Evidence map›Paper›PMID 36997653›Full record

ArticleSurgical endoscopy2023

Conversion to Roux-En-Y Gastric Bypass: a successful means of mitigating reflux after laparoscopic sleeve gastrectomy.

Alexandra L Strauss, Joseph R Triggs, Colleen M Tewksbury, Ian Soriano, David S Wernsing, Kristoffel R Dumon, Noel N Williams, Jenny M Shao

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Conversion of sleeve gastrectomy to Roux-en-Y gastric bypass: impact on reflux and weight loss.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2024
    Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
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 at 3 institutions in 1 country.

Alexandra L StraussDivision of Gastroenterology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Joseph R TriggsFox Chase Cancer Center, Philadelphia, PA, USA.
Colleen M TewksburyDepartment of Nursing, University of Pennsylvania, Philadelphia, PA, USA.
Ian SorianoDepartment of Surgery, University of California San Francisco, San Francisco, CA, USA.
David S WernsingDepartment of Surgery, University of Pennsylvania, Philadelphia, PA, USA.
Kristoffel R DumonDepartment of Surgery, University of Pennsylvania, Philadelphia, PA, USA.
Noel N WilliamsDepartment of Surgery, University of Pennsylvania, Philadelphia, PA, USA.
Jenny M ShaoDepartment of Surgery, University of Pennsylvania, Philadelphia, PA, USA. jenny.m.shao@gmail.com.ORCID 0000-0002-9182-9548
University of Pennsylvania · USFox Chase Cancer Center · USUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLaparoscopic sleeve gastrectomy (LSG) has become the most common bariatric procedure due to the technical ease and weight loss success of the operation. However, there has been concern that LSG contributes to gastroesophageal reflux disease (GERD) postoperatively with a proportion of patients requiring conversion to a Roux-En-Y Gastric Bypass (RYGB). The objective of this study was to characterize the patients who underwent revision in our hospital system and to better understand pre-operative predictors of GERD and revision.

methodsAfter IRB approval, a retrospective review was conducted assessing for patients who had conversion of LSG to RYGB at three hospitals within the University of Pennsylvania Health System from January 2015 to December 2021. The patients' charts were then reviewed to evaluate for demographics, BMI, operative findings, imaging and endoscopic reports, and post-operative outcomes.

results97 patients were identified who underwent conversion of LSG to RYGB between January 2015 and December 2021. The cohort was predominantly female (n = 89, 91.7%) with an average age of 42.7 ± 10.6 years at the time of conversion. The most common indications for revision were GERD (72.2%) and obesity/insufficient weight loss (24.7%). Patients lost an average of 11.1 ± 12.9 kg after revision to RYGB. Of the patients who underwent revision for GERD, 80.2% noted global symptomatic improvement after revision and 19.4% were able to stop their proton pump inhibitor (PPI) postoperatively, with most patients decreasing the frequency of the PPI use postoperatively.

conclusionThe majority of patients who underwent conversion from LSG to RYGB due to GERD and saw marked improvements in GERD symptoms and outcomes. These findings illuminate the real-world practices and outcomes of bariatric revisional procedures for reflux and the need for more research on standardized practice.

Indexed as

Gastric BypassGastroesophageal RefluxLaparoscopyObesity, MorbidAdultFemaleGastrectomyHumansMaleMiddle AgedProton Pump InhibitorsReoperationRetrospective StudiesTreatment OutcomeWeight LossProton Pump InhibitorsBariatric surgeryGERDLaparoscopic sleeve gastrectomyRoux-En-Y Gastric Bypass

Identifiers

PMID36997653
OpenAlexW4362458376

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.