Evidence map›Paper›PMID 34398380›Full record

ArticleObesity surgery2021

Single Anastomosis Duodenoileal Bypass or Roux-en-Y Gastric Bypass After Failed Sleeve Gastrectomy: Medium-Term Outcomes.

Phillip J Dijkhorst, May Al Nawas, Laura Heusschen, Eric J Hazebroek, Dingeman J Swank, René M J Wiezer, Edo O Aarts

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In one paragraph

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 27 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 9 pooled it
–field-weighted citation impact
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

27 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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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

7 authors.

Phillip J DijkhorstDutch Obesity Clinic, Huis ter Heide, The Netherlands. phillip.dijkhorst@gmail.com.ORCID http://orcid.org/0000-0003-2913-8559
May Al NawasDepartment of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
Laura HeusschenDepartment of Surgery, Rijnstate Hospital/Vitalys Clinics, Arnhem, The Netherlands.
Eric J HazebroekDepartment of Surgery, Rijnstate Hospital/Vitalys Clinics, Arnhem, The Netherlands.
Dingeman J SwankDepartment of Surgery, Haaglanden Medical Center/NOK-West, The Hague, The Netherlands.
René M J WiezerDepartment of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
Edo O AartsWeightWorks Clinics, Amersfoort, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough the sleeve gastrectomy (SG) has good short-term results, it comes with a significant number of patients requiring revisional surgery because of insufficient weight loss or functional complications.

objectiveTo investigate the effectiveness of the single anastomosis duodenoileal bypass (SADI-S) versus the Roux-en-Y gastric bypass (RYGB) on health outcomes in (morbidly) obese patients who had previously undergone SG, with up to 5 years of follow-up.

methodsData from patients who underwent revisional SADI-S or RYGB after SG were retrospectively compared on indication of surgery, weight loss, quality of life, micronutrient deficiencies, and complications.

resultsFrom 2007 to 2017, 141 patients received revisional laparoscopic surgery after SG in three specialized Dutch bariatric hospitals (SADI-S n=63, RYGB n=78). Percentage total weight loss following revisional surgery at 1, 2, 3, 4, and 5 years was 22%, 24%, 22%, 18%, and 15% for SADI-S and 10%, 9%, 7%, 8%, and 2% for RYGB (P<.05 for 1-4 years). Patients who underwent RYGB surgery for functional complications experienced no persistent symptoms of GERD or dysphagia in 88% of cases. No statistical difference was found in longitudinal analysis of change in quality of life scores or cross-sectional analysis of complication rates and micronutrient deficiencies.

conclusionConversion of SG to SADI-S leads to significantly more total weight loss compared to RYGB surgery with no difference in quality of life scores, complication rates, or micronutrient deficiencies. When GERD in sleeve patients has to be resolved, RYGB provides adequate outcomes.

Indexed as

Gastric BypassLaparoscopyObesity, MorbidCross-Sectional StudiesGastrectomyHumansQuality of LifeReoperationRetrospective StudiesComplicationsMicronutrient deficienciesQuality of lifeRoux-en-Y gastric bypassRYGBSADISingle anastomosis duodenoileal bypassSleeve gastrectomyWeight loss

Identifiers

PMID34398380
PMCPMC8490218

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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.