Evidence map›Paper›PMID 33595790›Full record

SynthesisObesity surgery2021

Outcomes of Bariatric Surgery in Patients with Liver Cirrhosis: a Systematic Review.

Saleem Ahmed, Sjaak Pouwels, Chetan Parmar, Radwan Kassir, Maurizio de Luca, Yitka Graham, Kamal Mahawar, Global Bariatric Research Collaborative

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
9.3field-weighted citation impact, top 1% 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Evaluation of patients on immunosuppressants undergoing sleeve gastrectomy, Roux-en-Y gastric bypass, and duodenal switch: analysis of 19,414 patients.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. A roadmap for clinical trials in MASH-related compensated cirrhosis.Nature reviews. Gastroenterology & hepatology · 2024
    Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. 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

8 authors at 5 institutions in 4 countries.

Saleem AhmedDepartment of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore. medicsaleem@gmail.com.ORCID http://orcid.org/0000-0001-6767-4825
Sjaak PouwelsDepartment of Intensive Care Medicine, Elisabeth-Tweesteden Hospital, Tilburg, The Netherlands.
Chetan ParmarDepartment of Surgery, University College London Hospital NHS Foundation Trust, London, UK.
Radwan KassirCHU Félix Guyon, Allée des Topazes, Saint-Denis, France.
Maurizio de LucaDepartment of Surgery, Castelfranco and Montebelluna Hospitals, Treviso, Italy.
Yitka GrahamFaculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, UK.
Kamal MahawarFaculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, UK.
Global Bariatric Research Collaborative
South Tyneside and Sunderland NHS Foundation Trust · GBElisabeth-TweeSteden Ziekenhuis · NLOspedale Castelfranco Veneto · ITTan Tock Seng Hospital · SGUniversity College London Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obesity is commonly associated with non-alcoholic fatty liver disease and is a significant cause of chronic liver disease and cirrhosis. Some patients undergoing bariatric surgery suffer from cirrhosis of the liver. Currently, there is a lack of consensus on the management of these patients and the safety and efficacy of bariatric surgery in this group. This review aims to update our previously published systematic review on the same topic. A total of 21 studies reporting experience on patients with cirrhosis undergoing bariatric surgery were included. Sleeve gastrectomy was the most common surgery performed, followed by Roux-en-Y gastric bypass. The results show that bariatric surgery may be feasible in carefully selected patients with obesity and cirrhosis although they have slightly higher morbidity and mortality rates.

Indexed as

Bariatric SurgeryGastric BypassObesity, MorbidGastrectomyHumansLiver CirrhosisRetrospective StudiesTreatment OutcomeWeight LossBariatric surgeryChild-Pugh classificationCirrhosisMetabolic surgery

Identifiers

PMID33595790
OpenAlexW3133074382

What OpenQuestion holds

Textmetadata
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.