Evidence map›Paper›PMID 39794663›Full record

Observational studyObesity surgery2025

Immunometabolic Changes Following Gastric Bypass and Sleeve Gastrectomy: A Comparative Study.

Tania Rivera-Carranza, Alejandro Azaola-Espinosa, Rafael Bojalil-Parra, Eduardo Zúñiga-León, Angélica León-Téllez-Girón, Martín E Rojano-Rodríguez, Oralia Nájera-Medina

Registry-linked trialAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07655739 (Temporal Changes in Fractalkine), which is not on this 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.

NCT07655739 completednot on this map

Temporal Changes in Fractalkine (CX3CL1) Levels Following Sleeve Gastrectomy and Their Association With Weight Loss: A Prospective Study

Typeobservational_patient_registrySponsorMehmet Buğra BozanRan2025 to 2026Enrolled40ConditionsObesity & Overweight
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

7 authors.

Tania Rivera-CarranzaDepartamento de Atención a la Salud, División de Ciencias Biológicas y de la Salud, Universidad Autónoma Metropolitana, unidad Xochimilco, Coyoacán, Ciudad de México, 04960, Mexico. tcarranza@correo.xoc.uam.mx.ORCID 0000-0001-8498-6513
Alejandro Azaola-EspinosaDepartamento de Sistemas Biológicos, División de Ciencias Biológicas y de la Salud, Universidad Autónoma Metropolitana unidad Xochimilco, Coyoacán, Ciudad de México, 04960, Mexico.
Rafael Bojalil-ParraDepartamento de Atención a la Salud, División de Ciencias Biológicas y de la Salud, Universidad Autónoma Metropolitana, unidad Xochimilco, Coyoacán, Ciudad de México, 04960, Mexico.
Eduardo Zúñiga-LeónDepartamento de Sistemas Biológicos, División de Ciencias Biológicas y de la Salud, Universidad Autónoma Metropolitana unidad Xochimilco, Coyoacán, Ciudad de México, 04960, Mexico.
Angélica León-Téllez-GirónClínica de obesidad, Hospital General Dr. Manuel GEA González, Tlalpan, Ciudad de México, 14080, México.
Martín E Rojano-RodríguezClínica de obesidad, Hospital General Dr. Manuel GEA González, Tlalpan, Ciudad de México, 14080, México.
Oralia Nájera-MedinaDepartamento de Atención a la Salud, División de Ciencias Biológicas y de la Salud, Universidad Autónoma Metropolitana, unidad Xochimilco, Coyoacán, Ciudad de México, 04960, Mexico.

Funding

Consejo Nacional de Ciencia y Tecnología 557117
6 · The paper itself

Abstract

backgroundImmunometabolism is the interaction between immune system and nutrient metabolism. Severe obesity is considered a state of meta-inflammation associated with obesity that influences the development of chronic-degenerative diseases.

objectiveWe aimed to establish the immunometabolic differences in bariatric patients and to determine whether cellular immunity is associated with metabolic changes. METHODOLOGY: We conducted an observational study in patients who underwent laparoscopic sleeve gastrectomy (LSG) or laparoscopic Roux-en-Y gastric bypass (LRYGB). We explored the differences in the immunometabolic profile before and after surgery in the study group, by surgical technique, and we evaluated the changes in immunological variables as a function of metabolic variables with correlation analysis.

resultsThe follow-up rate was 88.7%. After the intervention, there were changes in cellular immunity, with a decrease in effector T lymphocytes (CD8+CD28-) and an increase in B lymphocytes, memory helper T cells, and cytotoxic T lymphocytes. LSG resulted in a greater decrease in (CD4+CD62-) T lymphocytes compared with LRYGB. Patients who underwent surgery with LRYGB presented greater clinical and metabolic improvements, as well as improvement of obesity-associated medical problems. Women who underwent LRYGB showed a greater reduction in fat-free mass compared with women who underwent LSG.

conclusionBariatric surgery, mainly LRYGB, leads to immunometabolic changes and improves associated medical problems.

Indexed as

GastrectomyGastric BypassImmunity, CellularObesity, MorbidAdultFemaleHumansLaparoscopyMaleMiddle AgedTreatment OutcomeWeight LossBariatric surgeryB cellsCytotoxic T cellsEffector T cellsMemory T cells

Identifiers

PMID39794663
PMCPMC11836204

What OpenQuestion holds

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Registered trials

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.