Evidence map›Paper›PMID 39531140›Full record

ArticleObesity surgery2024

Gastric Pouch Resizing for Recurrent Weight Gain After Roux-en-Y Gastric Bypass-Does It Have Its Rational?

Stefanie Josefine Hehl, Dominique Lisa Birrer, Renward Hauser, Daniel Gero, Andreas Thalheimer, Marco Bueter, Jeannette Widmer

Abstract read
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 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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

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

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Article
  5. Article
  6. Article
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

7 authors.

Stefanie Josefine HehlDepartment of Visceral and Transplant Surgery, Swiss HPB Center, University Hospital Zurich, 8091, Zurich, Switzerland. stefanie-hehl@gmx.ch.ORCID 0009-0001-9934-1344
Dominique Lisa BirrerDepartment of Visceral and Transplant Surgery, Swiss HPB Center, University Hospital Zurich, 8091, Zurich, Switzerland.
Renward HauserFaculty of Medicine, University of Zurich, 8091, Zurich, Switzerland.
Daniel GeroDepartment of Visceral and Transplant Surgery, Swiss HPB Center, University Hospital Zurich, 8091, Zurich, Switzerland.
Andreas ThalheimerDepartment of Visceral and Transplant Surgery, Swiss HPB Center, University Hospital Zurich, 8091, Zurich, Switzerland.
Marco BueterDepartment of Visceral and Transplant Surgery, Swiss HPB Center, University Hospital Zurich, 8091, Zurich, Switzerland.
Jeannette WidmerDepartment of Visceral and Transplant Surgery, Swiss HPB Center, University Hospital Zurich, 8091, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe most effective treatment for obesity and associated comorbidities is metabolic-bariatric surgery (MBS). Nevertheless, recurrent weight gain is reported in up to 40% of patients after Roux-en-Y gastric bypass (RYGB), eventually with a recurrence of obesity-associated comorbidities. Gastric pouch resizing (GPR) is performed as a low-risk secondary surgery to cease weight regain. We herewith analyzed the effect of GPR after primary RYGB on long-term weight loss, course of comorbidities, safety, and patient satisfaction.

methodsForty-eight patients undergoing GPR between 2016 and 2020 at the University Hospital of Zurich were included. Data were collected from a prospective database. GPR was performed laparoscopically and included a resection of the enlarged gastric pouch and a redo of the gastrojejunostomy. Additionally, 37 patients participated in a survey to evaluate PROMs (patient-reported outcome measures).

resultsGPR followed RYGB after a mean time of 106.2 ± 45.5 months at a mean BMI of 39 ± 5.4 kg/m

conclusionGPR for recurrent weight gain after primary RYGB is a safe procedure resulting in weight stabilization and resolution of obesity-associated comorbidities. It is thus a valuable surgical option in well-selected patients.

Indexed as

Gastric BypassObesity, MorbidPatient SatisfactionWeight GainAdultFemaleHumansLaparoscopyMaleMiddle AgedPatient Reported Outcome MeasuresProspective StudiesRecurrenceReoperationTreatment OutcomeWeight LossBariatric surgeryPouch resizingRecurrent weight gain

Identifiers

PMID39531140
PMCPMC11671430

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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.