Evidence map›Paper›PMID 35513608›Full record

SynthesisJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2022

Effectiveness of Roux-en-Y Gastric Bypass vs Sleeve Gastrectomy on Lipid Levels in Type 2 Diabetes: a Meta-analysis.

Cecilia Closs, Marianela Ackerman, Walter Masson, Martin Lobo, Graciela Molinero, Augusto Lavalle-Cobo, Sophie Béliard, Florian Mourre, René Valéro, Juan Patricio Nogueira

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 5 pooled it
2.8field-weighted citation impact, top 9% 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

10 citing papers in PubMed, 5 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Guideline
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  4. Pooled it
  5. Pooled it
  6. Article
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  10. Comment on "Effectiveness of Roux‑en‑Y Gastric Bypass vs Sleeve Gastrectomy on Lipid Levels in Type 2 Diabetes: a Meta‑analysis".Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 4 countries.

Cecilia ClossCentro Medico Melian, Av. 9 de Julio 243, CP: 3600, Formosa, Argentina.
Marianela AckermanCentro CIEN, Corrientes, Salta 1524, CP: 3400, Corrientes, Argentina.
Walter MassonHospital Italiano de Buenos Aires, Buenos Aires, Tte. Gral. Juan Domingo Perón 4190, CP:1199, Buenos Aires, Argentina.
Martin LoboConsejo de Epidemiologia y Prevención, Sociedad Argentina de Cardiología, Azcuénaga 980, CP: 1115, Buenos Aires, Argentina.
Graciela MolineroConsejo de Epidemiologia y Prevención, Sociedad Argentina de Cardiología, Azcuénaga 980, CP: 1115, Buenos Aires, Argentina.
Augusto Lavalle-CoboConsejo de Epidemiologia y Prevención, Sociedad Argentina de Cardiología, Azcuénaga 980, CP: 1115, Buenos Aires, Argentina.
Sophie BéliardAix Marseille Univ, APHM, INSERM, INRAE, C2VN, University Hospital La Conception, Department of Nutrition, Metabolic Diseases and Endocrinology, 147 Bd Baille, 13005, Marseille, France.
Florian MourreAix Marseille Univ, APHM, INSERM, INRAE, C2VN, University Hospital La Conception, Department of Nutrition, Metabolic Diseases and Endocrinology, 147 Bd Baille, 13005, Marseille, France.
René ValéroAix Marseille Univ, APHM, INSERM, INRAE, C2VN, University Hospital La Conception, Department of Nutrition, Metabolic Diseases and Endocrinology, 147 Bd Baille, 13005, Marseille, France.
Juan Patricio NogueiraCentro de Investigación en Endocrinología, Nutrición y Metabolismo (CIENM), Facultad de Ciencias de la Salud, Universidad Nacional de Formosa, Av. Gutnisky 3200, 3600, Formosa, Argentina. nogueirajuanpatricio@gmail.com.ORCID 0000-0002-8764-4700
Inserm · FRSociedad Española de Cardiología · ESNational Formosa University · TWCentro Científico Tecnológico - Nordeste · ARHospital Italiano de Buenos Aires · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionObesity and its co-morbidities, including type 2 diabetes (T2DM) and dyslipidemia, are accompanied by excess cardiovascular morbi-mortality. Aside from excess low density lipoprotein-cholesterol (LDL-C), atherogenic dyslipidemia (AD), mainly characterized by elevated triglycerides and decreased high density lipoprotein-cholesterol (HDL-C) levels, is often present in T2DM obese patients. Bariatric surgery, such as Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG), has become a reference treatment in that population. However, the respective effects of RYGB vs SG on lipid metabolism in T2DM patients have been rarely studied.

methodsA meta-analysis of randomized controlled trials, comparing the effects of RGYBG vs SG on lipid metabolism 12 months after surgery in T2DM patients, was performed.

resultsFour studies including a total of 298 patients (151 patients in the RYGB and 147 patients in the SG group) were examined. Despite a greater decrease in body mass index and greater improvement in glycemic control in RYGB compared to SG. RYGB vs SG was more effective in reducing total cholesterol, LDL-C, and non-HDL-C levels (mean difference [MD] -26.10 mg/dL, 95 % CI -38.88 to -13.50, p<0.00001; [MD] -20.10 mg/dL, 95 % CI -27.90 to -12.20, p<0.00001 and MD 31.90 mg/dl, 95 % CI -46.90 to -16.80, p<0.00001, respectively).

conclusionsThe superiority of RYGB vs SG in reducing LDL-C, with an effect comparable to a moderate-intensity statin, suggests RYBG should be favored in hypercholesterolemic T2DM patients in order to further reduce cardiovascular risk.

Indexed as

Diabetes Mellitus, Type 2DyslipidemiasGastric BypassObesity, MorbidCholesterol, LDLGastrectomyHumansObesityTreatment OutcomeCholesterol, LDLBariatric surgeryHDL-cholesterolLDL-cholesterolLipidsRoux-en-Y gastric bypassSleeve gastrectomyTriglyceridesType 2 diabetes mellitus

Identifiers

PMID35513608
OpenAlexW4228999583

What OpenQuestion holds

Textmetadata
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.