Evidence map›Paper›PMID 35882187›Full record

ArticleObesity facts2022

Fifteen Years after Sleeve Gastrectomy: Gastroscopies, Manometries, and 24-h pH-Metries in a Long-Term Follow-Up: A Multicenter Study.

Daniel Moritz Felsenreich, Evi Artemiou, Lukas Wintersteller, Julia Jedamzik, Jakob Eichelter, Lisa Gensthaler, Christoph Bichler, Christoph Sperker, Philipp Beckerhinn, Ivan Kristo and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Obesity facts, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

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  14. Long-term Outcomes Following Adolescent Metabolic and Bariatric Surgery.The Journal of clinical endocrinology and metabolism · 2023
    Review
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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

12 authors.

Daniel Moritz FelsenreichDivision of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.
Evi ArtemiouDivision of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.
Lukas WinterstellerDivision of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.
Julia JedamzikDivision of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.
Jakob EichelterDivision of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.
Lisa GensthalerDivision of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.
Christoph BichlerDivision of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.
Christoph SperkerDepartment of Surgery, Klinik Landstraße, Vienna, Austria.
Philipp BeckerhinnDepartment of Surgery, Landesklinikum Hollabrunn, Hollabrunn, Austria.
Ivan KristoDivision of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.
Felix Benedikt LangerDivision of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.
Gerhard PragerDivision of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSleeve gastrectomy (SG) is the most common bariatric operation with over 340,000 procedures per year. There are only few studies presenting follow-up results >10 years in the literature today. The aim of this study was the objective evaluation of long-term outcomes of at least 15 years after SG in non-converted patients.

methodsThis study (multicenter cross-sectional; university-hospital based) includes all non-converted patients with primary SG before December 2005 at participating bariatric centers. The following methods were used: gastroscopy, esophageal manometry, 24-h pH-metry, and Gastrointestinal Quality of Life Index (GIQLI).

resultsAfter removing converted patients, patients with bariatric procedures before SG, and deceased patients from the cohort, 20 of 53 participants have met the inclusion criteria. Of this group, 55% are suffering from symptomatic gastroesophageal reflux disease (GERD); 45% are without GERD. Esophagitis, hiatal hernias, Barrett's esophagus, and enlarged sleeves were found in 44%, 50%, 13%, and 69% of patients during gastroscopy. Mean lower esophageal sphincter pressure was normal at 20.2 ± 14.1 mm Hg during manometry. Reflux activity in 24 h, number of refluxes, and DeMeester score were increased at 12.9 ± 9.7%, 98.0 ± 80.8, and 55.3 ± 36.3 during 24-h pH-metry. Patients with GERD scored significantly lower in the GIQLI than patients without GERD: 107.6 ± 18.4 versus 127.6 ± 14.4 (p = 0.04). DISCUSSION/

conclusionFifteen years after primary SG, objective testing has shown that GERD, esophagitis, and Barrett's esophagus are major issues for these patients. Surveillance endoscopies at 5-year intervals in all SG patients and 3-year intervals in patients with Barrett's esophagus are recommended.

Indexed as

Barrett EsophagusEsophagitisGastroesophageal RefluxObesity, MorbidCross-Sectional StudiesGastrectomyGastroscopyHumansHydrogen-Ion ConcentrationManometryQuality of Life24-h pH-metryBarrett’s esophagusEsophagitisGastroesophageal reflux diseaseGastroscopyManometrySleeve gastrectomy

Identifiers

PMID35882187
PMCPMC9669976

What OpenQuestion holds

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LicenceCC BY-NC
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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.