Evidence map›Paper›PMID 37432485›Full record

ArticleSurgical endoscopy2023

Comparative analysis of 5-year efficacy and outcomes of single anastomosis procedures as revisional surgery for weight regain following sleeve gastrectomy.

Asaad F Salama, Jawher Baazaoui, Fakhar Shahid, Rajvir Singh, Antonio J Torres, Moataz M Bashah

Open access · hybridAbstract read
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 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
8.6field-weighted citation impact, top 2% 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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 27 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 3 institutions in 2 countries.

Asaad F SalamaBariatric and Metabolic Surgery Department, Hamad General Hospital (HGH), Hamad Medical Corporation (HMC), Doha, Qatar. asaadfayrouz@live.com.ORCID http://orcid.org/0000-0003-1354-8756
Jawher BaazaouiBariatric and Metabolic Surgery Department, Hamad General Hospital (HGH), Hamad Medical Corporation (HMC), Doha, Qatar.
Fakhar ShahidBariatric and Metabolic Surgery Department, Hamad General Hospital (HGH), Hamad Medical Corporation (HMC), Doha, Qatar.
Rajvir SinghResearch Center, Heart Hospital, Hamad Medical Corporation (HMC), Doha, Qatar.
Antonio J TorresDepartment of Surgery, Complutense University of Madrid, Hospital Clinico "San Carlos", Madrid, Spain.
Moataz M BashahBariatric and Metabolic Surgery Department, Hamad General Hospital (HGH), Hamad Medical Corporation (HMC), Doha, Qatar.
Hamad General Hospital · QAHamad Medical Corporation · QAUniversidad Complutense de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is imperative to assess the results of revisional procedures following Sleeve Gastrectomy (SG), given the substantially growing population of patients who experience weight regain within a few years after undergoing this procedure.

objectiveExamine the comparative effectiveness of the Single Anastomosis Duodeno-Ileal Bypass (SADI-S) and the One Anastomosis Gastric Bypass (OAGB-MGB) as revisional procedures, with respect to their impact on weight loss, resolution of comorbidities, incidence of complications, and rates of reoperation in patients who had weight regain after SG with up to or more than 5 years of follow-up.

settingHamad General Hospital, Academic tertiary referral center, Qatar.

methodsThis study retrospectively analyzed a database of patients who underwent the Single Anastomosis Duodeno-Ileal Switch (SADI-S) or the One Anastomosis Gastric Bypass - Mini Gastric Bypass- (OAGB-MGB) as revisional procedures for weight recidivism after a primary Laparoscopic Sleeve Gastrectomy (LSG). The follow-up period was at least 5 years, during which the impact of both procedures on weight loss, comorbidities, nutritional deficiencies, complications, and outcomes were compared.

resultsThe study comprised 91 patients, with 42 and 49 in the SADI-S and OAGB-MGB groups, respectively. Significant weight loss (measured by total weight loss percentage, TWL%) was observed at the 5-year follow-up for the SADI-S group compared to the OAGB-MGB group (30.0 ± 18.4 vs. 19.4 ± 16.3, p = 0.008). Remission of comorbidities, specifically diabetes mellitus and hypertension, was more prevalent in the SADI-S group. Notably, the OAGB-MGB group had a higher incidence of complications (28.6% vs. 21.42%) and reoperations (5 patients vs. 1 in the SADI-S group). No mortality events were reported in either group.

conclusionWhile both the OAGB-MGB and SADI-S have demonstrated efficacy as revisional procedures for weight regain following SG, the SADI-S exhibits superior outcomes compared to the OAGB-MGB with regard to weight loss, resolution of comorbidities, complication rates, and reoperation rates.

Indexed as

Gastric BypassObesity, MorbidGastrectomyHumansReoperationRetrospective StudiesWeight GainWeight LossOne anastomosis gastric bypassRevisional surgerySingle anastomosis duodeno-ileal bypassSleeve gastrectomyWeight regain

Identifiers

PMID37432485
PMCPMC10520093
OpenAlexW4383872095

What OpenQuestion holds

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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.