Evidence map›Paper›PMID 37762916›Full record

ArticleJournal of clinical medicine2023

Revisional Procedures after Sleeve Gastrectomy for Weight Recurrence or Inadequate Weight Loss: An Analysis of the MBSAQIP Database.

Karl Hage, Juan S Barajas-Gamboa, Gustavo Romero-Velez, Matthew Allemang, Salvador Navarrete, Ricard Corcelles, John Rodriguez, Omar M Ghanem, Matthew Kroh, Jerry T Dang

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 3% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 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

10 authors at 2 institutions in 1 country.

Karl HageDepartment of Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Juan S Barajas-GamboaDigestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi P.O. Box 112412, United Arab Emirates.
Gustavo Romero-VelezDigestive Disease Institute, Cleveland Clinic, Cleveland, OH 44195, USA.ORCID 0000-0002-9762-3698
Matthew AllemangDigestive Disease Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Salvador NavarreteDigestive Disease Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Ricard CorcellesDigestive Disease Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
John RodriguezDigestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi P.O. Box 112412, United Arab Emirates.
Omar M GhanemDepartment of Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Matthew KrohDigestive Disease Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Jerry T DangDigestive Disease Institute, Cleveland Clinic, Cleveland, OH 44195, USA.ORCID 0000-0001-8659-0934
Cleveland Clinic · USMayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe safety of conversional bariatric procedures after sleeve gastrectomy (SG) for weight recurrence (WR) or inadequate weight loss (IWL) is debated due to limited evidence. Conversion options include Roux-en-Y gastric bypass (RYGB), single anastomosis duodeno-ileal bypass (SADI), and biliopancreatic diversion with duodenal switch (BPD-DS). We aimed to compare serious complications and mortality rates between these procedures within 30 days.

methodsUsing the 2020 and 2021 MBSAQIP databases, we identified patients who underwent a conversion from SG to RYGB, SADI, or BPD-DS. We performed a multivariable logistic regression to assess predictors of 30-day complications and mortality.

resultsAmong 7388 patients (77.6% RYGB, 8.7% SADI, 13.7% BPD-DS), those undergoing SADI and BPD-DS had higher preoperative body mass index. Conversion reasons included WR (63.0%) and IWL (37.0%). SADI and BPD-DS patients had longer operative times (

conclusionRYGB was the most performed conversional procedure after SG. The study indicated a similar safety profile for revisional RYGB, SADI, and BPD-DS, with comparable 30-day complications and mortality rates. However, SADI and BPD-DS patients had longer operative time and higher leak rates.

Indexed as

bariatric conversionsconversion safetyduodenal switchgastric bypasssleeve gastrectomy

Identifiers

PMID37762916
PMCPMC10531699
OpenAlexW4386779099

What OpenQuestion holds

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LicenceCC BY
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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.