Evidence map›Paper›PMID 34642873›Full record

ArticleObesity surgery2022

Banded RYGB Ring Slippage Endoscopic Removal with Self-expandable Stents: a Comparative Study Between Metallic and Plastic One.

Luiz Gustavo de Quadros, Daniela Coca Germany Faria, Manoel Galvão Neto, Vitor Brunaldi, Idiberto José Zotarelli Filho, Mikaell Alexandre Gouvêa Faria, Eduardo Grecco, Mario Flamini Junior, Sâmara Fernandes Santos Martins, André Teixeira and 3 more

Abstract read
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In one paragraph

Article in Obesity surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 78% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. 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

13 authors at 8 institutions in 2 countries.

Luiz Gustavo de QuadrosBeneficencia Portuguesa Hospital, São Jose Do Rio Preto, Brazil. Gustavo_quadros@hotmail.com.ORCID http://orcid.org/0000-0001-9586-8109
Daniela Coca Germany FariaKaiser Clinic, Street XV de Novembro, 3975, Redentora, Sao Jose Do Rio Preto, SP, CEP 15015-110, Brazil.
Manoel Galvão NetoFaculty of Medicine of ABC, Santo André, Brazil.
Vitor BrunaldiCenter of Gastrointestinal Endoscopy, Surgery and Anatomy Department, Ribeirao Preto Faculty of Medicine, University of Sao Paulo, Ribeirão Preto, Brazil.
Idiberto José Zotarelli FilhoFaculty of Medicine FACERES, São José Do Rio Preto, Brazil.
Mikaell Alexandre Gouvêa FariaKaiser Clinic, Street XV de Novembro, 3975, Redentora, Sao Jose Do Rio Preto, SP, CEP 15015-110, Brazil.
Eduardo GreccoFaculty of Medicine of ABC, Santo André, Brazil.
Mario Flamini JuniorKaiser Clinic, Street XV de Novembro, 3975, Redentora, Sao Jose Do Rio Preto, SP, CEP 15015-110, Brazil.
Sâmara Fernandes Santos MartinsMario Covas Hospital, São Paulo, Brazil.
André TeixeiraOrlando Health, Orlando, FL, USA.
Cinthia Barbosa de AndradeUniversidade Federal de Pernambuco, Recife, Brazil.
Alvaro Antonio Bandeira FerrazUniversidade Federal de Pernambuco, Recife, Brazil.
Roberto Luiz Kaiser JuniorFaculty of Medicine of São José do Rio Preto, FAMERP, São José do Rio Preto, Brazil.
Faculdade de Medicina de São José do Rio Preto · BRUniversidade Federal de Pernambuco · BRFaculdade Ceres · BRFaculdade de Medicina do ABC · BRHospital Estadual Mário Covas · BROrlando Health · USUniversidade de São Paulo · BRUniversidade Municipal de São Caetano do Sul · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBanded Roux-en-Y gastric bypass (RYGB) was a common bariatric procedure in the 2000s, and the ring slippage is one of its late adverse events. Both plastic and metallic stents have been reported as adjunct methods to induce erosion and facilitate endoscopic removal of the ring.

objectiveTo compare the safety and effectiveness of self-expanding metallic stents (SEMS) and plastic stents (SEPS) to treat ring slippage. MATERIALS AND

methodsWe conducted a retrospective longitudinal study analyzing consecutive patients with ring dysfunction treated with stents plus endoscopic removal.

resultsNinety patients were enrolled (36 SEMS vs. 54 SEPS). The mean age was 48.56 ± 13.07 and 45.6 ± 12.1 in the SEMS and SEPS groups, respectively. All patients had band slippage, but 24 from SEMS group and 23 from SEPS group had further complications. There were more complications in metallic stent concerning mean absolute number of therapy-related adverse events (1.33 ± 0.48 vs. 1.72 ± 0.5, p > 0.05) and time until erosion (14.9 ± 1.6 vs. 13.8 ± 1.4 days, p > 0.05). Female sex and age > 41 years old correlated with longer time to band erosion and higher incidence of adverse events in SEMS patients. In SEPS group, only female sex was a risk factor for adverse events.

conclusionBoth procedures were efficient at inducing band erosion with similar safety profiles. Older and female patients are at a higher risk of treatment-related adverse events, especially those receiving SEMS.

Indexed as

Gastric BypassObesity, MorbidSelf Expandable Metallic StentsAdultCholangiopancreatography, Endoscopic RetrogradeFemaleHumansLongitudinal StudiesMiddle AgedPlasticsRetrospective StudiesStentsTreatment OutcomePlasticsBand erosionBariatric bypassBariatric surgeryFood intoleranceGastric bypassRing slippage

Identifiers

PMID34642873
OpenAlexW3206536212

What OpenQuestion holds

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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.