Evidence map›Paper›PMID 33196977›Full record

ArticleObesity surgery2021

Long-Term Outcome of Proximal Versus Very-Very Long Limb Roux-en-Y Gastric Bypass: the Roux-Limb to Common Channel Ratio Determines the Long-Term Weight Loss.

Julian Süsstrunk, Ioannis I Lazaridis, Thomas Köstler, Marko Kraljević, Tarik Delko, Urs Zingg

Abstract read
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Article in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Trial
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  6. 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

6 authors.

Julian Süsstrunk *Department of General Surgery, Limmattal Hospital, 8952, Zurich-Schlieren, Switzerland. j.suesstrunk@gmail.com.ORCID http://orcid.org/0000-0001-6929-6709
Ioannis I Lazaridis *Clarunis, University Center for Gastrointestinal and Liver Diseases, 4002, Basel, Switzerland.
Thomas KöstlerDepartment of General Surgery, Limmattal Hospital, 8952, Zurich-Schlieren, Switzerland.
Marko KraljevićClarunis, University Center for Gastrointestinal and Liver Diseases, 4002, Basel, Switzerland.
Tarik DelkoClarunis, University Center for Gastrointestinal and Liver Diseases, 4002, Basel, Switzerland.
Urs ZinggDepartment of General Surgery, Limmattal Hospital, 8952, Zurich-Schlieren, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe influence of the Roux limb (RL) length on weight loss in Roux-en-Y (RYGB)-type gastric bypass procedures is still unclear. This study analyzes the true impact of RL length by comparing the long-term outcomes of proximal RYGB (PRYGB) and very-very long limb RYGB (VVLL-RYGB).

methodsRL length in PRYGB was 150 cm. In VVLL-RYGB, common channel length was 100 cm. In both groups, biliopancreatic limbs measured 50-60 cm, resulting in equal total alimentary limb lengths. To adjust for pre-operative differences between groups, and to predict the long-term outcome, a mixed model analysis was performed.

resultsTwo hundred thirty-two patients with VVLL-RYGB (73.7% female, mean age 41.1 ± 10 years, initial BMI 45.8 ± 6.3 kg/m

conclusionThe VVLL-RYGB has a significantly higher long-term BMI reduction and a significantly lower weight rebound. The length of the Roux limb significantly influences long-term outcome.

Indexed as

Gastric BypassLaparoscopyObesity, MorbidAdultAnastomosis, Roux-en-YBody Mass IndexExtremitiesFemaleHumansMaleMiddle AgedReoperationTreatment OutcomeWeight LossBariatric surgeryDistal gastric bypassGastric bypassRoux limb lengthVery-very long limb

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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.