Evidence map›Paper›PMID 32399844›Full record

ArticleObesity surgery2020

Impact of Functional Laparoscopic Gastric Bypass with Fundectomy and Gastric Remnant Exploration (LRYGBfse) on Patients' Quality of Life: Trajectory and 5-Year Follow-up Result.

Giovanni Lesti, Davide Bona, Andrea Sozzi, Francesco Lesti, Gianluca Bonitta, Marco Antonio Zappa, Alberto Aiolfi

Abstract readMulticenter Study
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 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 38% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. 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 1 institution in 1 country.

Giovanni LestiDepartment of General Surgery, Fondazione Salus Clinica Di Lorenzo, Via Vittorio Veneto 37, Avezzano, AQ, Italy.
Davide BonaDepartment of Biomedical Science for Health, Division of General Surgery, Istitituto Clinico Sant'Ambrogio, University of Milan, Milan, Italy.
Andrea SozziDepartment of Biomedical Science for Health, Division of General Surgery, Istitituto Clinico Sant'Ambrogio, University of Milan, Milan, Italy.
Francesco LestiDepartment of General Surgery, Fondazione Salus Clinica Di Lorenzo, Via Vittorio Veneto 37, Avezzano, AQ, Italy.
Gianluca BonittaDepartment of Biomedical Science for Health, Division of General Surgery, Istitituto Clinico Sant'Ambrogio, University of Milan, Milan, Italy.
Marco Antonio ZappaDepartment of General and Emergency Surgery, Ospedale Fatebenefratelli Sacra Famiglia, University of Milan, Milan, Italy.
Alberto AiolfiDepartment of Biomedical Science for Health, Division of General Surgery, Istitituto Clinico Sant'Ambrogio, University of Milan, Milan, Italy. alberto.aiolfi86@gmail.com.ORCID http://orcid.org/0000-0002-7764-6075
University of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMorbid obesity is associated with reduced patients' perception quality of life (QoL). The health benefit of Laparoscopic Roux-en-Y gastric bypass (LRYGB) is well established with long-term weight control and QoL improvement. The laparoscopic functional gastric bypass with fundectomy and gastric remnant exploration (LRYGBfse) has been described with promising results in terms of weight loss and comorbid resolution. The purpose of this study was to investigate its contribution on patients' QoL at 5-year follow-up. MATERIAL AND

methodsMulticenter prospective study (2009-2018). QoL was assessed at baseline and annually with the Gastrointestinal Quality of Life Index (GIQLI), Moorehead-Ardelt Quality of Life Questionnaire II (M-A-QoLQII), and Short-Form 36 (SF-36).

resultsOverall, 752 patients underwent the LRYGBfse. Three-hundred forty-four patients completed the 5-year follow-up. Median postoperative %TBWL at 1, 2, 3, and 5 years were 33.6, 33.9, 33.7, and 31.4%, respectively. Median GIQLI total score before and at 1, 2, 3, and 5 years after LRYGBfse was 82.6, 96.1, 113.1, 112.5, and 108.4. Median M-A-QoLQII total score before and at 1, 2, 3, and 5 years after surgery was 0.6, 1.6, 2.1, 2.0, and 1.6. Compared with baseline, the 5-year follow-up improvement was statistically significant for the GIQLI and M-A-QoLQII (p < 0.001). Similarly, all eight SF-36 items and both the Physical and Mental component scores were significantly improved (p < 0.001).

conclusionsThe functional LRYGBfse seems associated with a long-standing weight loss and QoL improvement. This seems driven by better gastrointestinal symptoms and physical and social functions combined with improved emotional aspects.

Indexed as

Gastric BypassGastric StumpLaparoscopyObesity, MorbidFollow-Up StudiesHumansProspective StudiesQuality of LifeTreatment OutcomeBariatric surgeryGIQLIM-A-QoLQIIQuality of lifeSF-36

Identifiers

PMID32399844
OpenAlexW3025158802

What OpenQuestion holds

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Registered trials

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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.