Evidence map›Paper›PMID 38910773›Full record

ArticleCureus2024

Effect of Histopathological Findings of Gastric Specimens Resected During Laparoscopic Sleeve Gastrectomy on Weight Loss Success: A Retrospective Analysis of 599 Patients.

Muhammed Taha Demirpolat, Mehmet Muzaffer İslam, Emine Maksude Ceylan, Furkan Aykıt, Mustafa Satır, Irem Güvendir Bakkaloglu, Mehmet Erman Bacaksız, Metin Yücel, Abdullah Sisik

Abstract read
In one paragraph

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

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

9 authors.

Muhammed Taha DemirpolatGeneral Surgery, University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, TUR.
Mehmet Muzaffer İslamEmergency Medicine, University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, TUR.
Emine Maksude CeylanGeneral Surgery, University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, TUR.
Furkan AykıtGeneral Surgery, University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, TUR.
Mustafa SatırGeneral Surgery, University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, TUR.
Irem Güvendir BakkalogluPathology, University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, TUR.
Mehmet Erman BacaksızGeneral Surgery, University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, TUR.
Metin YücelGeneral Surgery, University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, TUR.
Abdullah SisikGeneral Surgery, Dr. HE Obesity Clinic, Istanbul, TUR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEven though there aren't enough studies on long-term outcomes, laparoscopic sleeve gastrectomy (LSG) is the most common procedure among weight loss surgeries. In this study, we aimed to evaluate the histopathological results of resected stomach specimens of patients who underwent LSG and to analyze the effect of histopathological results on weight loss success.

methodsThe patients were divided into two groups according to histopathological results of the pathology specimens: abnormal (chronic active gastritis, chronic inactive gastritis, neoplasias) and normal. If the excess weight loss percentage (EWL%) values were over 70% at the end of the first year following LSG, the patients were considered successful in terms of weight loss. The groups were compared in terms of age, gender, preoperative body mass index (BMI) value, as well as postoperative first-year BMI, EWL%, total weight loss percentage (TWL%), and successful patient percentage.

resultsA total of 599 patients were included in this study. When the patients were dichotomized according to their pathology results as normal or abnormal, 101 (%83.5) of the patients with normal pathology results had EWL% greater than 70%. On the contrary, 356 (74.5%) of the patients with abnormal pathology results had EWL% greater than 70%, and this difference was statistically significant (p=0.038).

conclusionPatients with normal histopathologic examination results of resected gastric specimens after LSG are more successful than the patient population with abnormal histopathologic results in terms of the percentage of patients with EWL% above 70 at the end of the first postoperative year. We recommend routine histopathologic analysis of gastric specimens after LSG in severely obese patients.

Indexed as

histopathological findingslaparoscopic sleeve gastrectomymalignancy risktotal weight lossweight loss success

Identifiers

PMID38910773
PMCPMC11193679

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