Evidence map›Paper›PMID 39043887›Full record

ArticleSurgical endoscopy2024

Duodeno-ileal diversion with self-forming magnets in a sutureless neodymium anastomosis procedure (SNAP) for weight recidivism after sleeve gastrectomy: feasibility and 9-month results.

Roman Turro Arau, Antonio Ortega, Alberto Diez-Caballero, Jose Saez, Alfredo Mata, Merce Rosinach, Manoel Galvao Neto, Andre Teixeira, Mohit Bhandari, Vitor Ottoboni Brunaldi and 3 more

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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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Trial
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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

13 authors.

Roman Turro ArauEndoscopy Department, Centro Medico Teknon, Barcelona, Spain.
Antonio OrtegaEndoscopy Department, Centro Medico Teknon, Barcelona, Spain.
Alberto Diez-CaballeroSurgery Department, Centro Medico Teknon, Barcelona, Spain.
Jose SaezSurgery Department, Centro Medico Teknon, Barcelona, Spain.
Alfredo MataEndoscopy Department, Centro Medico Teknon, Barcelona, Spain.
Merce RosinachEndoscopy Department, Centro Medico Teknon, Barcelona, Spain.
Manoel Galvao NetoOrlando Health Weight Loss and Bariatric Surgery Institute, Orlando, USA.
Andre TeixeiraOrlando Health Weight Loss and Bariatric Surgery Institute, Orlando, USA.
Mohit BhandariMohak Bariatric and Robotic Center, Indore, India.
Vitor Ottoboni BrunaldiDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, USA. vobrunaldi@hcrp.usp.br.ORCID 0000-0003-3315-8640
Anna VilaEndoscopy Department, Centro Medico Teknon, Barcelona, Spain.
Sandra AndresEndoscopy Department, Centro Medico Teknon, Barcelona, Spain.
Jorge Carlos Espinos PerezEndoscopy Department, Centro Medico Teknon, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe sleeve gastrectomy (SG) has become the most common bariatric procedure worldwide. However, insufficient weight loss or weight recidivism is frequent, which may require effective and safe revisional procedures.

objectiveTo determine the technical feasibility and safety of a minimally invasive, duodeno-ileal side-to-side anastomosis using a Sutureless Neodymium Anastomosis Procedure (SNAP) for patients with weight recidivism or inadequate weight loss following SG.

methodsThis is a prospective, single-arm, open-label pilot study that enrolled patients with obesity to assist in weight reduction following an SG performed > 12 months prior. For the SNAP, self-assembling magnets were deployed into the ileum (laparoscopically) and duodenum (per-oral endoscopy). Magnets were coupled under laparoscopic and fluoroscopic guidance to create a compression anastomosis. The primary endpoints were technical feasibility, weight loss, and rate of serious adverse events (SAEs).

resultsSuccessful duodeno-ileal diversions were created with SNAP in 27 participants (mean age: 50.6 ± 9.1, mean BMI: 38.1 ± 4.6 kg/m

conclusionThe SNAP is technically feasible and relatively safe, with all patients presenting widely patent anastomosis at 3 months. Patients experienced a progressive, clinically meaningful weight loss. Further studies are needed to confirm our findings.

Indexed as

Anastomosis, SurgicalDuodenumFeasibility StudiesGastrectomyWeight LossAdultBariatric SurgeryFemaleHumansIleumLaparoscopyMaleMiddle AgedNeodymiumObesity, MorbidPilot ProjectsNeodymiumDuodeno-ileal anastomosisMagnetsObesityRevisionSleeve gastrectomy

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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.