Evidence map›Paper›PMID 36652188›Full record

ArticleObesity surgery2023

One Anastomosis Gastric Bypass Versus Single Anastomosis Duodenoileostomy with Sleeve: Comparative Analysis of 30-Day Outcomes Using the MBSAQIP.

Benjamin Clapp, Kamal Abi Mosleh, John Corbett, Karl Hage, Rachel L Moore, Helmuth Billy, Jaime Ponce, Omar M Ghanem

Abstract read
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In one paragraph

Article in Obesity surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

8 authors.

Benjamin ClappDepartment of Surgery, Texas Tech HSC Paul Foster School of Medicine, El Paso, TX, 79903, USA.
Kamal Abi MoslehDepartment of Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
John CorbettDepartment of Surgery, Texas Tech HSC Paul Foster School of Medicine, El Paso, TX, 79903, USA.
Karl HageDepartment of Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Rachel L MooreDenver Center for Bariatric Surgery, Denver, CO, 80138, USA.
Helmuth BillyVentura Advanced Surgical Associates, Ventura, CA, 93003, USA.
Jaime PonceBariatric Surgery Program, CHI Memorial Hospital, Chattanooga, TN, 37421, USA.
Omar M GhanemDepartment of Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. Ghanem.omar@mayo.edu.ORCID 0000-0003-2459-2621

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction/purposeOne anastomosis gastric bypass (OAGB) and single anastomosis duodenoileostomy with sleeve (SADI-S) are two highly effective bariatric procedures that have been recently endorsed by the American Society of Metabolic and Bariatric Surgery (ASMBS). We compared the outcomes and safety profiles of SADI-S and OAGB using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database. MATERIALS AND

methodsRetrospective analysis on patients who underwent SADI-S or OAGB obtained from the MBSAQIP database 2020-2021. Patients who underwent concurrent procedures (besides EGD) or had missing data were removed. Variables included age, sex, body mass index, American Society of Anesthesiologists (ASA) class, and pertinent medical comorbidities. Data were analyzed for 30-day postoperative morbidity, mortality, reoperation, reintervention, and readmissions. p values were calculated using Student's t-test or Fisher analysis.

resultsA total of 694 and 1068 patients respectively underwent SADI-S or OAGB. Statistically significant comorbidities included age (42.2 ± 10.8 vs. 43.7 ± 12.2), BMI (50.6 ± 9.1 vs. 45.3 ± 7.1), ASA 2 (66 (9.5%) vs. 165 (15.4%)), ASA 4 [69 (9.9%) vs. 20 (1.9%)], and immunosuppressive therapy [24 (3.5%) vs. 17 (1.6%)]. Clavien-Dindo-based analysis highlighted that SADI-S had higher grade 2 (p = 0.005) and grade 4b (p = 0.001) complications. Patients who underwent SADI-S were twice as likely to be readmitted within 30 days (3.7% vs. 1.9%; p = 0.021).

conclusionSADI-S had higher readmission rates and higher Clavien-Dindo grade 2 and 4b complications. To note, SADI-S patients had higher BMIs. Further studies are needed to determine the long-term complications and efficacy of both operations.

Indexed as

Bariatric SurgeryGastric BypassObesity, MorbidAccreditationGastrectomyHumansQuality ImprovementRetrospective StudiesBariatric surgeryMetabolic surgeryOne anastomosis gastric bypass (OAGB)Single anastomosis duodenoileostomy (SADI-S)Weight loss

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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.