Evidence map›Paper›PMID 34806127›Full record

ArticleObesity surgery2022

Improvement of Coronary Calcium Scores After Bariatric Surgery in People with Severe Obesity.

Ahmed Abdallah Salman, Mohamed Matter, Nabil Ibrahim Fayad, Mohamed S Abd Elaziz Shehata, Mohamed Abd Al-Fattah, Mohamed Hassan Elkaseer, Marwan Mansour Borham, Hany A Balamoun, Ahmed Abd El Aal Sultan, Hani Maurice Sabri Mikhail and 10 more

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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
0.4field-weighted citation impact, top 36% 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, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 4 institutions in 2 countries.

Ahmed Abdallah SalmanInternal Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt. awea844@gmail.com.ORCID 0000-0003-0026-0841
Mohamed MatterRadiodiagnosis Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Nabil Ibrahim FayadRadiology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed S Abd Elaziz ShehataRadiology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed Abd Al-FattahGeneral Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed Hassan ElkaseerGeneral Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Marwan Mansour BorhamGeneral Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Hany A BalamounGeneral Surgery Department, Faculty of Medicine, Cairo University, Giza, Egypt.
Ahmed Abd El Aal SultanGeneral Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID 0000-0003-1097-2615
Hani Maurice Sabri MikhailGeneral Surgery Department, Faculty of Medicine, Cairo University, Giza, Egypt.
Haitham S E OmarGeneral Surgery Department, Faculty of Medicine, Cairo University, Giza, Egypt.
Nader MiladGeneral Surgery Department, Faculty of Medicine, Cairo University, Giza, Egypt.
Mohamed Sabry TourkyDepartment of Surgery, Great Western Hospitals NHS Foundation Trust, Swindon, UK.ORCID 0000-0002-4783-258X
Abd Al-Kareem EliasDepartment of General Surgery, Faculty of Medicine, Al-Azhar University, Assuit Branch, Cairo, Egypt.
Amir MostafaCardiovascular Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
Ahmad SamirCardiovascular Department, Faculty of Medicine, Cairo University, Cairo, Egypt.ORCID 0000-0003-4401-4976
Amr Mahmoud HusseinInternal Medicine Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Hossam El-Din ShaabanGastroenterology Department, National Hepatology and Tropical Medicine Research Institute, Cairo, Egypt.
Hazem Abd Allah AliAnesthesia and Intensive Care Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed Abdalla SalmanGeneral Surgery Department, Faculty of Medicine, Cairo University, Giza, Egypt.ORCID 0000-0001-5445-6415
Al-Azhar University · EGCairo University · EGGreat Western Hospital · GBNational Water Research Center · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity is an independent risk factor for cardiovascular diseases. Coronary artery calcium (CAC) is a direct measure of coronary atherosclerosis. The study investigated the effect of bariatric surgery on CAC scores in people with severe obesity subjected to laparoscopic sleeve gastrectomy (LSG).

methodsThis prospective study included 129 people with severe obesity in two groups; the LSG group (n=74) subjected to surgery and the diet group (n=55), managed by a diet regimen and lifestyle modification. Cardiovascular risk was assessed by Framingham risk score (FRS) and coronary calcium score (CCS) measured by computed tomography initially and after 3 years.

resultsThe two groups had a comparable CAD risk before treatment according to FRS or CCS. After treatment, CCS improved significantly in the LSG group (p=0.008) but not in the diet group (p=0.149). There was no correlation between FRS and CCS (r=0.005, p=0.952). Treatment resulted in significant weight reduction and improved fasting blood glucose and lipid profile in the two groups. The change of weight, blood glucose, and HDL, and remission of diabetes mellitus (DM) were significantly higher in the LSG group compared to the diet group.

conclusionLSG may reduce the risk of developing future cardiovascular comorbidities evidenced by reducing CAC scores. Significant weight reduction and improvement of cardiovascular risk factors may recommend LSG as a cardioprotective procedure in people with severe obesity.

Indexed as

Bariatric SurgeryLaparoscopyObesity, MorbidBlood GlucoseCalciumGastrectomyHumansProspective StudiesTreatment OutcomeWeight LossBlood GlucoseCalciumBariatric surgeryCoronary calcium scores

Identifiers

PMID34806127
OpenAlexW3216705938

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.