Evidence map›Paper›PMID 31902043›Full record

SynthesisObesity surgery2020

Diagnostic and Therapeutic Management of Post-Gastric Bypass Chronic Diarrhea: a Systematic Review.

Camille Sollier, Charles Barsamian, Marion Bretault, Tigran Poghosyan, Gabriel Rahmi, Jean-Marc Chevallier, Jean-Luc Bouillot, Claire Carette, Sébastien Czernichow, Claire Rives-Lange

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Obesity surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Maldigestion Versus Malabsorption in the Elderly.Current gastroenterology reports · 2020
    Review
  11. 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

10 authors at 3 institutions in 1 country.

Camille SollierAP-HP, Department of Nutrition, Centre spécialisé de l'Obesité Hôpital Européen Georges Pompidou, Paris, France.
Charles BarsamianAP-HP, Department of Nutrition, Centre spécialisé de l'Obesité Hôpital Européen Georges Pompidou, Paris, France.
Marion BretaultAP-HP, Department of Nutrition, Hôpital Ambroise Paré, Boulogne-Billancourt, France.
Tigran PoghosyanAP-HP, Department of Digestive Surgery, Hôpital Européen Georges Pompidou, Paris, France.
Gabriel RahmiAP-HP, Department of Gastroenterology, Hôpital Européen Georges Pompidou, Paris, France.
Jean-Marc ChevallierAP-HP, Department of Digestive Surgery, Hôpital Européen Georges Pompidou, Paris, France.
Jean-Luc BouillotAP-HP, Departement of Digestive Surgery, Hopital Ambroise Paré, Boulogne-Billancourt, France.
Claire CaretteAP-HP, Department of Nutrition, Centre spécialisé de l'Obesité Hôpital Européen Georges Pompidou, Paris, France.
Sébastien CzernichowAP-HP, Department of Nutrition, Centre spécialisé de l'Obesité Hôpital Européen Georges Pompidou, Paris, France.
Claire Rives-LangeAP-HP, Department of Nutrition, Centre spécialisé de l'Obesité Hôpital Européen Georges Pompidou, Paris, France. claire.rives-lange@aphp.fr.ORCID http://orcid.org/0000-0001-5393-5406
Université Paris Cité · FRAssistance Publique – Hôpitaux de Paris · FRUniversité de Versailles Saint-Quentin-en-Yvelines · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is a lack of recommendation regarding exploration and treatment of chronic diarrhea following gastric bypass, while it is a common side effect of this surgery. The electronic databases MEDLINE and EMBASE were searched until July 2018. Of the 553 articles identified, 35 articles were included. Intestinal bacterial overgrowth and pancreatic exocrine insufficiency are the main etiologies of diarrhea following gastric bypass. The diagnostic approach must begin by eliminating infectious causes of diarrhea. Exocrine pancreatic insufficiency can be diagnosed with fecal fat quantification or fecal elastase 1 level evaluation. A positive lactulose breath test confirms suspicion of small intestine bacterial overgrowth. In conclusion, we propose sequential exploration and treatment of the possible etiologies of diarrhea depending on clinical symptoms.

Indexed as

Exocrine Pancreatic InsufficiencyGastric BypassObesity, MorbidDiarrheaFecesHumansBariatric surgeryDiarrheaGastric bypass

Identifiers

PMID31902043
OpenAlexW2998732983

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.