Evidence map›Paper›PMID 33606148›Full record

SynthesisUpdates in surgery2021

Roux-en-Y gastric bypass versus one anastomosis-mini gastric bypass as a rescue procedure following failed restrictive bariatric surgery. A systematic review of literature with metanalysis.

Nunzio Velotti, Antonio Vitiello, Giovanna Berardi, Katia Di Lauro, Mario Musella

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Updates in surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
5.0field-weighted citation impact, top 4% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Article
  4. [Weight regain after bariatric surgery: incidence at a tertiary-care center].Revista medica del Instituto Mexicano del Seguro Social · 2026
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Revisional operations among patients after surgical treatment of obesity: a multicenter Polish Revision Obesity Surgery Study (PROSS).Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. 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

5 authors at 1 institution in 1 country.

Nunzio VelottiDepartment of Advanced Biomedical Sciences, University of Naples "Federico II", Via Sergio Pansini, 5, 80131, Naples, Italy. nunzio.velotti@gmail.com.
Antonio VitielloDepartment of Advanced Biomedical Sciences, University of Naples "Federico II", Via Sergio Pansini, 5, 80131, Naples, Italy.
Giovanna BerardiDepartment of Advanced Biomedical Sciences, University of Naples "Federico II", Via Sergio Pansini, 5, 80131, Naples, Italy.
Katia Di LauroDepartment of Advanced Biomedical Sciences, University of Naples "Federico II", Via Sergio Pansini, 5, 80131, Naples, Italy.
Mario MusellaDepartment of Advanced Biomedical Sciences, University of Naples "Federico II", Via Sergio Pansini, 5, 80131, Naples, Italy.
University of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough different procedures have been proposed as revisional surgery for patients who had previously undergone a failed primary restrictive procedure, the ideal revisional procedure is still a matter of debate.

methodsA systematic search was performed in all electronic databases to find studies comparing one anastomosis-mini gastric bypass (OAGB-MGB) or Roux-en-Y gastric bypass (RYGB) as revisional bariatric surgery for weight regain or intolerance/complications of a primary restrictive procedure. The data regarding sample size, patients' gender, age, primary surgery type, number of perioperative complications, operative time, pre- and post-revisional body mass index (BMI), and excess weight loss % (EWL%) at 1-year follow-up were extracted. Five studies were included in the analysis.

resultsThe primary bariatric procedures were represented by vertical banded gastroplasty (VBG), laparoscopic adjustable gastric band (LAGB) and laparoscopic sleeve gastrectomy (LSG). About perioperative complications, both RYGB and OAGB-MGB showed a similar rate of leaks but OAGB-MGB had a lower rate of bleedings; considering the progression from pre- to post-revisional BMI, OAGB-MGB reveals a better outcome as well as a shorter operative time.

conclusionsOur meta-analysis has shown OAGB-MGB, used as revisional intervention after failed restrictive surgery, achieves outcomes comparable to RYGB in terms of perioperative complications providing a simpler and more effective technique.

Indexed as

Bariatric SurgeryGastric BypassLaparoscopyObesity, MorbidGastrectomyHumansReoperationRetrospective StudiesTreatment OutcomeBariatric surgeryOne anastomosis-mini gastric bypass (OAGB-MGB)Revisional surgeryRoux-en-Y gastric bypass (RYGB)

Identifiers

PMID33606148
OpenAlexW3129574914

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.