Evidence map›Paper›PMID 38886234›Full record

ArticleSurgical endoscopy2024

How does sleeve gastrectomy impact long-term eating-related symptoms, distress, and behavior? A cross-sectional study using the BODY-Q patient-reported outcome measures.

Danny Mou, Savannah R Smith, Ankit Patel, Jamil Stetler, Jahnavi Srinivasan, Omobolanle Oyefule, Edward Lin, Scott Davis, Elizabeth M Hechenbleikner

Abstract read
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Article in Surgical endoscopy, 2024. 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
–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

2 citing papers in PubMed.

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4 · The record

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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

9 authors.

Danny MouDepartment of Surgery, Emory University, 1364 Clifton Road, NE, Atlanta, GA, USA. moudanny@gmail.com.ORCID 0000-0003-3529-3563
Savannah R SmithDepartment of Surgery, Emory University, 1364 Clifton Road, NE, Atlanta, GA, USA.
Ankit PatelDepartment of Surgery, Emory University, 1364 Clifton Road, NE, Atlanta, GA, USA.
Jamil StetlerDepartment of Surgery, Emory University, 1364 Clifton Road, NE, Atlanta, GA, USA.
Jahnavi SrinivasanDepartment of Surgery, Emory University, 1364 Clifton Road, NE, Atlanta, GA, USA.
Omobolanle OyefuleDepartment of Surgery, Emory University, 1364 Clifton Road, NE, Atlanta, GA, USA.
Edward LinDepartment of Surgery, Emory University, 1364 Clifton Road, NE, Atlanta, GA, USA.
Scott DavisDepartment of Surgery, Emory University, 1364 Clifton Road, NE, Atlanta, GA, USA.
Elizabeth M HechenbleiknerDepartment of Surgery, Emory University, 1364 Clifton Road, NE, Atlanta, GA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients undergoing sleeve gastrectomy (SG) experience transformative changes in eating-related experiences that include eating-related symptoms, emotions, and habits. Long-term assessment of these endpoints with rigorous patient-reported outcome measures (PROMs) is limited. We assessed patients undergoing SG with the Body-Q Eating Module PROMs.

methodsAll patients evaluated at the Emory Bariatric Center were given the Body-Q Eating Modules questionnaire at preoperative/postoperative clinic visits. Rasch scores and prevalence of relevant endpoints were assessed across six time-points of interest: preoperatively, post-operative months 0-6, 7-12, 12-24, 24-36, and over 36. Student's t-test and Chi-square test were used for analysis.

resultsOverall, 1,352 questionnaires were completed pre-operatively and 493 postoperatively. Survey compliance was 81%. Compared to the pre-operative group, the post-operative group had lower BMI (39.7 vs. 46.4, p < 0.001) and higher age (46.3 vs. 44.9, p = 0.019). Beginning one year after SG, patients experience more frequent eating-related pain, nausea and constipation compared to pre-operative baseline (p < 0.05). They also more frequently experience eating-related regurgitation and dumping syndrome-related symptoms beginning post-operative year two (p < 0.05). In the first year after SG, patients more rarely feel eating-related embarrassment, guilt, and disappointment compared to pre-operative baseline (p < 0.05). These improvements disappear one year after SG, after which patients more frequently experience feeling out of control, unhappy, like a failure, disappointed, and guilty (p < 0.05). In the first year after SG, patients experience an increased frequency in positive eating behaviors (ate healthy foods, showed self-control, stopped before full; (p < 0.05). Only two eating-related behavior improvements persist long-term: feeling in control and eating the right amount (p < 0.05).

conclusionsPatients undergoing SG may experience more frequent eating-related symptoms, distress, and behavior in the long-term. These findings can enhance the pre-operative informed consent and guide development of a more tailored approach to postoperative clinical management such as more frequent visits with the dietician.

Indexed as

GastrectomyObesity, MorbidPatient Reported Outcome MeasuresAdultBariatric SurgeryCross-Sectional StudiesFeeding and Eating DisordersFeeding BehaviorFemaleHumansMaleMiddle AgedSurveys and QuestionnairesBariatric surgeryEating-related behaviorEating-related distressEating-related symptomsPatient-reported outcome measuresSleeve gastrectomy

Identifiers

PMID38886234

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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.