Evidence mapPaperPMID 27468906Full record

Trial reportObesity surgery2017

Endobarrier® in Grade I Obese Patients with Long-Standing Type 2 Diabetes: Role of Gastrointestinal Hormones in Glucose Metabolism.

Nuria Vilarrasa, Amador García Ruiz de Gordejuela, Anna Casajoana, Xevi Duran, Silvia Toro, Eduard Espinet, Manoel Galvao, Joan Vendrell, Rafael López-Urdiales, Manuel Pérez and 1 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Obesity surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
6.4field-weighted citation impact, top 3% of its field
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

12 citing papers in PubMed, 49 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Observational
  7. Combination Therapies for Obesity.Metabolic syndrome and related disorders · 2018
    Review
  8. Article
  9. Review
  10. Article
  11. Medical devices for the treatment of obesity.Nature reviews. Gastroenterology & hepatology · 2017
    Review
  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Nuria VilarrasaDepartment of Endocrinology and Nutrition, Hospital Universitario de Bellvitge-IDIBELL, c/ Feixa Llarga s/n 08907, L'Hospitalet de Llobregat, Barcelona, Spain. nuriavilarrasa@yahoo.es.ORCID 0000-0003-3188-1990
Amador García Ruiz de GordejuelaBariatric Surgery Unit, Hospital Universitario de Bellvitge-IDIBELL, c/ Feixa Llarga s/n 08907, LHospitalet de Llobregat, Barcelona, Spain.
Anna CasajoanaBariatric Surgery Unit, Hospital Universitario de Bellvitge-IDIBELL, c/ Feixa Llarga s/n 08907, LHospitalet de Llobregat, Barcelona, Spain.
Xevi DuranHospital Universitari de Tarragona Joan XXIII, Institut Investigació Sanitaria Pere Virgili, Universitat Rovira i Virgili, 43007, Tarragona, Spain.
Silvia ToroDepartment of Endocrinology and Nutrition, Hospital Universitario de Bellvitge-IDIBELL, c/ Feixa Llarga s/n 08907, L'Hospitalet de Llobregat, Barcelona, Spain.
Eduard EspinetUnit of Endoscopy Gastrodex, Hospital Universitario Dexeus, Sabino Arana, 5-19, 08028, Barcelona, Spain.
Manoel GalvaoUnit of Endoscopy. Gastro-obeso Center, Rua Barata Ribeiro, 237, Sao Paulo, SP, 01308-000, Brazil.
Joan VendrellCIBERDEM-CIBER de Diabetes y Enfermedades Metabólicas Asociadas, Instituto de Salud Carlos III, Madrid, Spain.
Rafael López-UrdialesDepartment of Endocrinology and Nutrition, Hospital Universitario de Bellvitge-IDIBELL, c/ Feixa Llarga s/n 08907, L'Hospitalet de Llobregat, Barcelona, Spain.
Manuel PérezDepartment of Endocrinology and Nutrition, Hospital Universitario de Bellvitge-IDIBELL, c/ Feixa Llarga s/n 08907, L'Hospitalet de Llobregat, Barcelona, Spain.
Jordi PujolBariatric Surgery Unit, Hospital Universitario de Bellvitge-IDIBELL, c/ Feixa Llarga s/n 08907, LHospitalet de Llobregat, Barcelona, Spain. jpujol@bellvitgehospital.cat.
Bellvitge University Hospital · ESInstituto de Salud Carlos III · ESGastro Obeso Center · BRHospital Universitario Dexeus · ESInstitut de Recerca Biomèdica Catalunya Sud · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to evaluate the efficacy and safety of Endobarrier® in grade 1 obese T2DM patients with poor metabolic control and the role of gastro-intestinal hormone changes on the metabolic outcomes.

methodsTwenty-one patients aged 54.1 ± 9.5 years, diabetes duration 14.8 ± 8.5 years, BMI 33.4 ± 1.9 kg/m

resultsPatients lost 14.9 ± 5.7 % of their total body weight. HbA1c decreased 1.3 % in the first month, but at the end of the study, the reduction was 0.6 %. HbA1c ≤ 7 % was achieved in 26.3 % of patients. No differences in GLP-1 AUC values were found before and after implant. Fasting plasma ghrelin and PYY concentrations increased from month 1 to 12. Conversely, fasting plasma glucagon concentrations decreased at month 1 and increased thereafter. Weight (β 0.152) and HbA1c decrease at month 1 (β 0.176) were the only variables predictive of HbA1c values at 12 months (adjusted R

conclusionsEndobarrier® in T2DM patients with grade I obesity and poor metabolic control is associated with significant weight decrease and moderate reduction in HbA1c at month 12. Our data do not support a role for GLP-1 in the metabolic improvement in this subset of patients.

Indexed as

AdultBariatric SurgeryBlood GlucoseDevice RemovalDiabetes Mellitus, Type 2Endoscopy, GastrointestinalFemaleGastrointestinal HormonesGhrelinGlucagonGlucagon-Like Peptide 1GlucoseHumansInsulinMaleMiddle AgedBlood GlucoseGastrointestinal HormonesGhrelinGlucagonGlucagon-Like Peptide 1GlucoseInsulinDuodenal jejunal bypass linerEndobarrierGastrointestinal hormonesGhrelinGlucagonGlucagon-likeGrade I obese patientsPeptide 1Peptide YYType 2 diabetes

Identifiers

PMID27468906
OpenAlexW2502675447

What Socratic holds

Textmetadata
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 Socratic graph.