Evidence map›Paper›PMID 39545623›Full record

ArticleUnited European gastroenterology journal2024

Prior metabolic and bariatric surgery is an independent determinant of severity of decompensation in alcohol-associated liver disease.

Louis Onghena, Yves van Nieuwenhove, Hans Van Vlierberghe, Lindsey Devisscher, Sarah Raevens, Xavier Verhelst, Sander Lefere, Anja Geerts

Abstract read
In one paragraph

Article in United European gastroenterology journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Management of obesity in advanced chronic liver disease.JHEP reports : innovation in hepatology · 2026
    Review
  4. Review
  5. 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

8 authors.

Louis OnghenaDepartment for Human Structure and Repair, Department of Gastrointestinal Surgery, Ghent University, Ghent, Belgium.ORCID 0000-0002-8516-4834
Yves van NieuwenhoveDepartment for Human Structure and Repair, Department of Gastrointestinal Surgery, Ghent University, Ghent, Belgium.
Hans Van VlierbergheLiver Research Center Ghent, Ghent University, Ghent, Belgium.
Lindsey DevisscherLiver Research Center Ghent, Ghent University, Ghent, Belgium.
Sarah RaevensLiver Research Center Ghent, Ghent University, Ghent, Belgium.ORCID 0000-0003-2810-7507
Xavier VerhelstLiver Research Center Ghent, Ghent University, Ghent, Belgium.
Sander LefereLiver Research Center Ghent, Ghent University, Ghent, Belgium.ORCID 0000-0001-5734-3467
Anja GeertsLiver Research Center Ghent, Ghent University, Ghent, Belgium.ORCID 0000-0002-2218-9081

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with a history of metabolic and bariatric surgery (MBS) are susceptible to developing alcohol use disorder, potentially resulting in end-stage liver disease, with a paucity of data on the evolution of cirrhosis.

aimsOur aim was to describe the demographics and mortality in hospitalizations over time in individuals diagnosed with cirrhosis due to alcohol-associated liver disease (ALD) in relation to prior MBS.

methodsWe included patients hospitalized at the Ghent University Hospital between 1/1/2010 and 01/09/2023 with cirrhosis due to ALD. Data were retrieved retrospectively from all hospitalizations.

results46/275 (16.7%) of individuals with cirrhosis admitted with ALD had a history of MBS; they were predominantly female (76.1%), in contrast to the non-MBS population (29.7%) (p < 0.0001) and were significantly younger at the time of diagnosis (46 vs. 58 years, p < 0.0001). Liver disease evolved at a faster pace in the MBS group with a shorter time to first hospitalization (5 vs. 13 months, p = 0.036), and consecutive hospitalizations. The proportion with primary hospitalization due to acute-on-chronic liver failure (ACLF) was significantly larger in the MBS group (60.9% vs. 27.6%, p < 0.0001), and throughout the following hospitalizations, ACLF remained more prevalent in the MBS group. Modeled transplant-free survival was lower in the MBS group (p = 0.004), with ACLF as the main cause of death. The weekly amount of alcohol consumed during drinking periods and duration of use were significantly lower in the MBS group.

conclusionsMBS patients hospitalized with ALD develop acute decompensation at a faster pace, with more overall ACLF hospitalizations, and higher cumulative mortality, despite being 12 years younger on average. CLINICAL

trial registrationNot applicable.

Indexed as

Bariatric SurgeryHospitalizationAcute-On-Chronic Liver FailureAdultAgedDisease ProgressionFemaleHumansLiver Cirrhosis, AlcoholicLiver Diseases, AlcoholicMaleMiddle AgedRetrospective StudiesRisk FactorsSeverity of Illness Indexacute on chronic liver failureadvanced liver diseasealcohol consumptionalcoholic liver diseasealcohol use disorderALDcirrhosisend‐stage liver diseaseepidemiologyhospitalization

Identifiers

PMID39545623
PMCPMC11652326

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Registered trials

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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.