Evidence map›Paper›PMID 36209345›Full record

ArticleObesity surgery2022

Duodenal Switch Conversion in Non-responders or Weight Recurrence Patients.

Romulo Lind, Omar M Ghanem, Muhammad Ghanem, Andre F Teixeira, Muhammad A Jawad

Abstract read
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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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
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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

5 authors at 2 institutions in 1 country.

Romulo LindDepartment of Bariatric Surgery, Orlando Regional Medical Center, 89 W Copeland Dr, 1st Floor, Orlando HealthOrlando, FL, USA. Romulo.lind@orlandohealth.com.ORCID 0000-0003-2392-134X
Omar M GhanemDepartment of Surgery, Mayo Clinic, Rochester, MN, 55905, USA.
Muhammad GhanemDepartment of Bariatric Surgery, Orlando Regional Medical Center, 89 W Copeland Dr, 1st Floor, Orlando HealthOrlando, FL, USA.
Andre F TeixeiraDepartment of Bariatric Surgery, Orlando Regional Medical Center, 89 W Copeland Dr, 1st Floor, Orlando HealthOrlando, FL, USA.
Muhammad A JawadDepartment of Bariatric Surgery, Orlando Regional Medical Center, 89 W Copeland Dr, 1st Floor, Orlando HealthOrlando, FL, USA.
Orlando Health · USMayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSeveral modalities have been proposed to tackle insufficient weight loss and weight regain after bariatric surgery; we aimed to evaluate efficacy and safety of duodenal switch conversion as a salvage procedure. MATERIAL AND

methodsData from patients who underwent duodenal switch conversions (n = 50) were retrospectively studied. Excess weight loss % and total body weight loss % were compared between primary procedure and duodenal switch conversion. Overall complication, emergency department visits, readmissions, reoperation, and mortality rates were described, analyzed, and compared to the current literature.

resultsEvery excess weight loss % and total body weight loss % comparison at 6, 12, and 24 months, demonstrated a statistically significant superiority in weight loss after duodenal switch conversion (p < 0.05). The mean operative time of adjustable gastric band, sleeve gastrectomy, Roux-en-Y gastric bypass (1 and 2 stages) conversions to duodenal switch were 208, 146, 187, and 152 min, respectively, while the mean length of stay was 3.38 days. No statistically significant differences were perceived regarding the primary procedure. The overall complication rate was 18% (9 patients); 3 patients (6%) had 1 emergency department visit; readmissions accounted for 12% of cases (6 patients); the reoperation rate was 10% (5 patients); no fatal outcomes were recorded.

conclusionDuodenal switch conversions are an effective salvage procedure for insufficient weight loss and/or weight regain after adjustable gastric band, sleeve gastrectomy, and Roux-en-Y gastric bypass; it is also safe, associated to low readmission, reoperation, and mortality rates.

Indexed as

Gastric BypassLaparoscopyObesity, MorbidGastrectomyHumansReoperationRetrospective StudiesTreatment OutcomeWeight GainWeight LossConversionDuodenal switchWeight loss failureWeight recurrence

Identifiers

PMID36209345
OpenAlexW4303674022

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.