; p = 0.191), but the percentage of total weight loss (%TWL) for LRYGB was significantly higher than LSG (31.3% vs 23.0%; p < 0.001). LRYGB patients had a significant improvement of all lipid parameters evaluated over time, while LSG patients experienced only a reduction in triglycerides (TG) levels and an increase in HDL cholesterol (HDL-C). VAI values were similar in the two groups at baseline as well at the last follow-up point (5-year VAI, LSG: 0.93, RYGB: 0.93; p = 0.951). At multivariate regression analysis, 5-year-%TWL was the only independent predictor of a greater amount of VAI reduction over time.

conclusionBariatric surgery, independent of the type of surgical procedure, decreases the cardiovascular disease (CVD) risks due to weight loss and improvement of lipid parameters. VAI could be a useful tool to better identify eligible patients for bariatric surgery and to determine the success of surgery.

Indexed as

Bariatric SurgeryGastric BypassLaparoscopyObesity, MorbidGastrectomyHumansLipidsTreatment OutcomeLipidsBariatricbariatric surgerymetabolic surgeryRYGB bypass, bypasssleeve gastrectomySurgery

Identifiers

PMID31845146
OpenAlexW2996205125

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.