Evidence map›Paper›PMID 32352682›Full record

ArticleClinical and translational gastroenterology2020

The Association Between Cholecystectomy, Metabolic Syndrome, and Nonalcoholic Fatty Liver Disease: A Population-Based Study.

Carmen S S Latenstein, Louise J M Alferink, Sarwa Darwish Murad, Joost P H Drenth, Cornelis J H M van Laarhoven, Philip R de Reuver

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Clinical and translational gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
1.9field-weighted citation impact, top 14% 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.

NCT05557669 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Effect of Laparoscopic Cholecystectomy on Risk of Metabolic Syndrome

TypeinterventionalSponsorBrothers Hospitallers Hospital in CracowRan2021 to 2025Enrolled400ConditionsCholelithiasis, Metabolic SyndromeArmsLaparoscopic cholecystectomy
NCT05689255 recruitingnot on this mapstarted 2022, after this paper: background citation

A Prospective Cohort Study of Translational Changes in Gut Microbiome and Metabolome in Patients With Gallstone Disease After Surgical and Endoscopic Interventions

TypeobservationalSponsorChangi General HospitalRan2022 to 2026Enrolled65ConditionsGallstone Disease, Bile Duct Diseases
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

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  8. Predicting Neoplastic Gallbladder Polyps: The Role of Current Surgical Indications and Preoperative Images.The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2025
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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

6 authors at 3 institutions in 1 country.

Carmen S S LatensteinDepartment of Surgery, Radboud University Medical Centre, Nijmegen, the Netherlands.
Louise J M AlferinkDepartment of Gastroenterology and Hepatology, Erasmus MC University Medical Centre, Rotterdam, the Netherlands.
Sarwa Darwish MuradDepartment of Gastroenterology and Hepatology, Erasmus MC University Medical Centre, Rotterdam, the Netherlands.
Joost P H DrenthDepartment of Gastroenterology and Hepatology, Radboud University Medical Centre, Nijmegen, the Netherlands.
Cornelis J H M van LaarhovenDepartment of Surgery, Radboud University Medical Centre, Nijmegen, the Netherlands.
Philip R de ReuverDepartment of Surgery, Radboud University Medical Centre, Nijmegen, the Netherlands.
Radboud University Nijmegen · NLErasmus MC · NLRadboud University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesObesity is a risk factor for several phenotypes such as gallstones, metabolic syndrome (MS), and nonalcoholic fatty liver disease (NAFLD). It has been suggested that cholecystectomy is a risk factor for metabolic abnormalities and NAFLD. We aimed to determine whether cholecystectomy is associated with MS or NAFLD in a Dutch population-based study.

methodsThe Rotterdam Study is an ongoing prospective population-based cohort. We included participants who underwent a liver ultrasound between 2009 and 2014 to assess steatosis. The prevalence of MS and NAFLD was calculated, and we performed regression analyses relating cholecystectomy with MS and NAFLD and adjusted for age, sex, study cohort, education level, physical activity, energy intake, time since cholecystectomy, body mass index, presence of hypertension, diabetes mellitus, and steatosis/MS.

resultsWe included 4,307 participants (57.5% women, median age 66.0 years [interquartile range 58-74]). In total, 265 participants (6.2%) underwent a cholecystectomy. The median age at the time of cholecystectomy was 57.0 years (47.5-66.5), and the median time from cholecystectomy to imaging of the liver was 10.0 years (0.5-19.5). The prevalence of MS in participants with cholecystectomy was 67.2% and 51.9% in participants without cholecystectomy (P < 0.001). Ultrasound diagnosed moderate/severe NAFLD was present in, respectively, 42.7% and 34.2% of the participants (P = 0.008). After multivariable adjustments for metabolic factors, cholecystectomy was no longer associated with the presence of MS or NAFLD. DISCUSSION: The prevalence of MS and NAFLD is higher in participants after cholecystectomy. However, our trial shows that cholecystectomy may not be independently associated with the presence of MS and NAFLD after correction for metabolic factors.

Indexed as

AgedBody Mass IndexCholecystectomyConfounding Factors, EpidemiologicFemaleHumansLiverMaleMetabolic SyndromeMiddle AgedNetherlandsNon-alcoholic Fatty Liver DiseasePrevalenceProspective StudiesRisk FactorsSeverity of Illness Index

Identifiers

PMID32352682
PMCPMC7263655
OpenAlexW3020234520

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.