Evidence map›Paper›PMID 35790676›Full record

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

Comparison of the Long-term Outcomes of RYGB and OAGB as Conversion Procedures After Failed LSG - a Case-Control Study.

Maciej Wilczyński, Piotr Spychalski, Monika Proczko-Stepaniak, Justyna Bigda, Michał Szymański, Małgorzata Dobrzycka, Olga Rostkowska, Łukasz Kaska

Open access · hybridAbstract read
In one paragraph

Article 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 14 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 7 pooled it
3.0field-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

14 citing papers in PubMed, 7 syntheses or guidelines pooled it, 18 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Maciej WilczyńskiDepartment of General, Endocrine and Transplant Surgery, Faculty of Medicine, Medical University of Gdańsk, ul. Smoluchowskiego 17, 80-214, Gdansk, Poland. mwilczynski@gumed.edu.pl.ORCID 0000-0002-2240-9910
Piotr SpychalskiDepartment of General, Endocrine and Transplant Surgery, Faculty of Medicine, Medical University of Gdańsk, ul. Smoluchowskiego 17, 80-214, Gdansk, Poland.
Monika Proczko-StepaniakDepartment of General, Endocrine and Transplant Surgery, Faculty of Medicine, Medical University of Gdańsk, ul. Smoluchowskiego 17, 80-214, Gdansk, Poland.
Justyna BigdaDepartment of General, Endocrine and Transplant Surgery, Faculty of Medicine, Medical University of Gdańsk, ul. Smoluchowskiego 17, 80-214, Gdansk, Poland.
Michał SzymańskiDepartment of General, Endocrine and Transplant Surgery, Faculty of Medicine, Medical University of Gdańsk, ul. Smoluchowskiego 17, 80-214, Gdansk, Poland.
Małgorzata DobrzyckaDepartment of General, Endocrine and Transplant Surgery, Faculty of Medicine, Medical University of Gdańsk, ul. Smoluchowskiego 17, 80-214, Gdansk, Poland.
Olga RostkowskaDepartment of General, Endocrine and Transplant Surgery, Faculty of Medicine, Medical University of Gdańsk, ul. Smoluchowskiego 17, 80-214, Gdansk, Poland.
Łukasz KaskaDepartment of General, Endocrine and Transplant Surgery, Faculty of Medicine, Medical University of Gdańsk, ul. Smoluchowskiego 17, 80-214, Gdansk, Poland.
Gdańsk Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the effect of RYGB and OAGB on patients after failed treatment of obesity by laparoscopic sleeve gastrectomy (LSG). STUDY

designA case-control study based on a prospectively maintained database of reoperated patients after failed LSG, which included 33 patients who underwent RYGB conversion and 47 patients who underwent OAGB conversion.

resultThe mean %EBWL after a 5-year follow-up for RYGBc vs OAGBc was 84.04% vs 72.95% (p = 0.2176), respectively. Complete long-term diabetes remission was observed significantly more frequently in the OAGBc than in the RYGBc group (97.3% vs 33%; p = 0.035). There were no other statistically significant differences in the remission rate of comorbidities between RYGBc and OAGBc: hypertension 30% vs 27.3% (p = 0.261), dyslipidemia 83.3% vs 59.1% (p = 0.277), OSAS 100% vs 60% (p = 0.639), and GERD 40% vs 71.4% (p > 0.99), respectively. 7 patients were newly diagnosed with GERD after OAGBc and none after RYGBc. There were no statistically significant differences in the number of complications between the OAGBc and RYGB groups. The Comprehensive Complication Index was 17.85 (± IQR 29.6) in the OAGBc group and 14.92 (± IQR 21.75) in the RYGBc group (p = 0.375).

conclusionThe authors recognized complete long-term type 2 diabetes remission after conversion surgery as the most relevant difference, where the OAGB variety was found superior for its better efficacy. Any other statistically significant differences in the consequences after both conversion procedures used after the failure of LSG have not been stated. Both methods therefore can be considered to complete the initial treatment, considering the preferences and individual burdens of the patients.

Indexed as

Diabetes Mellitus, Type 2Gastric BypassGastroesophageal RefluxLaparoscopyObesity, MorbidCase-Control StudiesGastrectomyHumansRetrospective StudiesTreatment OutcomeWeight LossBariatric surgeryGastric bypassSleeve gastrectomy

Identifiers

PMID35790676
PMCPMC9643181
OpenAlexW4284666219

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.