Evidence map›Paper›PMID 39663246›Full record

GuidelineSurgical endoscopy2025

SAGES guidelines for the management of comorbidities relevant to metabolic and bariatric surgery.

Sunjay S Kumar, Claire Wunker, Amelia Collings, Varun Bansal, Theofano Zoumpou, Julietta Chang, Noe Rodriguez, Andrew Sabour, Lisa Renee Hilton, Omar M Ghanem and 11 more

Erratum issuedAbstract readPractice Guideline
PubMed Full text at PMC Publisher
In one paragraph

Guideline in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Optimizing Evaluation of Gastroesophageal Reflux With Atypical Symptoms: Cost-Effectiveness and Cost-Minimalization Analysis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026
    Article
  5. Article
  6. Efficacy of tirzepatide for weight loss and it's comparative effectiveness to weight loss surgery in inflammatory bowel disease.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Sunjay S KumarDepartment of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Claire WunkerDepartment of Surgery, Saint Louis University, St. Louis, MO, USA.
Amelia CollingsDepartment of Surgery, University of Louisville, Louisville, KY, USA.
Varun BansalDepartment of Surgery, University of Colorado, Aurora, CO, USA.
Theofano ZoumpouDepartment of Surgery Rutgers, New Jersey Medical School, Newark, NJ, USA.
Julietta ChangDepartment of Surgery, Kaiser Permanente Bellevue Medical Center, Baldwin Park, CA, USA.
Noe RodriguezDepartment of Surgery, Cleveland Clinic, Cleveland, OH, USA.
Andrew SabourDepartment of Surgery, University of Nevada, Las Vegas, NV, USA.
Lisa Renee HiltonDepartment of Surgery, Medical College of Georgia, Augusta, Georgia.
Omar M GhanemDepartment of Surgery, Mayo Clinic, Rochester, MN, USA.
Bradley S KushnerDepartment of Surgery, Washington University in St. Louis, St. Louis, MO, USA.
Lindsey Jean LossDepartment of Surgery, Oregon Health and Science University, Portland, OR, USA.
Essa M AleassaDepartment of Surgery, Cleveland Clinic, Cleveland, OH, USA.
Ivy N HaskinsDepartment of Surgery, University of Nebraska Medical Center, Omaha, NE, USA.
Subhashini AylooDepartment of Surgery, Brown University, Providence, RI, USA.
Adam ReidDepartment of Surgery, Southern Illinois University School of Medicine, Springfield, IL, USA.
David Wayne OverbyDepartment of Surgery, University of North Carolina, Chapel Hill, NC, USA.
Peter HallowellDepartment of Surgery, University of Virginia, Charlottesville, VA, USA.
Tammy Lyn KindelDepartment of Surgery, Medical College of Wisconsin, Madison, WI, USA.
Bethany J SlaterDepartment of Surgery, University of Chicago, Chicago, IL, USA.
Francesco PalazzoDepartment of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA. Francesco.Palazzo@jefferson.edu.ORCID 0000-0002-5614-0884

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients who are under consideration for or have undergone metabolic and bariatric surgery frequently have comorbid medical conditions that may make their perioperative care more complex. These recommendations address routine intraoperative cholangiography in patients with bypass-type anatomy, the management of reflux disease after sleeve gastrectomy, and the optimal bariatric procedure for patients with comorbid inflammatory bowel disease.

methodsA systematic review was conducted including studies published from 1990 to 2022 to address these questions. These results were then presented to a panel of bariatric surgeons who formulated recommendations based on the best available evidence or utilized expert opinion when the evidence base was lacking.

resultsConditional recommendations were made in favor of routine intraoperative cholangiography in patients with bypass-type anatomy undergoing laparoscopic cholecystectomy, trialing medical management prior to surgical management in patients with reflux after sleeve gastrectomy, and sleeve gastrectomy rather than Roux en Y gastric bypass in patients with inflammatory bowel disease. The strength of these recommendations was limited by the quality of evidence available. Recommendations for future research were made for all questions.

conclusionsThese recommendations should provide guidance regarding management of these comorbidities in patients who are under consideration for or have undergone metabolic and bariatric surgery. These recommendations also identify important areas where the future research should focus to strengthen the evidence base.

Indexed as

Bariatric SurgeryGastroesophageal RefluxInflammatory Bowel DiseasesObesity, MorbidComorbidityGastrectomyHumansSystematic Reviews as TopicCholedocholithiasisGastroesophageal reflux diseaseInflammatory bowel diseaseIntraoperative cholangiography

Identifiers

PMID39663246
PMCPMC11666733

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.