Evidence map›Paper›PMID 37914885›Full record

ArticleObesity surgery2024

Bismuth-Based Therapy: The New Therapy for Obese Patients Undergoing Gastric Bypass Surgery?

Cerqueira Rute Maria, Correia Manuel Rodriguez, Pita Ines, Vilar Helder, Sousa Mafalda, Veloso Ricardo, Manso M Conceição

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Article in Obesity surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Cerqueira Rute MariaServiço de Gastrenterologia, Centro Hospitalar Entre Douro E Vouga, R Dr. Cândido Pinho, 4520-271, Santa Maria Feira, Portugal. rcerqueira@chedv.min-saude.pt.ORCID 0000-0001-7411-1086
Correia Manuel RodriguezServiço de Gastrenterologia, Centro Hospitalar Entre Douro E Vouga, R Dr. Cândido Pinho, 4520-271, Santa Maria Feira, Portugal.
Pita InesServiço de Gastrenterologia, Centro Hospitalar Entre Douro E Vouga, R Dr. Cândido Pinho, 4520-271, Santa Maria Feira, Portugal.
Vilar HelderServiço de Gastrenterologia, Centro Hospitalar Entre Douro E Vouga, R Dr. Cândido Pinho, 4520-271, Santa Maria Feira, Portugal.
Sousa MafaldaServiço de Gastrenterologia, Centro Hospitalar Entre Douro E Vouga, R Dr. Cândido Pinho, 4520-271, Santa Maria Feira, Portugal.
Veloso RicardoServiço de Gastrenterologia, Centro Hospitalar Entre Douro E Vouga, R Dr. Cândido Pinho, 4520-271, Santa Maria Feira, Portugal.
Manso M ConceiçãoBiostastistics, Faculty of Health Sciences, FP-I3ID (Instituto de Investigação, Inovação E Desenvolvimento), University Fernando Pessoa, Portugal & LAQV-REQUIMTE-UP, Porto, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsOur aim was to assess, in obese patients undergoing Roux-en Y gastric bypass surgery, the bismuth quadruple therapy (BQT) eradication rates at the first-line Helicobacter pylori (Hp) treatment as proposed by the Maastricht V/Florence consensus in areas with high clarithromycin (CLT) resistance rates-10 days proton pump inhibitor bid and three-in-one single capsule bismuth therapy containing bismuth, metronidazole, and tetracycline, marketed as Pylera four times a day.

methodsThis is a single-center prospective study over a 3-year period. Endoscopy and Hp assessment by histology was performed at baseline, and posttreatment Hp status was assessed by C13 urea breath test 4-6 weeks after the end of therapy. Data analysis was performed using the IBM® SPSS® Statistics 28.0 (IBM Corp. 2021, Armonk, NY) using mostly nonparametric comparisons (α = 0.05).

resultsThe study cohort consisted of 598 adult obese Hp-positive patients [476, 78.6% female, age 43.2 (± 10.4) years] consecutively scheduled for Hp eradication therapy. Hp was eradicated in 500 patients [83.6.3% (95% CI: 80.4%-86.5%)], and the eradication was independent of gender, age, endoscopic diagnosis, and smoking status (p > 0.05).

conclusionTen days of BQT did achieve Maastricht V/Florence recommended first-line eradication rates (at least 80%) in obese Portuguese patients undergoing Roux-en Y gastric bypass, being by now the most reliable choice for Hp eradication.

Indexed as

Gastric BypassHelicobacter InfectionsHelicobacter pyloriObesity, MorbidAdultAmoxicillinAnti-Bacterial AgentsBismuthClarithromycinDrug Therapy, CombinationFemaleHumansMaleMetronidazoleObesityProspective StudiesAmoxicillinAnti-Bacterial AgentsBismuthClarithromycinMetronidazoleProton Pump InhibitorsTetracyclineBariatric surgeryBismuth-based therapyHelicobacter pylori infectionObesity

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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.