Evidence map›Paper›PMID 39042310›Full record

Trial reportObesity surgery2024

Perioperative Safety and 1-Year Outcomes of Single-Anastomosis Duodeno-Ileal Bypass (SADI) vs. Biliopancreatic Diversion with Duodenal Switch (BPD/DS): A Randomized Clinical Trial.

Stephan Axer, Saif Al-Tai, Christof Ihle, Moayedd Alwan, Leif Hoffmann

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in Obesity surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03938571 (Torsby I Trial), which is not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 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.

NCT03938571 naactive not recruitingnot on this map

Torsby I Trial: A Prospectively Randomized Study on Standard Duodenal Switch vs. Single Anastomosis Duodeno-ileostomy Duodenal Switch

TypeinterventionalSponsorVärmland County Council, SwedenRan2016 to 2029Enrolled56ConditionsObesity, Surgery, Metabolic Syndrome, MalnutritionArmsDuodenal Switch
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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

5 authors.

Stephan AxerDepartment of Surgery, Torsby Hospital, Box 502, 685 29, Torsby, Sweden. stephan.axer@regionvarmland.se.ORCID 0000-0001-8110-3623
Saif Al-TaiDepartment of Surgery, Torsby Hospital, Box 502, 685 29, Torsby, Sweden.
Christof IhleDepartment of Surgery, Torsby Hospital, Box 502, 685 29, Torsby, Sweden.
Moayedd AlwanDepartment of Surgery, Torsby Hospital, Box 502, 685 29, Torsby, Sweden.
Leif HoffmannDepartment of Surgery, Torsby Hospital, Box 502, 685 29, Torsby, Sweden.

Funding

Region Värmland LIVFOU-844381
6 · The paper itself

Abstract

introductionThis randomized clinical trial evaluated the clinical outcomes of two surgical interventions for obesity treatment: single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI) and biliopancreatic diversion with duodenal switch (BPD/DS). The SADI procedure was developed as a response to the challenges posed by the BPD/DS procedure, aiming to enhance surgical efficiency, minimize postoperative risks, and maintain therapeutic efficacy. The present study primarily focused on early complications and short-term results.

methodsFifty-six patients with a body mass index (BMI) ranging from 42 to 72 kg/m

resultsBoth groups had similar demographics and baseline characteristics. SADI had a mean operating time of 109 min, significantly shorter than BPD/DS at 139 min (p < 0.001). Early complications occurred in five patients in the SADI group and in four patients in the BPD/DS group with no mortality. Median LOS was 2 days for both SADI and BPD/DS. Within 30 days, one SADI patient and three BPD/DS patients required re-admission. Serious late complications necessitating reoperation were observed in three SADI and two BPD/DS patients. After 1 year, %EWL and %TWL were similar: SADI (81.8% ± 13.6% and 40.1% ± 5.9%) and BPD/DS (84.2% ± 14.0% and 41.6% ± 6.4%).

conclusionThis trial suggests that both the SADI and BPD/DS yield comparable weight loss outcomes after 1 year, with a notable risk profile.

trial registrationNCT03938571 ( http://www. CLINICALTRIALS: gov ).

Indexed as

Biliopancreatic DiversionDuodenumLength of StayObesity, MorbidPostoperative ComplicationsWeight LossAdultAnastomosis, SurgicalBody Mass IndexFemaleGastrectomyHumansIleumMaleMiddle AgedOperative TimeBPD/DSRandomized clinical trialSADI

Identifiers

PMID39042310

What OpenQuestion holds

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Registered trials

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.