Evidence map›Paper›PMID 31863410›Full record

ArticleObesity surgery2020

Revisional Surgery for Insufficient Loss or Regain of Weight After Roux-en-Y Gastric Bypass: Biliopancreatic Limb Length Matters.

Marko Kraljević, Thomas Köstler, Julian Süsstrunk, Ioannis I Lazaridis, Amy Taheri, Urs Zingg, Tarik Delko

Abstract read
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In one paragraph

Article in Obesity surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 3% 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, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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  16. WEIGHT LOSS AND THE LENGTH OF THE SMALL INTESTINE IN THE FOBI-CAPELLA SURGERY: IS THERE A RELATIONSHIP?Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2022
    Article
  17. Revisional Adjustable Gastric Band in Roux-en-Y Gastric Bypass-Is It Worth It?Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021
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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

7 authors at 3 institutions in 1 country.

Marko KraljevićDepartment of General Surgery, Limmattal Hospital, 8952, Zurich-Schlieren, Switzerland.ORCID http://orcid.org/0000-0001-5243-6269
Thomas KöstlerDepartment of General Surgery, Limmattal Hospital, 8952, Zurich-Schlieren, Switzerland.
Julian SüsstrunkDepartment of General Surgery, Limmattal Hospital, 8952, Zurich-Schlieren, Switzerland.
Ioannis I LazaridisClarunis, University Center for Gastrointestinal and Liver Diseases, 4002, Basel, Switzerland.
Amy TaheriInstitute of Clinical Chemistry, University Hospital Zurich, 8952, Zurich-Schlieren, Switzerland.
Urs ZinggDepartment of General Surgery, Limmattal Hospital, 8952, Zurich-Schlieren, Switzerland.
Tarik DelkoClarunis, University Center for Gastrointestinal and Liver Diseases, 4002, Basel, Switzerland. tarik.delko@gmail.com.
Spital Limmattal · CHUniversity Hospital of Basel · CHUniversity Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWeight regain after laparoscopic Roux-en-Y gastric bypass (RYGB) occurs in up to 35% of patients. Revisional surgery may be applied. Conversion from RYGB to a long biliopancreatic limb (BPL) RYGB is a potential option for revisional surgery and short-term results are promising.

methodsAll patients who underwent conversion to long BPL RYGB due to weight loss failure, defined as excess weight loss (EWL) < 50% or body mass index (BMI) > 35 kg/m

resultsA total of 28 patients received revisional surgery from either PRYGB (n = 22) or VVLL RYGB (n = 6). Mean age at operation was 45.3 ± 10.4 years, with 78% females. Mean prerevisional BMI was 41.7 ± 4.4 kg/m

conclusionConversion from RYGB to BPL RYGB leads to significant additional weight loss in the long term. However, the morbidity is relevant, especially severe protein malnutrition and the frequency of revisional surgery. Therefore, this type of surgery should not be done routinely.

Indexed as

AdultBiliopancreatic DiversionBody Mass IndexDuodenumFemaleFollow-Up StudiesGastric BypassHumansJejunumLaparoscopyMalabsorption SyndromesMaleMiddle AgedObesity, MorbidOrgan SizePostoperative ComplicationsBariatric surgeryFailed gastric bypassRevisional biliopancreatic diversionWeight rebound

Identifiers

PMID31863410
OpenAlexW2995118495

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.