Evidence map›Paper›PMID 37184825›Full record

ArticleObesity surgery2023

Modified Hepatobiliary Scintigraphy for the Diagnosis of Bile Reflux in One-Anastomosis Gastric Bypass Surgery: a Prospective Multicenter Study.

Elite Arnon-Sheleg, Moaad Farraj, Samar Michael, Amir Mari, Tawfik Khoury, Wisam Sbeit

Abstract readMulticenter Study
PubMed Publisher
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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Elite Arnon-ShelegNuclear Medicine Department, Galilee Medical Center, 2210001, Nahariya, Israel.
Moaad FarrajAzrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.
Samar MichaelRadiology Department, Galilee Medical Center, 2210001, Nahariya, Israel.
Amir MariAzrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.
Tawfik Khoury *Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel. tawfikkhoury1@hotmail.com.ORCID http://orcid.org/0000-0001-6699-8625
Wisam Sbeit *Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.
Bar-Ilan University · ILWestern Galilee Hospital · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOne-anastomosis gastric bypass (OAGB) is a relatively simple surgical procedure for those afflicted with severe obesity. Studies reported symptomatic biliary reflux gastritis and esophagitis as predominant complications. Hepatobiliary scintigraphy (HIDA) is the least invasive test for the diagnosis of bile reflux, with good sensitivity, patient tolerability, and reproducibility. The aim of this study was to define an optimized HIDA scintigraphy protocol for demonstrating bile reflux in post-OAGB patients. MATERIAL AND

methodsWe conducted a prospective multicenter study. Patients after OAGB with dyspeptic complaints were included. All patients underwent HIDA scan with a dedicated protocol for demonstrating bile reflux; prevalence and severity were reported.

resultsNineteen patients were included, 18 females and one male, with mean age of 41.8 years and mean time of 22.4 months from operation to the scan. Bile reflux into the gastric pouch was documented in 11 patients (53%). Reflux to the stomach pouch was severe in three patients (27%), moderate in two patients (18%), and mild in six patients (55%). Bile reflux into the esophagus was documented in four patients (21%), severe reflux in one patient (25%), and mild in the other three (75%). A correlation was found between complaints of vomiting, heartburn and regurgitation, and findings of esophagitis on gastroscopy in patients with vs. without reflux.

conclusionsThe tailored HIDA scan protocol detected bile reflux in more than half of the post-OAGB patients included in the study, with a high diagnostic sensitivity.

Indexed as

Bile RefluxEsophagitisGastric BypassGastroesophageal RefluxObesity, MorbidAdultFemaleHumansImino AcidsMaleProspective StudiesRadionuclide ImagingReproducibility of ResultsImino AcidslidofeninBariatricBileHIDA scanRefluxSurgery

Identifiers

PMID37184825
OpenAlexW4376612044

What OpenQuestion holds

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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.