Evidence map›Paper›PMID 38109013›Full record

ArticleObesity surgery2024

Banded Versus Non-banded Sleeve Gastrectomy: 5-Year Results of a 3-Year Randomized Controlled Trial.

Jodok M Fink, Marina Reutebuch, Gabriel Seifert, Claudia Laessle, Stefan Fichtner-Feigl, Goran Marjanovic, Mira Fink

Abstract read
In one paragraph

Article in Obesity surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
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

7 authors.

Jodok M FinkDepartment of General and Visceral Surgery, Centre for Surgery, Centre for Obesity and Metabolic Surgery, Medical Centre, University of Freiburg, Hugstetter Strasse 55, 79106, Freiburg, Germany. jodok.fink@uniklinik-freiburg.de.ORCID 0000-0002-6650-3490
Marina ReutebuchDepartment of General and Visceral Surgery, Centre for Surgery, Centre for Obesity and Metabolic Surgery, Medical Centre, University of Freiburg, Hugstetter Strasse 55, 79106, Freiburg, Germany.
Gabriel SeifertDepartment of General and Visceral Surgery, Centre for Surgery, Centre for Obesity and Metabolic Surgery, Medical Centre, University of Freiburg, Hugstetter Strasse 55, 79106, Freiburg, Germany.
Claudia LaessleDepartment of General and Visceral Surgery, Centre for Surgery, Centre for Obesity and Metabolic Surgery, Medical Centre, University of Freiburg, Hugstetter Strasse 55, 79106, Freiburg, Germany.
Stefan Fichtner-FeiglDepartment of General and Visceral Surgery, Centre for Surgery, Centre for Obesity and Metabolic Surgery, Medical Centre, University of Freiburg, Hugstetter Strasse 55, 79106, Freiburg, Germany.
Goran MarjanovicDepartment of General and Visceral Surgery, Centre for Surgery, Centre for Obesity and Metabolic Surgery, Medical Centre, University of Freiburg, Hugstetter Strasse 55, 79106, Freiburg, Germany.
Mira FinkDepartment of General and Visceral Surgery, Centre for Surgery, Centre for Obesity and Metabolic Surgery, Medical Centre, University of Freiburg, Hugstetter Strasse 55, 79106, Freiburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBanded sleeve gastrectomy (BSG) has been shown to enable better weight loss than non-banded sleeve gastrectomy (SG) in retrospective analyses. These findings were supported by two randomized controlled trials (RCT). However, to date, mid-term prospective data is not available. MATERIALS AND

methodsWe invited all 94 patients of an RCT comparing banded to non-banded sleeve gastrectomy at 3 years (DRKS00007729) for a 5-year follow-up visit. Eighty-two patients (BSG n = 42; SG n = 40) came for evaluation. Outcome measures were identical with the RCT to allow longitudinal comparison. Data analysis was descriptive and focused on biometric data, development of comorbidities, mid-term complications, quality of life, and type of body contouring surgery (BCS).

resultsThe per-protocol analysis revealed a treatment difference of 9% (CI - 1.5 to 19.6) excess weight loss (EWL). Total weight loss (TWL) was 27.4% (CI 23.5-31.3) after SG and 31.6% (CI 27.3-35.5) after BSG. Twenty percent of patients after SG and 11.9% following BSG had been converted to a gastric bypass. Type 2 diabetes went into remission in most patients (SG 66.7% vs. BSG 63.6%). Antihypertensive medication was stopped or reduced in 81.3% after SG and 80% after BSG. Reflux symptoms were similar in both groups (symptoms [Formula: see text] 1/ week: SG 28.2% vs. BSG 26.8%). Frequency of postprandial regurgitation was higher after BSG (SG 23% vs. BSG 59%). Forty percent of patients had undergone BCS at time of follow-up.

conclusionFive-year weight loss after BSG was 9% EWL and 4.2% TWL higher compared to SG. The main added morbidity following BSG was postprandial regurgitation.

Indexed as

Gastric BypassGastroplastyObesity, MorbidGastrectomyHumansRandomized Controlled Trials as TopicRetrospective StudiesTreatment OutcomeWeight LossBanded sleeve gastrectomyBariatric surgerySleeve gastrectomyWeight loss

Identifiers

PMID38109013
PMCPMC10810940

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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.