Evidence map›Paper›PMID 31993812›Full record

ArticleSurgical endoscopy2020

Health benefits and risks during 10 years after Roux-en-Y gastric bypass.

M Chahal-Kummen, O B K Salte, S Hewitt, I K Blom-Høgestøl, H Risstad, J Kristinsson, T Mala

Open access · hybridAbstract read
In one paragraph

Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Eating patterns and unhealthy weight control behaviors are associated with loss-of-control eating following bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2021
    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.

M Chahal-KummenDepartment of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Nydalen, PO Box 4950, 0424, Oslo, Norway. monica.chahal.kummen@gmail.com.
O B K SalteDepartment of Gastrointestinal Surgery, Oslo University Hospital, Oslo, Norway.
S HewittDepartment of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Nydalen, PO Box 4950, 0424, Oslo, Norway.
I K Blom-HøgestølDepartment of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Nydalen, PO Box 4950, 0424, Oslo, Norway.
H RisstadDepartment of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Nydalen, PO Box 4950, 0424, Oslo, Norway.
J KristinssonDepartment of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Nydalen, PO Box 4950, 0424, Oslo, Norway.
T MalaDepartment of Gastrointestinal Surgery, Oslo University Hospital, Oslo, Norway.
Oslo University Hospital · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-term evaluations 10 years after Roux-en-Y gastric bypass (RYGB) are limited. We report the development in weight and cardiovascular risk factors during 10 years after laparoscopic RYGB, with evaluation of gastrointestinal symptoms and quality of life (QoL) at 10-year follow-up.

methodsWe performed a prospective longitudinal cohort study. Patients operated with laparoscopic RYGB from May 2004 to November 2006 were invited to 10-year follow-up consultations. Gastrointestinal Symptom Rating Scale (GSRS) questionnaire and two QoL questionnaires were used for analyses of gastrointestinal symptoms and QoL.

resultsA total of 203 patients were operated; nine (4.4%) died during follow-up. Of 194 eligible patients, 124 (63.9%) attended 10-year follow-up consultations. Percent excess weight loss (%EWL) and percent total weight loss (%TWL) at 10 years were 53.0% and 24.1%, respectively. %EWL > 50% was seen in 53.2%. Significant weight regain (≥15%) from 2 to 10 years was seen in 63.3%. Remission rates of type 2 diabetes, dyslipidemia, and hypertension were 56.8%, 46.0%, and 41.4%, respectively. Abdominal operations beyond 30 days after RYGB were reported in 33.9%. Internal hernia and ileus (13.7%) and gallstone-related disease (9.7%) were the most common causes. Vitamin D deficiency (<50nmol/L) was seen in 33.3%. At 10 years, bothersome abdominal pain and indigestion symptoms (GSRS scores ≥3) were reported in 42.9% and 54.0%, respectively, and were associated with low QoL.

conclusionWe observed significant weight loss and remission of comorbidities 10 years after RYGB. Significant weight regain occurred in a substantial subset of patients. Gastrointestinal symptoms were common and negatively impacted QoL.

Indexed as

FemaleGastric BypassHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesQuality of LifeRisk FactorsTime FactorsCardiovascular risk factorsGastric bypassGastrointestinal symptomsLong-term outcomesWeight loss

Identifiers

PMID31993812
PMCPMC7644522
OpenAlexW3003384474

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.