Evidence map›Paper›PMID 33317122›Full record

ArticleBioengineering (Basel, Switzerland)2020

Biomechanical Investigation of the Stomach Following Different Bariatric Surgery Approaches.

Ilaria Toniolo, Chiara Giulia Fontanella, Mirto Foletto, Emanuele Luigi Carniel

Open access · goldAbstract read
In one paragraph

Article in Bioengineering (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Ilaria TonioloDepartment of Industrial Engineering, University of Padova, Via Venezia 1, 35131 Padova, Italy.ORCID 0000-0003-4072-6597
Chiara Giulia FontanellaDepartment of Industrial Engineering, University of Padova, Via Venezia 1, 35131 Padova, Italy.ORCID 0000-0003-3844-9842
Mirto FolettoCentre for Mechanics of Biological Materials, University of Padova, Via F. Marzolo 9, 35131 Padova, Italy.ORCID 0000-0001-6594-4852
Emanuele Luigi CarnielDepartment of Industrial Engineering, University of Padova, Via Venezia 1, 35131 Padova, Italy.
University of Padua · IT

Funding

SMARTBAR - SMART tools for the effective assessment and the optimization of procedures in BARiatric surgery BIRD183013
6 · The paper itself

Abstract

backgroundThe stomach is a hollow organ of the gastrointestinal tract, on which bariatric surgery (BS) is performed for the treatment of obesity. Even though BS is the most effective treatment for severe obesity, drawbacks and complications are still present because the intervention design is largely based on the surgeon's expertise and intraoperative decisions. Bioengineering methods can be exploited to develop computational tools for more rational presurgical design and planning of the intervention.

methodsA computational mechanical model of the stomach was developed, considering the actual complexity of the biological structure, as the nonhomogeneous and multilayered configuration of the gastric wall. Mechanical behavior was characterized by means of an anisotropic visco-hyperelastic constitutive formulation of fiber-reinforced conformation, nonlinear elastic response, and time-dependent behavior, which assume the typical features of gastric wall mechanics. Model applications allowed for an analysis of the influence of BS techniques on stomach mechanical functionality through different computational analyses.

resultsComputational results showed that laparoscopic sleeve gastrectomy and endoscopic sleeve gastroplasty drastically alter stomach capacity and stiffness, while laparoscopic adjustable gastric banding modestly affects stomach stiffness and capacity. Moreover, the mean elongation strain values, which are correlated to the mechanical stimulation of gastric receptors, were elevated in laparoscopic adjustable gastric banding compared to other procedures.

conclusionsThe investigation of stomach mechanical response through computational models provides information on different topics such as stomach capacity and stiffness and the mechanical stimulation of gastric receptors, which interact with the brain to control satiety. These data can provide reliable support to surgeons in the presurgical decision-making process.

Indexed as

anisotropic visco-hyperelastic modelbariatric surgerycomputational modelfinite element analysisstomach biomechanics

Identifiers

PMID33317122
PMCPMC7764040
OpenAlexW3112175255

What OpenQuestion holds

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LicenceCC BY
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.