Evidence map›Paper›PMID 32557390›Full record

ArticleObesity surgery2020

Weight Regain After Gastric Plication: Reoperative Sleeve Gastrectomy or Roux-en-Y Gastric Bypass?-Analysis of 116 Consecutive Cases.

Elias Chahine, Mubarak Alkandari, Belinda De Simone, Mazen Dirani, Antonio D'alessandro, Elias Saikaly, Andrew Gumbs, Maria Cristina Cartillone, Luigi Crispo, Marc Anthony Chouillard and 2 more

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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. An erratum has been issued. 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
–field-weighted citation impact
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.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Elias ChahineDepartment of Minimally Invasive Surgery, Poissy Saint Germain Medical Center, 10 rue du Champ Gaillard, 78300, Poissy, France. dr_elias_chahine@hotmail.com.ORCID http://orcid.org/0000-0002-8626-7544
Mubarak AlkandariDepartment of General Surgery, AlSabah Hospital, Kuwait City, Kuwait.
Belinda De SimoneDepartment of Minimally Invasive Surgery, Poissy Saint Germain Medical Center, 10 rue du Champ Gaillard, 78300, Poissy, France.
Mazen DiraniDepartment of Minimally Invasive Surgery, Poissy Saint Germain Medical Center, 10 rue du Champ Gaillard, 78300, Poissy, France.
Antonio D'alessandroDepartment of Minimally Invasive Surgery, Poissy Saint Germain Medical Center, 10 rue du Champ Gaillard, 78300, Poissy, France.
Elias SaikalySaint George Hospital University Medical Center, University of Balamand, Beirut, Lebanon.
Andrew GumbsDepartment of Minimally Invasive Surgery, Poissy Saint Germain Medical Center, 10 rue du Champ Gaillard, 78300, Poissy, France.
Maria Cristina CartilloneDepartment of Minimally Invasive Surgery, Poissy Saint Germain Medical Center, 10 rue du Champ Gaillard, 78300, Poissy, France.
Luigi CrispoDepartment of Minimally Invasive Surgery, Poissy Saint Germain Medical Center, 10 rue du Champ Gaillard, 78300, Poissy, France.
Marc Anthony ChouillardDepartment of Minimally Invasive Surgery, Poissy Saint Germain Medical Center, 10 rue du Champ Gaillard, 78300, Poissy, France.
Radwan KassirDepartment of General Surgery, CHU Felix-Guyon, St-Denis, La Reunion, France.
Elie ChouillardDepartment of Minimally Invasive Surgery, Poissy Saint Germain Medical Center, 10 rue du Champ Gaillard, 78300, Poissy, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn France, laparoscopic gastric plication (GP) has rarely been utilized as a weight loss procedure. Although relatively safe and efficient, its long-term results are still controversial. The goal of this study is to assess the indications and outcomes of revisional surgery post-GP. MATERIALS AND

methodsBetween February 2010 and September 2017, patient characteristics undergoing GP were prospectively collected from our database. Failure of conservative treatment or presence of anatomical anomaly explaining weight loss insufficiency was an indication for revisional surgery (RS).

resultsA total of 300 patients were included, 41 patients were lost to follow-up (13.7%), 124 patients (41.3%) had total weight loss (TWL) > 30%, and 116 patients (38.7%) underwent RS. Revisional procedures were laparoscopic Roux-en-Y gastric bypass (RYGB) in 72 patients (62.1%) and sleeve gastrectomy (SG) in 44 patients (37.9%). The median interval to RS was 29 months. The mean operative time was 60 min for the SG and 125 min for the RYGB (p < 0.0001). Mortality was nil. Significant morbidity occurred in eight patients (6.9%) including 4 non-abdominal complications, 1 gastric leak, 1 case of hemorrhage, 1 case of hematoma, and 1 intra-abdominal abscess. The mean length of hospital stay (LOS) was 2.9 days (range, 1-11) for the SG group vs 3.2 days (range, 2-8) for the RYGB group (p = 0.608).

conclusionGP is associated with a relatively high rate of weight regain or insufficient weight loss. When compared to SG, RYGB seems to be the safer revisional procedure with fewer surgical complications.

Indexed as

Gastric BypassLaparoscopyObesity, MorbidFranceGastrectomyHumansReoperationRetrospective StudiesTreatment OutcomeWeight GainGreater curvature plicationLaparoscopic gastric bypassLaparoscopic gastric plicationLaparoscopic sleeve gastrectomyObesity surgeryRevisional surgerySurgical failure

Identifiers

PMID32557390

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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.