Evidence map›Paper›PMID 32306299›Full record

ArticleObesity surgery2020

The Impact of Bariatric Surgery on Hepatic Function and Predictors of Liver Steatosis and Fibrosis.

Marta Borges-Canha, João Sérgio Neves, Fernando Mendonça, Maria Manuel Silva, Cláudia Costa, Pedro M Cabral, Vanessa Guerreiro, Rita Lourenço, Patrícia Meira, Daniela Salazar and 10 more

Abstract read
PubMed Publisher
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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 21 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

20 authors at 3 institutions in 1 country.

Marta Borges-CanhaServiço de Endocrinologia, Diabetes e Metabolismo do, Centro Hospitalar Universitário de São João, Porto, Portugal. marta.canha@gmail.com.
João Sérgio NevesServiço de Endocrinologia, Diabetes e Metabolismo do, Centro Hospitalar Universitário de São João, Porto, Portugal.
Fernando MendonçaServiço de Endocrinologia, Diabetes e Metabolismo do, Centro Hospitalar Universitário de São João, Porto, Portugal.
Maria Manuel SilvaServiço de Endocrinologia, Diabetes e Metabolismo do, Centro Hospitalar Universitário de São João, Porto, Portugal.
Cláudia CostaServiço de Endocrinologia do, Instituto Português de Oncologia do Porto, Porto, Portugal.
Pedro M CabralServiço de Patologia Clínica do, Centro Hospitalar Universitário Cova da Beira, Covilhã, Portugal.
Vanessa GuerreiroServiço de Endocrinologia, Diabetes e Metabolismo do, Centro Hospitalar Universitário de São João, Porto, Portugal.
Rita LourençoFaculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal.
Patrícia MeiraFaculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal.
Daniela SalazarServiço de Endocrinologia, Diabetes e Metabolismo do, Centro Hospitalar Universitário de São João, Porto, Portugal.
Maria João FerreiraServiço de Endocrinologia, Diabetes e Metabolismo do, Centro Hospitalar Universitário de São João, Porto, Portugal.
Jorge PedroServiço de Endocrinologia, Diabetes e Metabolismo do, Centro Hospitalar Universitário de São João, Porto, Portugal.
Ana LeiteDepartamento de Cirurgia e Fisiologia, Faculdade de Medicina da Universidade do Porto, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal.
Sara VianaServiço de Endocrinologia, Diabetes e Metabolismo do, Centro Hospitalar Universitário de São João, Porto, Portugal.
Ana SandeServiço de Endocrinologia, Diabetes e Metabolismo do, Centro Hospitalar Universitário de São João, Porto, Portugal.
Sandra BeloServiço de Endocrinologia, Diabetes e Metabolismo do, Centro Hospitalar Universitário de São João, Porto, Portugal.
Eva LauServiço de Endocrinologia, Diabetes e Metabolismo do, Centro Hospitalar Universitário de São João, Porto, Portugal.
Paula FreitasServiço de Endocrinologia, Diabetes e Metabolismo do, Centro Hospitalar Universitário de São João, Porto, Portugal.
Davide CarvalhoServiço de Endocrinologia, Diabetes e Metabolismo do, Centro Hospitalar Universitário de São João, Porto, Portugal.
CRIO group
Hospital de São João · PTUniversidade do Porto · PTHospital Center of Cova da Beira · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the variation in parameters of hepatic function and in the scores Fatty Liver Index (FLI; predictor of hepatic steatosis) and BARD (BMI, AST/ALT ratio and DM, predictor of hepatic fibrosis), 1 year after bariatric surgery. MATERIAL AND

methodsThis is a observational retrospective cohort study in patients with morbid obesity that underwent bariatric surgery in our centre. We used two linear regression models: (1) unadjusted and (2) adjusted for surgery type, sex, age, body mass index, diabetes, and dyslipidaemia.

resultsThe included population (n = 1955) had an average age of 43.1 ± 10 years and 85.8% were female. Diabetes was present in 32.4% of the patients, 45.1% had dyslipidaemia, and 62.2% had hypertension. Twelve percent were submitted to gastric band, 29.6% to sleeve gastrectomy, and 58.4% to gastric bypass. We observed a relevant decrease in transaminases and gamma-glutamyltransferase, and an increase in alkaline phosphatase and total bilirubin. Both FLI and BARD markedly decrease 1 year after surgery (p < 0.01). Comparing the surgical procedures, sleeve gastrectomy was associated with a greater reduction of hepatic enzymes and of both FLI and BARD compared with gastric band. Comparing with gastric bypass, sleeve was associated with a greater reduction of transaminases and alkaline phosphatase, but a smaller reduction of FLI and BARD.

conclusionBariatric surgery is associated with a reduction of the hepatic enzymes and an improvement of FLI and BARD. It may represent an effective therapeutic approach for NAFLD.

Indexed as

Bariatric SurgeryGastric BypassNon-alcoholic Fatty Liver DiseaseObesity, MorbidAdultFemaleGastrectomyHumansMaleMiddle AgedRetrospective StudiesWeight LossBariatric surgeryNAFLDObesity

Identifiers

PMID32306299
OpenAlexW3016352931

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.