Evidence map›Paper›PMID 32358686›Full record

ArticleObesity surgery2020

Helicobacter pylori, Sleeve Gastrectomy, and Gastroesophageal Reflux Disease; Is there a Relation?

Sameh H Emile, Ayman Elshobaky, Hosam G Elbanna, Wagdi Elkashef, Mohamed A Abdel-Razik

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 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. IMPACT OF HELICOBACTER PYLORI ON EARLY POSTOPERATIVE COMPLICATIONS AFTER SLEEVE GASTRECTOMY: A SYSTEMATIC REVIEW AND META-ANALYSIS.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2024
    Pooled it
  3. Prevalence ofIranian journal of microbiology · 2025
    Article
  4. Article
  5. ActiveJournal of clinical medicine · 2024
    Article
  6. BMJ open gastroenterology · 2024
    Article
  7. Article
  8. Article
  9. Vonoprazan on the Eradication of Helicobacter pylori Infection.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2023
    Article
  10. Article
  11. Article
  12. Microorganisms · 2021
    Article
  13. Article
  14. Article
  15. Article
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  17. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Sameh H EmileGeneral Surgery Department, Mansoura University Hospitals, Mansoura University, Mansoura, Egypt. sameh200@hotmail.com.ORCID http://orcid.org/0000-0001-7854-5244
Ayman ElshobakyGeneral Surgery Department, Mansoura University Hospitals, Mansoura University, Mansoura, Egypt.
Hosam G ElbannaGeneral Surgery Department, Mansoura University Hospitals, Mansoura University, Mansoura, Egypt.
Wagdi ElkashefPathology Department, Mansoura University Hospitals, Mansoura University, Mansoura, Egypt.
Mohamed A Abdel-RazikGeneral Surgery Department, Mansoura University Hospitals, Mansoura University, Mansoura, Egypt.
Mansoura University · EGMansoura University Hospital · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSleeve gastrectomy (SG) is an effective bariatric procedure, yet can be associated with complications as gastroesophageal reflux disease (GERD). The present study aimed to investigate the prevalence of Helicobacter pylori (H. pylori) in SG specimens, its relation with GERD, and its impact on postoperative outcomes.

methodsAll SG specimens received in the pathology laboratory were reviewed. The prevalence of H. pylori in SG specimens was recorded. Patients with H. pylori infection who received triple therapy were compared with patients without H pylori in terms of baseline characteristics, preoperative GERD and its outcome postoperatively, development of new-onset GERD, staple line complications, and weight loss.

resultsThe records of 176 patients were reviewed; 69 (39.2%) were positively tested on H. pylori infection. Patients with H. pylori had higher body mass index (BMI) (RR = 1.51), greater incidence of preoperative GERD (RR = 1.67), and complained more of dyspepsia (RR = 1.87). Eradication of H. pylori was achieved in 67 (97.1%) of 69 patients. Postoperative improvement in GERD symptoms (44.4% Vs 19%, p = 0.036) and dyspepsia (85.7% Vs 51.7%, p = 0.007) was higher in patients with H. pylori with confirmed eradication of infection than patients without H. pylori. Both groups had similar operation time, postoperative BMI, excess weight loss, staple line complications, and new-onset GERD.

conclusionsMore than one-third of patients with morbid obesity had H. pylori infection. Morbidly obese patients with H. pylori infection may be more prone to develop GERD symptoms; yet after eradication of the infection, they may also experience better improvement in symptoms after SG.

Indexed as

Gastroesophageal RefluxHelicobacter pyloriObesity, MorbidGastrectomyHumansWeight LossGastroesophageal reflux diseaseHelicobacter pyloriRelationSleeve gastrectomy

Identifiers

PMID32358686
OpenAlexW3021968092

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.