Evidence map›Paper›PMID 39264552›Full record

ArticleObesity surgery2024

Relationship between obesity severity and Helicobacter pylori eradication in patients undergoing bariatric and metabolic surgery: A post hoc analysis.

Oscar Laudanno, Gabriel Ahumarán, Marcelo Thomé, Pablo Gollo, Patricia Gonzalez, Marina Khoury

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Oscar LaudannoInstituto de Investigaciones Médicas Alfredo Lanari, Universidad de Buenos Aires, Buenos Aires, Argentina. oscarlaudanno@gmail.com.ORCID 0000-0002-5817-3292
Gabriel AhumaránClínica Monte Grande, Monte Grande, Buenos Aires, Argentina.
Marcelo ThoméSanatorio La Trinidad, San Isidro, Buenos Aires, Argentina.
Pablo GolloHospital C. Bocalandro, Tres de Febrero, Buenos Aires, Argentina.
Patricia GonzalezSanatorio La Trinidad, San Isidro, Buenos Aires, Argentina.
Marina KhouryInstituto de Investigaciones Médicas Alfredo Lanari, Universidad de Buenos Aires, Buenos Aires, Argentina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe global prevalence of obesity is increasing and represents a major public health challenge. However, there is a paucity of data regarding Helicobacter pylori (H pylori) eradication in people with obesity. The aim of the study is to examine the influence of obesity degree on H. pylori eradication in patients undergoing bariatric and metabolic surgery.

methodsA post hoc analysis was conducted in a cohort of 204 adults patients (129 individuals diagnosed with obesity, 75 normal weight) H. pylori positive, included in two multicenter, prospective studies. Patients underwent a 14-day quadruple concomitant treatment, and H. pylori eradication was assessed using the 13C-urea breath test. The cohort was stratified according to body mass index (BMI), and statistical analyses were performed using chi-squared test, Kruskal-Wallis test, and logistic regression.

resultsEradication rates were significantly lower in patients with obesity compared with normal weight individuals (68.2% vs. 88.0%, OR 0.29, 95% CI 0.13-0.63, p < 0.01). Furthermore, within the population diagnosed with obesity, the degree of obesity correlated with decreased eradication rates, with class 3 (BMI 40.0-49.9) and class 4 (BMI ≥ 50.0) obesity showing the lowest rates (67% and 51%, with an OR 0.28 and 0.15 respectively, p < 0.01).

conclusionsOur results indicate that obesity may influence H. pylori eradication, especially among severe obesity patients undergoing bariatric surgery, which could have implications for the development of ulcers and gastritis as well as the risk of gastric cancer. Tailored eradication strategies may be necessary to improve treatment efficacy in this population.

Indexed as

Anti-Bacterial AgentsBariatric SurgeryHelicobacter InfectionsHelicobacter pyloriObesity, MorbidAdultBody Mass IndexBreath TestsDrug Therapy, CombinationFemaleHumansMaleMiddle AgedProspective StudiesProton Pump InhibitorsTreatment OutcomeAnti-Bacterial AgentsProton Pump InhibitorsBariatric surgeryBody mass indexEradication ratesHelicobacter pyloriObesityQuadruple concomitant treatment

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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.