Evidence map›Paper›PMID 33660156›Full record

ArticleObesity surgery2021

Early Effects of Laparoscopic Sleeve Gastrectomy and Laparoscopic One-Anastomosis Gastric Bypass on Portal Venous Flow: a Prospective Cohort Study.

Ayman M A Osman, Ayman S Helmy, Sameh Mikhail, Ayman A AlAyat, Dalia K Serour, Mohamed Y Ibrahim

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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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 33% 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, 5 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

6 authors at 1 institution in 1 country.

Ayman M A OsmanDepartment of General Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt. aymanhady@cu.edu.eg.ORCID http://orcid.org/0000-0003-2905-0100
Ayman S HelmyDepartment of General Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Sameh MikhailDepartment of General Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Ayman A AlAyatDepartment of General Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Dalia K SerourDepartment of Radiodiagnosis, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Mohamed Y IbrahimDepartment of General Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Cairo University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPortal vein thrombosis (PVT) is an infrequent, yet potentially lethal, complication of bariatric surgery. The aim of this prospective, non-randomized, cohort study is to compare between laparoscopic sleeve gastrectomy (LSG) and laparoscopic one-anastomosis gastric bypass (LOAGB) in terms of their early postoperative effects on portal venous flow and patency.

methodsForty-nine morbidly obese patients were allocated to one of 2 groups (A or B). Group A patients underwent LSG, whereas group B patients underwent LOAGB. Portal venous Doppler ultrasound scanning was performed preoperatively and 2 weeks postoperatively in all cases, in order to assess the portal venous flow (PVF) in terms of flow direction and peak systolic velocity (PSV); as well as to assess the portal venous patency and exclude PVT. The mean change in PSV (ΔPSV) and the mean percentage change in PSV (%ΔPSV) were determined in both groups.

resultsIn all cases (group A (n = 26); group B (n = 23)), the direction of PVF was "hepatopetal" both preoperatively and 2 weeks postoperatively. The mean ΔPSV and the mean %ΔPSV were higher in LSG patients "group A" (- 0.84 cm/s and 3.25% respectively) compared with LOAGB patients "group B"(- 0.06 cm/s and 0.27% respectively); P = 0.038 and 0.039 respectively. The mean change in PSV was in the negative direction in both groups, i.e., "deceleration." No cases of PVT were reported in the study.

conclusionsLaparoscopic sleeve gastrectomy is associated with greater reduction in portal venous peak systolic flow velocity in the early postoperative period, compared with laparoscopic one-anastomosis gastric bypass.

Indexed as

Gastric BypassLaparoscopyObesity, MorbidCohort StudiesGastrectomyHumansPostoperative ComplicationsProspective StudiesLaparoscopic one-anastomosis gastric bypassLaparoscopic sleeve gastrectomyPeak systolic velocityPortal vein thrombosisPortal venous flow

Identifiers

PMID33660156
OpenAlexW3133769561

What OpenQuestion holds

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Registered trials

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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.