Evidence map›Paper›PMID 37515694›Full record

ArticleObesity surgery2023

Mid-Term Outcomes After Conversion Procedures Following Laparoscopic Sleeve Gastrectomy.

Amanda S Dirnberger, Julian Süsstrunk, Romano Schneider, Adisa Poljo, Jennifer M Klasen, Marc Slawik, Adrian T Billeter, Beat P Müller-Stich, Ralph Peterli, Marko Kraljević

Open access · hybridAbstract read
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 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
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

10 authors at 2 institutions in 1 country.

Amanda S DirnbergerUniversity Digestive Health Care Center Basel - Clarunis, CH-4002, Basel, Switzerland.
Julian SüsstrunkUniversity Digestive Health Care Center Basel - Clarunis, CH-4002, Basel, Switzerland.
Romano SchneiderUniversity Digestive Health Care Center Basel - Clarunis, CH-4002, Basel, Switzerland.
Adisa PoljoUniversity Digestive Health Care Center Basel - Clarunis, CH-4002, Basel, Switzerland.
Jennifer M KlasenUniversity Digestive Health Care Center Basel - Clarunis, CH-4002, Basel, Switzerland.
Marc SlawikInterdisciplinary Center of Nutritional and Metabolic Diseases, St. Clara Hospital, CH-4058, Basel, Switzerland.
Adrian T BilleterUniversity Digestive Health Care Center Basel - Clarunis, CH-4002, Basel, Switzerland.
Beat P Müller-StichUniversity Digestive Health Care Center Basel - Clarunis, CH-4002, Basel, Switzerland.
Ralph PeterliUniversity Digestive Health Care Center Basel - Clarunis, CH-4002, Basel, Switzerland. ralph.peterli@clarunis.ch.ORCID 0000-0002-0038-9795
Marko KraljevićUniversity Digestive Health Care Center Basel - Clarunis, CH-4002, Basel, Switzerland.
University of Basel · CHSt. Claraspital · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn the long term, laparoscopic sleeve gastrectomy (SG) may be associated with insufficient weight loss (IWL), gastroesophageal reflux disease (GERD), and persistence or relapse of associated medical problems. This study's objective is to present mid-term results regarding weight loss (WL), evolution of associated medical problems, and reoperation rate of patients who underwent a conversion after SG.

methodsRetrospective single-center analysis of patients with a minimal follow-up of 2 years after conversion.

resultsIn this series of 549 SGs, 84 patients (15.3%) underwent a conversion, and 71 met inclusion criteria. They were converted to short biliopancreatic limb Roux-en-Y gastric bypass (short BPL RYGB) (n = 28, 39.4%), biliopancreatic diversion with duodenal switch (BPD/DS) (n = 19, 26.8%), long biliopancreatic limb Roux-en-Y gastric bypass (long BPL RYGB) (n = 17, 23.9%), and re-sleeve gastrectomy (RSG) (n = 7, 9.9%). Indications were GERD (n = 24, 33.8%), IWL (n = 23, 32.4%), IWL + GERD (n = 22, 31.0%), or stenosis/kinking of the sleeve (n = 2, 2.8%). The mean pre-revisional body mass index (BMI) was 38.0 ± 7.5 kg/m

conclusionIn the event of IWL after SG, conversion to BPD/DS provides a significant and sustainable additional WL. Conversion to RYGB leads to a reliable symptom control in patients suffering from GERD after SG.

Indexed as

Gastric BypassGastroesophageal RefluxLaparoscopyObesity, MorbidGastrectomyHumansReoperationRetrospective StudiesTreatment OutcomeWeight LossConversionGERDInsufficient weight lossSleeve gastrectomy

Identifiers

PMID37515694
PMCPMC10435413
OpenAlexW4385381195

What OpenQuestion holds

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LicenceCC BY
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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.