Evidence map›Paper›PMID 32940866›Full record

Trial reportObesity surgery2020

Long Alimentary Limb Duodenal Switch (LADS): an Exploratory Randomized Trial, Results at 2 Years.

François-Charles Malo, Andréanne Marion, Antoine Rioux, Stéfane Lebel, Frédéric Hould, François Julien, Simon Marceau, Odette Lescelleur, Annie Lafortune, Léonie Bouvet-Bouchard and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Obesity surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03097926 (Prospective Randomized Trial of Duodenal Switch With a Standard Versus Long Alimentary Limb.), which is not on this map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 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.

NCT03097926 nacompletednot on this map

Prospective Randomized Trial of Duodenal Switch With a Standard Versus Long Alimentary Limb.

TypeinterventionalSponsorLaval UniversityRan2013 to 2018Enrolled20ConditionsObesity, Morbid, Bariatric Surgery Candidate, Metabolism DisorderArmsLong alimentary limb BPD-DS
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Current strategies for nonalcoholic fatty liver disease treatment (Review).International journal of molecular medicine · 2024
    Review
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

11 authors.

François-Charles MaloDepartment of surgery, Centre hospitalier universitaire de Sherbrooke - Université de Sherbrooke, Sherbrooke, Québec, Canada. francois-charles.malo@usherbrooke.ca.ORCID http://orcid.org/0000-0002-4876-7185
Andréanne MarionDepartment of surgery, Centre hospitalier universitaire de Sherbrooke - Université de Sherbrooke, Sherbrooke, Québec, Canada.
Antoine RiouxDepartment of surgery, Centre hospitalier universitaire de Sherbrooke - Université de Sherbrooke, Sherbrooke, Québec, Canada.
Stéfane LebelDepartment of surgery, Institut universitaire de cardiologie et pneumologie de Québec - Université Laval, Québec, Canada.
Frédéric HouldDepartment of surgery, Institut universitaire de cardiologie et pneumologie de Québec - Université Laval, Québec, Canada.
François JulienDepartment of surgery, Institut universitaire de cardiologie et pneumologie de Québec - Université Laval, Québec, Canada.
Simon MarceauDepartment of surgery, Institut universitaire de cardiologie et pneumologie de Québec - Université Laval, Québec, Canada.
Odette LescelleurDepartment of surgery, Institut universitaire de cardiologie et pneumologie de Québec - Université Laval, Québec, Canada.
Annie LafortuneDepartment of surgery, Institut universitaire de cardiologie et pneumologie de Québec - Université Laval, Québec, Canada.
Léonie Bouvet-BouchardDepartment of surgery, Institut universitaire de cardiologie et pneumologie de Québec - Université Laval, Québec, Canada.
Laurent BierthoDepartment of surgery, Institut universitaire de cardiologie et pneumologie de Québec - Université Laval, Québec, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe effectiveness of the standard biliopancreatic diversion with duodenal switch (BPD/DS) in terms of weight loss has been demonstrated. Increasing the strict alimentary limb length while maintaining the length of the common channel could lead to similar weight loss while reducing side effects. MATERIALS AND

methodsThe objective was to evaluate the effect of increasing the strict alimentary limb length on weight loss, comorbidities, nutritional deficiencies, and quality of life 2 years after surgery, compared with standard BPD/DS. An exploratory randomized, double-blind study evaluated the results of LADS at 2 years in comparison with the standard BPD/DS. Common channel was kept at 100 cm in both groups while alimentary limb was created at 100 cm from Treitz angle in the LADS group and at 150 cm total in the BPD/DS group.

resultsTwenty patients were recruited from May 2013 to June 2015. Mean percentage of excess weight loss was statistically significantly lower in the LADS group at 24 months (81.6 ± 6.6% in the LADS group and 97.1 ± 11.1% in the BPD/DS group (p = 0.001). No significant difference regarding the rate of remission of comorbidities was noted. Mean calcium, vitamin D, hemoglobin, zinc, and copper levels were statistically lower in the BPD/DS group. Quality of life was significantly improved in both groups, with no statistically significant difference between the two groups.

conclusionsAt 24 months, weight loss was lower in the LADS group. However, no difference was observed in the improvement in quality of life. LADS technique was discontinued following this study.

trial registrationClinicalTrial.gov Ref. NCT03097926.

Indexed as

Biliopancreatic DiversionObesity, MorbidAnastomosis, SurgicalDuodenumHumansQuality of LifeBariatric surgeryBiliopancreatic diversionDuodenal switchLong alimentary limbObesity

Identifiers

What OpenQuestion holds

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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.