Evidence map›Paper›PMID 36279044›Full record

ArticleObesity surgery2022

Single- Versus Double-Anastomosis Duodenal Switch: Outcomes Stratified by Preoperative BMI.

Romulo P Lind, Muhammad Ghanem, Andre F Teixeira, Muhammad A Jawad, Javier Osorio, Claudio Lazzara, Lucia Sobrino, David Ortiz-Ciruela, Amador Garcia Ruiz de Gordejuela

Registry-linked trialAbstract read
PubMed Publisher
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. It is linked to trial NCT06789965 (Randomized Clinical Trial Comparing Two Surgical Techniques for the Treatment of Type III Obesity), which is not on this map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–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.

NCT06789965 narecruitingnot on this mapstarted 2025, after this paper: background citation

Randomized Clinical Trial Comparing Two Surgical Techniques for the Treatment of Type III Obesity (BMI 40-50 kg/m2): Single Anastomosis Duodeno-ileal Bypass With Sleeve Gastrectomy (SADI-S) and Roux-en-Y Gastric Bypass (RY-GBP)

TypeinterventionalSponsorHospital Clinic of BarcelonaRan2025 to 2030Enrolled450ConditionsObesityArmsSADI-S, RY-GBP
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
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  6. Article
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  11. Initial experience with laparoscopic revisional single anastomosis duodeno-ileal bypass (SADI-S) after failed sleeve gastrectomy.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023
    Article
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

9 authors.

Romulo P LindDepartment of Bariatric Surgery, Orlando Regional Medical Center, Orlando Health, 89 W Copeland Dr, 1st Floor, Orlando, FL, USA. Romulo.lind@orlandohealth.com.ORCID 0000-0003-2392-134X
Muhammad GhanemDepartment of Bariatric Surgery, Orlando Regional Medical Center, Orlando Health, 89 W Copeland Dr, 1st Floor, Orlando, FL, USA.
Andre F TeixeiraDepartment of Bariatric Surgery, Orlando Regional Medical Center, Orlando Health, 89 W Copeland Dr, 1st Floor, Orlando, FL, USA.
Muhammad A JawadDepartment of Bariatric Surgery, Orlando Regional Medical Center, Orlando Health, 89 W Copeland Dr, 1st Floor, Orlando, FL, USA.
Javier OsorioBariatric and Metabolic Surgery Unit, Department of General and Digestive Surgery, Bellvitge University Hospital, Feixa Llarga S/N L'Hospitalet de Llobregat, 08907, Barcelona, Spain.
Claudio LazzaraBariatric and Metabolic Surgery Unit, Department of General and Digestive Surgery, Bellvitge University Hospital, Feixa Llarga S/N L'Hospitalet de Llobregat, 08907, Barcelona, Spain.
Lucia SobrinoBariatric and Metabolic Surgery Unit, Department of General and Digestive Surgery, Bellvitge University Hospital, Feixa Llarga S/N L'Hospitalet de Llobregat, 08907, Barcelona, Spain.
David Ortiz-CiruelaBariatric and Metabolic Surgery Unit, Department of General and Digestive Surgery, Bellvitge University Hospital, Feixa Llarga S/N L'Hospitalet de Llobregat, 08907, Barcelona, Spain.
Amador Garcia Ruiz de GordejuelaGeneral Surgery Department, Vall d'Hebron University Hospital, Autonomous University of Barcelona, Passeig de la Vall d'Hebron, 119, 08035, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDescribe and analyze the safety and weight loss performance of biliopancreatic diversion and duodenal switch (BPD-DS) and single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S), verifying any possible superiority according to preoperative BMI.

methodsRetrospective review of patients who underwent primary SADI-S or BPD-DS in three bariatric centers. Study groups were further stratified according to preoperative BMI (subgroup 1: BMI < 50; subgroup 2: 50 ≤ BMI < 55; subgroup 3: BMI ≥ 55).

resultsFour hundred and sixty patients underwent BPD-DS (n = 220) or SADI-S (n = 240). The mean LOS was 3.48 ± 3.7 and 3.13 ± 2.3 days for BPD-DS and SADI-S respectively (p = 0.235). The mean operative time was shorter in the SADI-S group (167.25 ± 33.6 vs 140.85 ± 56.7 min) (p < 0.00). The mean %EWL was 44.2, 62.4, and 69.4 for the BPD-DS group and 48.4, 64.5, and 67.1 for the SADI-S group at 6, 12, and 24 months respectively. The mean %TBWL was 25, 35.9, and 40.3 for the BPD-DS group, and 26.2, 35, and 36.9 for the SADI-S group at 6, 12, and 24 months respectively. Overall complication rates were comparable between BPD-DS and SADI-S groups (14% vs 18%) (p = 0.219). SADI-S showed greater emergency department visits (17% vs 7%) (p = 0.005); similar readmission rates (6% vs 7%) (p = 0.80); similar reoperation rates (3% vs 7%) (p = 0.102); and similar mortality rate (0.9% vs 0.4%), after BPD-DS and SADI-S respectively.

conclusionBPD-DS achieved greater %TBWL at 2 years, but no superiority was perceived among study subgroups. SADI-S and BPD-DS showed similar overall complication rates.

Indexed as

Biliopancreatic DiversionGastric BypassObesity, MorbidAnastomosis, SurgicalBody Mass IndexDuodenumGastrectomyHumansRetrospective StudiesBariatric surgeryBPD-DSDuodenal switchSADI-SWeight loss

Identifiers

PMID36279044

What OpenQuestion holds

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Registered trials

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.