Evidence map›Paper›PMID 35019126›Full record

ArticleArquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery2022

ANTI-REFLUX PROCEDURES AFTER ROUX-EN-Y GASTRIC BYPASS.

David Motola, Ibrahim M Zeini, Rena C Moon, Muhammad Ghanem, Andre F Teixeira, Muhammad A Jawad

Abstract read
In one paragraph

Article in Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Post bariatric surgery complications, nutritional and psychological status.Asia Pacific journal of clinical nutrition · 2024
    Observational
  4. 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

6 authors.

David MotolaOrlando Health Weight Loss and Bariatric Surgery Institute, Orlando Health, Orlando, FL, USA.ORCID http://orcid.org/0000-0003-3753-4252
Ibrahim M ZeiniOrlando Health Weight Loss and Bariatric Surgery Institute, Orlando Health, Orlando, FL, USA.ORCID http://orcid.org/0000-0003-1129-2072
Rena C MoonOrlando Health Weight Loss and Bariatric Surgery Institute, Orlando Health, Orlando, FL, USA.ORCID http://orcid.org/0000-0001-6765-3506
Muhammad GhanemOrlando Health Weight Loss and Bariatric Surgery Institute, Orlando Health, Orlando, FL, USA.ORCID http://orcid.org/0000-0002-3926-9117
Andre F TeixeiraOrlando Health Weight Loss and Bariatric Surgery Institute, Orlando Health, Orlando, FL, USA.ORCID http://orcid.org/0000-0001-7650-6831
Muhammad A JawadOrlando Health Weight Loss and Bariatric Surgery Institute, Orlando Health, Orlando, FL, USA.ORCID http://orcid.org/0000-0002-3103-0259

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRoux-en-Y gastric bypass (RYGB) has been the choice of bariatric procedure for patients with symptomatic reflux - and is known to be effective in reducing the need for anti-reflux medication postoperatively. However, a small number of RYGB patients can still develop severe reflux symptoms that require a surgical intervention.

aimTo examine and describe the patient population that requires an anti-reflux procedure after RYGB evaluating demographics, characteristics, symptoms and diagnosis.

methodsA retrospective chart review was performed on 32 patients who underwent a hiatal hernia repair and/or Nissen fundoplication after RYGB Jul 1st, 2014 and Dec 31st, 2019. Patients were identified using the MBSAQIP database and their electronic medical records were reviewed.

resultsMost patients were female (n=29, 90.6%). The mean age was 52.8 years and the mean body mass index (BMI) was 34.1 kg/m2 at the time of anti-reflux procedure. Patients underwent the anti-reflux procedure at a mean of 7.9 years after the RYGB procedure. The mean percentage of excess BMI loss during the time between RYGB and anti-reflux procedure was 63.4%.

conclusionsFemale patients with a significant weight loss may develop a severe reflux symptoms years after RYGB. Complaints of reflux after RYGB should not be overlooked. Careful follow-up and appropriate treatment (including surgical intervention) is needed for this population.

Indexed as

Gastric BypassGastroesophageal RefluxLaparoscopyObesity, MorbidFemaleHumansMiddle AgedPostoperative ComplicationsReoperationRetrospective StudiesTreatment Outcome

Identifiers

PMID35019126
PMCPMC8735260

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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.