Evidence map›Paper›PMID 40553316›Full record

ArticleObesity surgery2025

Gastrointestinal Symptoms and Health-Related Quality of Life Following Metabolic Bariatric Surgery: A Prospective Cohort Study.

Lee Shyang Kyang, Imogen Hines, Emma Thomas, Alexa Seal, Richard Harrison, Denbigh Simond, Nicholas Williams

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Article in Obesity surgery, 2025. 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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0cells of the map it votes in
3citing papers in PubMed
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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

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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

3 citing papers in PubMed.

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4 · The record

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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.

Lee Shyang KyangWagga Wagga Base Hospital, Wagga Wagga, Australia. lees.kyang@gmail.com.
Imogen HinesWagga Wagga Base Hospital, Wagga Wagga, Australia.
Emma ThomasRural Clinical School, University of Notre Dame, Wagga Wagga, Australia.
Alexa SealRural Clinical School, University of Notre Dame, Wagga Wagga, Australia.
Richard HarrisonWagga Wagga Base Hospital, Wagga Wagga, Australia.
Denbigh SimondWagga Wagga Base Hospital, Wagga Wagga, Australia.
Nicholas WilliamsWagga Wagga Base Hospital, Wagga Wagga, Australia. nick@hwpconsulting.com.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWeight loss and improvement in health-related quality of life (HRQoL) following metabolic bariatric surgery (MBS) are well documented. However, there is varied and inconclusive data on postoperative gastrointestinal symptoms.

methodsA prospectively maintained database of patients in a regional hospital undergoing laparoscopic sleeve gastrectomy (LSG), Roux-en-Y gastric bypass (RYGB) and one-anastomosis gastric bypass (OAGB) between March 2018 and August 2019 was retrospectively analysed. Gastrointestinal symptoms and HRQoL were measured over 2 years using the Structured Assessment of Gastrointestinal Symptoms Scale (SAGIS) and Short Form 36 (SF-36) standardised health questionnaires, respectively.

resultsA total of 203 patients were included for analysis. There was an improvement in median total symptom burden score from 5.5 to 4.0 at 24 months (p = 0.010). Constipation scores did not change. Nausea and vomiting worsened in the first 6 months (p < 0.001) and then improved back to baseline by 24 months (p = 0.003). Diarrhoea and discomfort scores improved from baseline to 24 months (p = 0.022). Epigastric pain improved from baseline to 24 months (p = 0.021). Median reflux score did not change between 0 and 6 months and then improved to significantly better than baseline at 24 months (p = 0.040). All three surgeries demonstrated sustained weight loss to 24 months. Overall HRQoL and each of the eight domains significantly improved post-surgery.

conclusionThere was an overall improvement in gastrointestinal symptoms post-surgery. The data reaffirmed sustained weight loss and improvement in HRQoL post MBS.

Indexed as

Bariatric SurgeryGastrointestinal DiseasesObesity, MorbidPostoperative ComplicationsQuality of LifeAdultFemaleGastrectomyGastric BypassHumansLaparoscopyMaleMiddle AgedProspective StudiesRetrospective StudiesTreatment OutcomeBariatric surgeryHealth-related quality of lifeMetabolic bariatric surgeryObesityQuality of life

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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.