Evidence map›Paper›PMID 40632449›Full record

Trial reportObesity surgery2025

Long Biliopancreatic Limb (BPL) RYGB Versus Short BPL RYGB Post-Suboptimal Initial Clinical Response of SG or Recurrent Weight Gain: A Randomized Controlled Study.

Mohamed Abdalla Salman, Ahmed Saad, Ahmed Fahmy Omar, Mohannad Aly Fayed, Ahmed Saeed Hasan Saqr, Ahmed Abdalla

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Mohamed Abdalla SalmanKasralainy School of Medicine, Cairo University, Giza, Egypt. mohammed.salman@kasralainy.edu.eg.
Ahmed SaadKasralainy School of Medicine, Cairo University, Giza, Egypt.
Ahmed Fahmy OmarKasralainy School of Medicine, Cairo University, Giza, Egypt.
Mohannad Aly FayedKasralainy School of Medicine, Cairo University, Giza, Egypt.
Ahmed Saeed Hasan SaqrKasralainy School of Medicine, Cairo University, Giza, Egypt.
Ahmed AbdallaKasralainy School of Medicine, Cairo University, Giza, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRoux-en-Y gastric bypass (RYGB) has long been one of the main metabolic and bariatric choices. It has been the most frequently used conversional procedure for a sleeve gastrectomy (SG) with suboptimal initial clinical response (SoCR) or recurrent weight gain (RWG). RYGB provides its effect through both dietary restriction and malabsorption, with efficient weight and metabolic control relating to the excluded gut. This study was designed to investigate the effect of long biliopancreatic limb (BPL) RYGB versus short BPL RYGB post-SoCR or RWG of SG on weight loss and metabolic profile. PATIENTS AND

methodsThis is a randomized controlled trial that included patients who had undergone SG with SoCR or RWG and were equally enrolled in the long BPL (LRYGB-LBPL) group and the short BPL group (LRYGB-SBPL). The patients were followed for 1 year, and weight loss, metabolic profile, and postoperative complications were analyzed. The LRYGB-LBPL group showed statistically significant improvements in EBMIL%, HbA1c reduction, and HDL levels, while other outcomes showed no significant differences. This study's findings suggest that extending the BPL length in conversional RYGB may enhance the procedure's effectiveness in certain aspects of weight reduction and metabolic profile, although many outcomes were similar between groups.

Indexed as

GastrectomyGastric BypassObesity, MorbidWeight GainAdultFemaleHumansMaleMiddle AgedRecurrenceTreatment OutcomeWeight LossConversion surgeryLong biliopancreatic limb (BPL)Recurrent weight gain (RWG)Roux-en-Y gastric bypass (RYGB)Short BPLSleeve gastrectomy (SG)Suboptimal initial clinical response (SoCR)

Identifiers

PMID40632449
PMCPMC12380989

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.