Evidence map›Paper›PMID 32052289›Full record

ArticleObesity surgery2020

Conversion of One Anastomosis Gastric Bypass (OAGB) to Roux-en-Y Gastric Bypass (RYGB) for Biliary Reflux Resistant to Medical Treatment: Lessons Learned from a Retrospective Series of 2780 Consecutive Patients Undergoing OAGB.

Radwan Kassir, Niccolo Petrucciani, Tarek Debs, Gildas Juglard, Francesco Martini, Arnaud Liagre

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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 41 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 3 pooled it
11.0field-weighted citation impact, top 1% 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

41 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Radwan Kassir *Department of Digestive Surgery, CHU Félix Guyon, Saint Denis, La réunion, France.
Niccolo Petrucciani *Department of Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and Psychology, St Andrea Hospital, Sapienza University, via di Grottarossa 1035-9, 00189, Rome, Italy. niccolo.petrucciani@uniroma1.it.ORCID http://orcid.org/0000-0002-4639-5613
Tarek DebsDepartment of Digestive Surgery, Archet II Hospital, University of Nice-Sophia-Antipolis, Nice, France.
Gildas JuglardDepartment of Bariatric Surgery, Clinique des Cedres 31, Cornebarrieu, France.
Francesco MartiniDepartment of Bariatric Surgery, Clinique des Cedres 31, Cornebarrieu, France.
Arnaud LiagreDepartment of Bariatric Surgery, Clinique des Cedres 31, Cornebarrieu, France.
Clinique des Cèdres · FRAzienda Ospedaliera Sant'Andrea · ITCentre Hospitalier Universitaire de La Réunion · FRUniversité Côte d'Azur · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBiliary reflux resistant to medical treatment has an incidence of 0.6-10% after one anastomosis gastric bypass (OAGB) and may be a reason for revisional surgery. The aim of this study is to report the results of a single-institution series of patients who underwent conversion from OAGB to Roux-en-Y gastric bypass (RYGB) for biliary reflux.

methodsData of OAGB patients converted to RYGB between May 2010 and December 2017 were prospectively collected and retrospectively analyzed. The afferent limb was sectioned proximally to the gastrojejunal anastomosis. A jejuno-jejunal latero-lateral anastomosis was performed between the biliary and alimentary limb. The final RYGB had an alimentary limb of 100 cm and a biliary limb of 150 cm.

resultsDuring the study period, 2780 patients underwent OAGB. A total of 32 patients (1.2%) underwent conversion from OAGB to RYGB for biliary reflux, at a mean of 30.3 months from OAGB. Mean weight before RYGB was 70.6 kg, and mean body mass index BMI was 26 kg/m

conclusionsBiliary reflux although rare can complicate OAGB. RYGB is a safe and feasible technique of revision in this case. A shorter length of the afferent limb during the initial operation facilitates the revision.

Indexed as

Bile RefluxGastric BypassObesity, MorbidBody Mass IndexHumansRetrospective StudiesBariatric surgeryBile refluxOne anastomosis gastric bypassPostoperative complicationsRevisionRoux-en-Y gastric bypassSurgical

Identifiers

PMID32052289
OpenAlexW3005836860

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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.