Evidence map›Paper›PMID 33503141›Full record

ReviewRevista do Colegio Brasileiro de Cirurgioes2021

Revisional surgery in severe nutritional complications after bariatric surgical procedures: report of four cases from a single institution and review of the literature.

JoÃo Gabriel Romero Braga, Matheus Mathedi Concon, Amanda Pereira Lima, Guilherme Hoverter Callejas, Ary DE Castro Macedo, Elaine Cristina CÂndido, Felipe David MendonÇa Chaim, Murillo Pimentel Utrini, Martinho AntÔnio Gestic, Almino Cardoso Ramos and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Revista do Colegio Brasileiro de Cirurgioes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

12 authors at 1 institution in 1 country.

JoÃo Gabriel Romero Braga- Universidade Estadual de Campinas, Departamento de Cirurgia Digestiva - Campinas - SP - Brasil.ORCID http://orcid.org/0000-0001-5563-4244
Matheus Mathedi Concon- Universidade Estadual de Campinas, Departamento de Cirurgia Digestiva - Campinas - SP - Brasil.
Amanda Pereira Lima- Universidade Estadual de Campinas, Departamento de Cirurgia Digestiva - Campinas - SP - Brasil.
Guilherme Hoverter Callejas- Universidade Estadual de Campinas, Departamento de Cirurgia Digestiva - Campinas - SP - Brasil.
Ary DE Castro Macedo- Universidade Estadual de Campinas, Departamento de Cirurgia Digestiva - Campinas - SP - Brasil.
Elaine Cristina CÂndido- Universidade Estadual de Campinas, Departamento de Cirurgia Digestiva - Campinas - SP - Brasil.
Felipe David MendonÇa Chaim- Universidade Estadual de Campinas, Departamento de Cirurgia Digestiva - Campinas - SP - Brasil.
Murillo Pimentel Utrini- Universidade Estadual de Campinas, Departamento de Cirurgia Digestiva - Campinas - SP - Brasil.
Martinho AntÔnio Gestic- Universidade Estadual de Campinas, Departamento de Cirurgia Digestiva - Campinas - SP - Brasil.
Almino Cardoso Ramos- Universidade Estadual de Campinas, Departamento de Cirurgia Digestiva - Campinas - SP - Brasil.
Everton Cazzo- Universidade Estadual de Campinas, Departamento de Cirurgia Digestiva - Campinas - SP - Brasil.
Elinton Adami Chaim- Universidade Estadual de Campinas, Departamento de Cirurgia Digestiva - Campinas - SP - Brasil.
Universidade Estadual de Campinas (UNICAMP) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionbariatric surgery is currently the only treatment that leads to long-term and sustained weight loss and decreased morbidity and mortality in morbidly obese individuals. Roux-en-Y bypass causes weight loss by restricting food intake associated with reduced intestinal absorption, in addition to multiple endocrine and satiogenic effects. Biliopancreatic diversion promotes weight loss mainly due to poor absorption of the nutrients ingested. Both procedures exclude parts of the gastrointestinal tract.

objectiveto describe four cases of revisional surgery after primary bariatric surgery, due to serious nutritional complications, and to review the literature regarding this subject.

methodsa retrospective analysis of patients of Unicamps bariatric center database and review of the literatures were performed.

resultsfour patients were identified, 2 women and 2 men, with a mean age of 48 years. The mean body mass index before revisional surgery was 23.7 kg/m2. Three patients underwent Scopinaro biliopancreatic diversion, and onde patient underwent Roux-en-Y gastric bypass. The revisional surgeries were revision, conversion, and reversion. One patient died. For the review of the literature 12 articles remained (11 case reports and 1 case series). Another five important original articles were included.

conclusionfortunately, revision surgery is rarely necessary, but when indicated it has increased morbidity, It can be revision, reverion or conversion according to the severity of the patient and the primary surgery performed.

Indexed as

ReoperationBariatric SurgeryFemaleGastric BypassHumansLaparoscopyMaleMalnutritionMiddle AgedObesity, MorbidPostoperative ComplicationsRetrospective StudiesTreatment Outcome

Identifiers

PMID33503141
PMCPMC10846396
OpenAlexW3122665274

What OpenQuestion holds

Textmetadata
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.