Evidence map›Paper›PMID 28971291›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2017

Postoperative Outcomes, Weight Loss Predictors, and Late Gastrointestinal Symptoms Following Laparoscopic Sleeve Gastrectomy.

Michael Goldenshluger, Ariela Goldenshluger, Lital Keinan-Boker, Matan Joel Cohen, Tair Ben-Porat, Heba Gerasi, Majd Amun, Mahmud Abu-Gazala, Abed Khalaileh, Yoav Mintz and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
–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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Changes in bowel habits after laparoscopic sleeve gastrectomy.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2020
    Article
  20. 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

11 authors.

Michael GoldenshlugerGeneral and Oncological Department C, Chaim Sheba Medical Center-Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, 5265601, Tel Hashomer, Israel. goldenshluger@gmail.com.ORCID http://orcid.org/0000-0003-3701-2307
Ariela GoldenshlugerDepartment of Nutrition, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Lital Keinan-BokerIsrael Ministry of Health, Center for Disease Control, Ramat Gan, Israel.
Matan Joel CohenClalit Health Services, Jerusalem District, Israel.
Tair Ben-PoratDepartment of Nutrition, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Heba GerasiDepartment of Surgery, Hadassah-Hebrew University Medical Center, Ein-Kerem, Jerusalem, Israel.
Majd AmunDepartment of Surgery, Hadassah-Hebrew University Medical Center, Ein-Kerem, Jerusalem, Israel.
Mahmud Abu-GazalaDepartment of Surgery, Hadassah-Hebrew University Medical Center, Ein-Kerem, Jerusalem, Israel.
Abed KhalailehDepartment of Surgery, Hadassah-Hebrew University Medical Center, Ein-Kerem, Jerusalem, Israel.
Yoav MintzDepartment of Surgery, Hadassah-Hebrew University Medical Center, Ein-Kerem, Jerusalem, Israel.
Ram ElazaryDepartment of Surgery, Hadassah-Hebrew University Medical Center, Ein-Kerem, Jerusalem, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the outcomes, weight loss predictors, and gastrointestinal symptoms of patients after laparoscopic sleeve gastrectomy (LSG).

methodsThe postoperative medical status of the patients was obtained retrospectively using a questionnaire and was compared to existing medical data before the surgery.

resultsWe included 201 candidates, 178 patients completed mean of 3 years of follow-up. Mean excess body weight loss (%EWL) was 65.14% ± 15.74 at 6 months, 78.53% ± 20.28 at 12 months, and 74.32% ± 23.92 at 3 years after LSG. Older age (P = 0.018), higher baseline BMI (P = 0.003), and higher number of medications (P < 0.001) were negative predictors for EWL%. Total weekly hours of physical activity was found to be a positive predictor for EWL% (P = 0.008). Remission rates of co-morbidities were 83.5% for dyslipidemia (P < 0.001), 65.8% for hypertension (P < 0.001), 62.1% for type 2 diabetes mellitus (T2DM) (P < 0.001), and 60.7% for gastroesophageal reflux (GERD) (P < 0.001). Late gastrointestinal symptoms were as follows: emesis in 25.9%, constipation in 24.7%, diarrhea in 4.5%, food intolerance in 22.5% and alopecia in 42.7% of the patients.

conclusionOur study shows LSG as a potential tool in achieving almost 75% of EWL% with significant remission of co-morbidities, along with various late gastrointestinal symptoms.

Indexed as

LaparoscopyWeight LossAdultAge FactorsAlopeciaBody Mass IndexConstipationDiabetes Mellitus, Type 2DiarrheaDrug PrescriptionsDyslipidemiasExerciseFemaleFollow-Up StudiesFood IntoleranceGastrectomyCo-morbiditiesGastrointestinal symptomsObesitySleeve gastrectomySurgical outcomes

Identifiers

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.