Evidence map›Paper›PMID 35037131›Full record

ArticleObesity surgery2022

One-Anastomosis Gastric Bypass Revision for Gastroesophageal Reflux Disease: Long Versus Short Biliopancreatic Limb Roux-en-Y Gastric Bypass.

Ahmad Tarhini, Claire Rives-Lange, Anne-Sophie Jannot, Clement Baratte, Nathan Beaupel, Vincent Guillet, Sylvia Krivan, Maude Le Gall, Claire Carette, Sebastien Czernichow and 2 more

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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 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

Ahmad TarhiniUniversité de Paris, 75015, Paris, France.
Claire Rives-LangeUniversité de Paris, 75015, Paris, France.
Anne-Sophie JannotUniversité de Paris, 75015, Paris, France.
Clement BaratteUniversité de Paris, 75015, Paris, France.
Nathan BeaupelUniversité de Paris, 75015, Paris, France.
Vincent GuilletUniversité de Paris, 75015, Paris, France.
Sylvia KrivanDepartment of Digestive Surgery, Royal Derby Hospital, Derby, UK.
Maude Le GallUniversité de Paris, 75015, Paris, France.
Claire CaretteUniversité de Paris, 75015, Paris, France.
Sebastien CzernichowUniversité de Paris, 75015, Paris, France.
Jean-Marc ChevallierUniversité de Paris, 75015, Paris, France.
Tigran PoghosyanUniversité de Paris, 75015, Paris, France. tigran.poghosyan@aphp.fr.ORCID 0000-0002-7103-1088
Université Paris Cité · FRInserm · FRRoyal Derby Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOne-anastomosis gastric bypass (OAGB) may be associated with refractory gastroesophageal reflux disease (GERD). The nature of this GERD remains unclear. This complication can be treated either with an additional enteroenterostomy without shortening of gastric pouch (long biliopancreatic limb Roux-en-Y gastric bypass (L-BPL-RYGB)) or revision to conventional short biliopancreatic limb Roux-en-Y gastric bypass (S-BPL-RYGB). The objective of this study is to compare the aforementioned procedures in terms of efficacy on GERD symptoms. MATERIALS AND

methodsRetrospective analysis between October 2012 and June 2020.

resultsFifty-two patients underwent OAGB revision to S-BPL-RYGB (n = 21) or L-BPL-RYGB (n = 31) secondary to GERD. Investigation with pH impedance prior to revision was performed in 15 patients showing biliary reflux (BR) in 7 (46.6%), acid reflux (AR) in 6 (40%), and no confirmation in 2. Patients with AR had a revision to S-BPL-RYGB, whereas patients with BR underwent L-BPL-RYGB. Among the patients without pH metry results (n = 37), S-BPL-RYGB was performed for associated disabling digestive disorders or nutritional deficiencies. GERD was treated in 68% of patients with L-BPL-RYGB versus 95% of patients after S-BPL-RYGB. Patients, whose decision for revisional procedure was based on the results of pH impedance testing, did not reveal refractory GERD.

conclusionL-BPL-RYGB seems appropriate in patients with BR, whereas conversion to S-BPL-RYGB should be preferred if AR is present.

Indexed as

Bile RefluxGastric BypassGastroesophageal RefluxObesity, MorbidHumansRetrospective StudiesGERDOne-anastomosis gastric bypassRevisional surgeryRoux-en-Y gastric bypass

Identifiers

PMID35037131
OpenAlexW4205986153

What OpenQuestion holds

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Read underepoch 390

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.