Evidence mapPaperPMID 30697678Full record

ArticleObesity surgery2019

Proximal Jejunal Bypass Improves the Outcome of Gastric Clip in Patients with Obesity and Type 2 Diabetes Mellitus.

Seh-Huang Chao, Chia-Lin Lin, Wei-Jei Lee, Jung-Chien Chen, Ju Jun Chou

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Article in Obesity surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

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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

5 authors at 3 institutions in 1 country.

Seh-Huang ChaoDepartment of Bariatric and Metabolic Surgery, Jen-Ai Hospital, No. 483, Dongrong Rd., Dali Dist., Taichung City 412, Taiwan, Republic of China. sec2177@mail.jah.org.tw.
Chia-Lin LinDepartment of Bariatric and Metabolic Surgery, Jen-Ai Hospital, No. 483, Dongrong Rd., Dali Dist., Taichung City 412, Taiwan, Republic of China.
Wei-Jei LeeDepartment of Surgery, Min-Sheng General Hospital, No. 168, Chin Kuo Road, Taoyuan, Taiwan, Republic of China. wjlee_obessurg_tw@yahoo.com.tw.ORCID http://orcid.org/0000-0001-7091-3006
Jung-Chien ChenDepartment of Surgery, Central Clinic Hospital, Taipei, Taiwan.
Ju Jun ChouDepartment of Surgery, Central Clinic Hospital, Taipei, Taiwan.
Jen-Ai Hospital · TWMin Sheng General Hospital · TWTaipei Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic gastric clip (GC), a novel pure restrictive procedure, is a safe and effective treatment for morbid obesity. However, whether adding a proximal jejunal bypass (PJB) to this procedure might increase the efficacy is unknown.

methodsOutcomes of 74 (43 women and 31male) obese patients who had undergone PJB-GC (41) or GC (33) for the treatment of type 2 diabetes mellitus (T2D) with 1 year follow-up were assessed. GC consists of creating a transverse gastric partition with a metallic clip. PJB consists of a jejuno-ileostomy between 20 and 320 cm distal to the ligament of Treitz. Postoperative body mass index (BMI) reduction, total weight loss (TWL), and remission rates of T2D were evaluated.

resultsThe preoperative clinical characters in both groups were similar. The mean operative time was significantly longer in the PJB-GC group than in the GC group. At 24 months after surgery, the BMI was lower (32.5 ± 6.2 vs. 37.0 ± 5.9 kg/m

conclusionsIn this study, PJB-GC was superior to GC in weight loss and T2D remission at 1 and 2 years after surgery. Adding PJB to GC increased the effect of weight loss and diabetic control.

Indexed as

AdultBody Mass IndexCase-Control StudiesDiabetes Mellitus, Type 2FemaleFollow-Up StudiesGastric BypassHumansJejunumLaparoscopyMaleMiddle AgedObesity, MorbidOperative TimeRemission InductionStomachBariatric surgeryGastric clipJejunal bypassMetabolic surgeryMorbid obesityT2D remission

Identifiers

PMID30697678
OpenAlexW2914708953

What Socratic holds

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Registered trials

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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 Socratic graph.