Evidence map›Paper›PMID 36577828›Full record

Observational studyLangenbeck's archives of surgery2022

Long-term (11 + years) efficacy of sleeve gastrectomy as a stand-alone bariatric procedure: a single-center retrospective observational study.

Ioannis Kehagias, Aggeliki Bellou, Dimitrios Kehagias, George Markopoulos, Theofilos Amanatidis, Andreas Alexandrou, Konstantinos Albanopoulos, Charalampos Lampropoulos

Erratum issuedAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Langenbeck's archives of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 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.

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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Ioannis KehagiasDivision of Bariatric and Metabolic Surgery, Department of Surgery, General University Hospital of Patras, 26504, Patras, Rio, Greece.
Aggeliki BellouDepartment of Anesthesiology and Critical Care Medicine, General University Hospital of Patras, 26504, Patras, Rio, Greece.
Dimitrios KehagiasDepartment of Surgery, General University Hospital of Patras, Rio, 26504, Patras, Greece.
George MarkopoulosDepartment of Surgery, Saint Andrew's General Hospital, 26335, Patras, Greece.
Theofilos AmanatidisDepartment of Intensive Care Unit, General University Hospital of Larissa, 41334, Larissa, Greece.
Andreas Alexandrou1st Department of Surgery, National and Kapodistrian University of Athens Medical School, Laiko Hospital, 11527, Athens, Greece.
Konstantinos AlbanopoulosNational and Kapodistrean University of Athens Medical School, 11527, Athens, Greece.
Charalampos LampropoulosDepartment of Intensive Care Unit, Saint Andrew's General Hospital, 26335, Patras, Greece. x_lamp@hotmail.com.ORCID http://orcid.org/0000-0003-1512-2273

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSleeve gastrectomy (SG) is currently the most commonly performed bariatric procedure worldwide. The aim of the present study was to evaluate the long-term efficacy of SG as a stand-alone bariatric procedure.

methodsA single-center retrospective analysis of 104 patients who underwent SG as a stand-alone bariatric procedure between January 2005 and December 2009. Weight loss, weight regain, remission or improvement of comorbidities and the new onset of comorbidities were the main outcomes of the study.

resultsThe percent excess body weight loss (%EBWL), percent excess body mass weight (BMI) loss (%EBMIL), and percent total body weight loss (%TBWL) were 59 ± 25, 69 ± 29, and 29 ± 12, respectively, after a mean follow-up of 13.4 years. At the last follow-up, nearly two thirds of patients (67.3%) had an %EBWL greater than 50. The percentage of patients who experienced significant weight regain ranged from 47 to 64%, depending on the definition used for weight regain. The rate of improvement or remission of hypertension, type 2 diabetes, dyslipidemia, obstructive sleep apnea, and degenerative joint disease at a mean follow-up of 13.4 years was 40%, 94.7%, 70%, 100%, and 42.9%, respectively. The new onset of gastroesophageal reflux disease (GERD) symptoms in the same period was 43%.

conclusionOur data supports that SG results in long-lasting weight loss in the majority of patients and acceptable rates of remission or improvement of comorbidities. Weight regain and GERD may be issues of particular concern during long-term follow-up after SG.

Indexed as

BariatricsGastroesophageal RefluxLaparoscopyObesity, MorbidFollow-Up StudiesGastrectomyHumansRetrospective StudiesTreatment OutcomeWeight GainWeight LossGastroesophageal reflux diseaseLong-term outcomesSleeve gastrectomyWeight lossWeight regain

Identifiers

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Registered trials

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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.