ArticleObesity surgery2025
Pouch Revision in Combination with Placement of a MiniMizer Ring as a Revisional Procedure in Patient with Suboptimal Clinical Response or Recurrent Weight Gain After RYGB.
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 8 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Ring-augmented Metabolic Bariatric Surgery Procedures GRADE-based International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) Position Statement.Obesity surgery · 2026Pooled it
- Global Technical Variations in Roux-en-Y Gastric Bypass: A Worldwide Survey Among IFSO Members.Obesity surgery · 2026Article
- Minimizer ring implantation versus pouch revision for weight regain and functional failure after Roux-en-Y gastric bypass: A retrospective single-centre analysis.Langenbeck's archives of surgery · 2026Observational
- Long-Term Outcomes of Pouch Resizing with Ring Augmentation for Dumping Syndrome and Weight Trajectory after Roux-en-Y Gastric Bypass: A Single-Center Experience.Obesity surgery · 2026Article
- A Ring‑augmented Roux‑en‑Y Gastric Bypass with MiniMizer Ring is Effective and Safe in Patients with a BMI > 50 kg/mObesity surgery · 2025Article
- Article
- Comment on: "A Ring-Augmented Roux-en-Y Gastric Bypass with MiniMizer Ring is Effective and Safe in Patients with a BMI >50 kg/mObesity surgery · 2025Article
- Critical Appraisal A Ring‑Augmented Roux‑en‑Y Gastric Bypass with MiniMizer Ring is Effective and Safe in Patients with a BMI > 50 kg/m2.Obesity surgery · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesBariatric surgery, in particular Roux-en-Y gastric bypass (RYGB), has been a well proven and effective means of long-term management of severe obesity. However, about 10-35% of patients have a suboptimal clinical response (lowest quartile of weight loss after RYGB surgery) or suffer from recurrent weight gain often resulting in additional surgery. This study investigates the short-term results on weight loss and complications of surgical revision of the pouch in combination with placement of a MiniMizer ring in patients with a suboptimal clinical response or recurrent weight gain after RYGB.
methodsAll patients who underwent pouch revision in combination with placement of a MiniMizer ring in the Zuyderland Medical Center between January 2016 and December 2021 were included. Weight, obesity-related complication resolution, and complications were monitored and reported during the follow-up appointments at the Nederlandse Obesitas Kliniek up to 2 years post-revisional surgery.
resultsThirty-six patients were included. These patients had a mean %TWL of 12.3 and 13.5 at 12 and 24 months post-revisional surgery. This resulted in a cumulative %TWL of 28.7 at 24 months after the revisional procedure. Patients with a superior response after the primary RYGB procedure (%TWL ≥ 35) responded better in %TWL post-revisional surgery compared to patients with a suboptimal response after the primary RYGB with a cumulative %TWL of 33.9 and 17.5 respectively. One ring-related complication occurred.
conclusionsPouch revision in combination with placement of a MiniMizer ring appears to be a promising approach for managing patients with a suboptimal clinical response or recurrent weight gain after RYGB. The procedure offers significant additional weight loss with a low complication rate.
Indexed as
Identifiers
What OpenQuestion holds
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.