Evidence map›Paper›PMID 37816973›Full record

ArticleObesity surgery2023

Remission of Type II Diabetes Mellitus after Duodenal Switch: the Contribution of Common Channel Length.

Lindsey S Sharp, William T Sharp, Peter Ng

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Trial
  2. 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

3 authors at 1 institution in 1 country.

Lindsey S SharpUNC Rex Healthcare, Rex Bariatric Specialists, 4207 Lake Boone Trail, Suite 210, Raleigh, NC, 27607, USA. Lindsey.sharp@unchealth.unc.edu.ORCID 0000-0001-9926-8717
William T SharpUNC Rex Healthcare, Rex Bariatric Specialists, 4207 Lake Boone Trail, Suite 210, Raleigh, NC, 27607, USA.
Peter NgUNC Rex Healthcare, Rex Bariatric Specialists, 4207 Lake Boone Trail, Suite 210, Raleigh, NC, 27607, USA.
Rex Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe role of the common channel length in duodenal switch (DS) on remission of type II diabetes mellitus (DM), when stratifying patients based on diabetes severity, is not well understood.

methodsWe retrospectively reviewed 341 consecutive patients with DM undergoing DS with one of three different common channel (CC) lengths (100 cm, 150 cm, and 200 cm), each with a fixed 300 cm alimentary limb (AL). Patients were stratified by insulin dependence (IDDM) versus non-insulin dependent diabetes (NIDDM). Data was collected at one year and at the last available follow-up.

resultsThe NIDDM group had a similar average HbA1c at last follow-up for each of the CC lengths. However, the IDDM group had lower average HbA1c with shorter CC lengths (100 cm = 5.4%, 150 cm = 6%, 200 cm = 6.4%, p < 0.05). Shorter CC lengths resulted in a greater proportion of patients achieving remission in the IDDM group (66%, 50%, 32% in the 100 cm, 150 cm, and 200 cm CC, respectively, p < 0.01). Improvements in HbA1c were independent of weight loss and average DiaRem scores were similar between CC lengths. Rates of nutritional deficiencies were higher in shorter common channel lengths. Revision for malnutrition was similar between common channel lengths (100 cm group: 3.7%; 150 cm group: 1.8%; 200 cm group: 0%, p = NS).

conclusionsWhen the AL is fixed, shortening CC lengths results in improved glycemic control and remission of DM in patients with the need for insulin preoperatively. Milder forms of DM are treated well with any of the CC lengths.

Indexed as

Biliopancreatic DiversionDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2InsulinsMalnutritionObesity, MorbidDuodenumGlycated HemoglobinHumansRetrospective StudiesGlycated HemoglobinInsulinsBiliopancreatic diversionDiabetes remissionDuodenal switchSingle anastomosis duodenoileostomy with sleeve gastrectomy

Identifiers

PMID37816973
PMCPMC10687107
OpenAlexW4387504164

What OpenQuestion holds

Textmetadata
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.