Evidence map›Paper›PMID 38216748›Full record

Trial reportSurgical endoscopy2024

Prospective evaluation of transoral outlet reduction (TORe) after Roux-en-Y gastric bypass (RYGB) failure.

Jean-Christophe Valats, Silvana Perreta, Lee Swanstrom, Jérôme Dargent, Julien Branche, Marie-Christine Picot, Andrew Currie, Vera Georgescu, Valérie Macioce, Marius Nedelcu and 2 more

Abstract readRandomized Controlled TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 18% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. 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

12 authors at 3 institutions in 1 country.

Jean-Christophe ValatsHepato-Gastro-Enterology, Montpellier University Hospital, Montpellier, France. jc-valats@chu-montpellier.fr.ORCID 0000-0002-9357-7014
Silvana PerretaDigestive Surgery, IRCAD Strasbourg Hospital, Strasbourg, France.
Lee SwanstromDigestive Surgery, IRCAD Strasbourg Hospital, Strasbourg, France.
Jérôme DargentDigestive Surgery, Polyclinic Lyon-Nord Rillieux-La-Pape, Rillieux-La-Pape, France.
Julien BrancheHepato-Gastro-Enterology, Lille University Hospital, Lille, France.
Marie-Christine PicotClinical Research and Epidemiology Unit, INSERM, Centre d'Investigation Clinique 1411, CHU Montpellier, Univ Montpellier, 34 295, Montpellier Cedex 5, France.
Andrew CurrieDigestive Surgery, Montpellier University Hospital, Montpellier, France.
Vera GeorgescuDepartment of Biostatistics and Medical Information, Montpellier University Hospital, Montpellier, France.
Valérie MacioceClinical Research and Epidemiology Unit, Montpellier University Hospital, Montpellier, France.
Marius NedelcuDigestive Surgery, Montpellier University Hospital, Montpellier, France.
Franz RudlerHepato-Gastro-Enterology, Montpellier University Hospital, Montpellier, France.
David NoccaDigestive Surgery, Montpellier University Hospital, Montpellier, France.
Université de Montpellier · FRInstitut de Recherche contre les Cancers de l’Appareil Digestif · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsWeight regain after RYGB is multifactorial including dilatation of the gastro-jejunal anastomosis. Transoral outlet reduction (TORe) procedure is a minimally invasive alternative to surgical anastomotic revision.

methodsWe conducted a prospective, multicenter, simple blind, randomized study in patients with weight regain following RYGB, comparing the efficacy of conventional nutritional and behavioral management associated with a TORe procedure (TORe group) with conventional management alone and a Sham procedure (Sham group). The main objective of this study was to evaluate the percentage of excess weight loss (%EWL) at 12 months after endoscopy.

resultsFrom January 2015 to January 2019, 73 subjects were randomized in four French Bariatric centers. The final analysis involved 50 subjects, 25 in each group, 44 women, 6 men, with an average BMI of 40.6 kg/m

conclusionsAfter RYGBP failure linked to the dilatation of the gastro-jejunal anastomosis, TORe procedure with nutritional management results in significantly higher %EWL at 12 months compared to patients with nutritional management alone. As surgery, this minimally invasive endoscopic procedure can be associated with severe adverse events.

Indexed as

Gastric BypassObesity, MorbidEndoscopy, GastrointestinalFemaleHumansMaleObesityQuality of LifeReoperationRetrospective StudiesTreatment OutcomeWeight GainBariatric endoscopyGastric bypass failureOverstitchTORe

Identifiers

PMID38216748
OpenAlexW4390796766

What OpenQuestion holds

Textmetadata
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.