Evidence map›Paper›PMID 36376721›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2023

A Long-Term Comparative Study Between One Anastomosis Gastric Bypass and Sleeve Gastrectomy.

Andreas Plamper, Philipp Lingohr, Jennifer Nadal, Jonel Trebicka, Maximilian J Brol, Anna Woestemeier, Sophia M-T Schmitz, Patrick H Alizai, Ulf P Neumann, Tom F Ulmer and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
5.0field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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  11. One-anastomosis gastric bypassWorld journal of gastrointestinal surgery · 2026
    Article
  12. One-anastomosis gastric bypassWorld journal of gastrointestinal surgery · 2025
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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

11 authors at 3 institutions in 1 country.

Andreas PlamperDepartment for Bariatric, Metabolic and Plastic Surgery, St. Franziskus-Hospital, Cologne, Germany. andreas.plamper@cellitinnen.de.ORCID 0000-0003-0699-3149
Philipp LingohrDepartment for General, Visceral, Thoracic and Vascular Surgery, University Hospital of Bonn, Bonn, Germany.
Jennifer NadalInstitute for Medical Biometrics, Informatics and Epidemiology, University Hospital of Bonn, Bonn, Germany.
Jonel TrebickaDepartment of Internal Medicine B, WW University Muenster, Muenster, Germany.
Maximilian J BrolDepartment of Internal Medicine B, WW University Muenster, Muenster, Germany.
Anna WoestemeierDepartment for General, Visceral, Thoracic and Vascular Surgery, University Hospital of Bonn, Bonn, Germany.
Sophia M-T SchmitzClinic for General, Visceral and Transplantation Surgery, University Hospital RWTH Aachen, Aachen, Germany.
Patrick H AlizaiClinic for General, Visceral and Transplantation Surgery, University Hospital RWTH Aachen, Aachen, Germany.
Ulf P NeumannClinic for General, Visceral and Transplantation Surgery, University Hospital RWTH Aachen, Aachen, Germany.
Tom F UlmerClinic for General, Visceral and Transplantation Surgery, University Hospital RWTH Aachen, Aachen, Germany.
Karl P RheinwaltDepartment for Bariatric, Metabolic and Plastic Surgery, St. Franziskus-Hospital, Cologne, Germany.
RWTH Aachen University · DEUniversity Hospital Bonn · DESt. Franziskus Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne anastomosis gastric bypass (OAGB) has become increasingly accepted in bariatric surgery and meanwhile represents the third most common procedure worldwide. While it shows promising weight loss results and comorbidity resolution, questions about issues such as reflux or nutritional deficiencies (ND) persist in the long term. On the other hand, the most frequently performed sleeve gastrectomy (SG) has to accept growing criticism regarding long-term results and reflux issues. There is a particular lack of long-term comparative data for both procedures. This study presents our long-term experience.

methodsWe evaluated OAGB and SG patients retrospectively comparing for weight loss and resolution of comorbidities as well as perioperative and long-term complications in a follow-up period of 5 years.

resultsNine hundred eleven OAGB and 241 SG were included in the study. OAGB had a shorter operation time and hospital stay. Overall complication rate did not differ in both groups. Ulcers were more frequent in OAGB (7.7% vs. 1.7%, p = 0.001), whereas insufficient weight loss (IWL)/weight regain (WR) proved to be more prevalent in SG (25.7% vs. 6.4%, p < 0.001). The same held true for reflux (17.8% vs. 8.3%, p < .001). On the other hand, ND were more common in OAGB (20.0% vs. 12.0%, p = 0.005). Revisional surgery was more often indicated after SG. Analysis by linear mixed model showed that OAGB achieved a lower BMI/higher loss of BMI. Improvement of T2DM (94.6% vs. 85.2%, p = 0.008) and sleep apnea (88.8% vs. 78.8%, p = 0.01) was superior in OAGB.

conclusionsOAGB had a superior effect on weight loss as well as improvement of T2DM and sleep apnea. Furthermore, long-term problems such as IWL/WR and reflux were more related to SG. On the other hand, a malabsorptive procedure such as OAGB showed a higher risk for ND. Our findings support the available data in the literature.

Indexed as

Diabetes Mellitus, Type 2Gastric BypassGastroesophageal RefluxObesity, MorbidSleep Apnea SyndromesGastrectomyHumansRetrospective StudiesTreatment OutcomeWeight LossBariatric surgeryLong-term resultsMini-gastric bypassMorbid obesityOne anastomosis gastric bypassSleeve gastrectomy

Identifiers

PMID36376721
PMCPMC9877051
OpenAlexW4308963717

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.