Evidence map›Paper›PMID 30834358›Full record

ArticleJournal of the Endocrine Society2019

Roux-en-Y Gastric Bypass Is Associated With Hyperinsulinemia But Not Increased Maximal

Annette Georgia, Maria Cecilia Catilo Asnis, Gerardo Febres, Amanda Tsang, Marc Bessler, Judith Korner

Abstract read
In one paragraph

Article in Journal of the Endocrine Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
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.

Annette GeorgiaColumbia University College of Physicians and Surgeons, New York, New York.
Maria Cecilia Catilo AsnisColumbia University College of Physicians and Surgeons, New York, New York.
Gerardo FebresColumbia University College of Physicians and Surgeons, New York, New York.
Amanda TsangColumbia University College of Physicians and Surgeons, New York, New York.
Marc BesslerColumbia University College of Physicians and Surgeons, New York, New York.
Judith KornerColumbia University College of Physicians and Surgeons, New York, New York.ORCID 0000-0001-5989-8001

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024156 · NCRR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2006 to 2011
$53.0M
Clinical and Translational Science AwardUL1TR000040 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2012 to 2015
$26.2M
Metabolic and Endocrine Effects of Bariatric SurgeryR01DK072011 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KORNER, JUDITH · 2005 to 2021
$6.2M
TRAINING PROGRAM IN ENDOCRINOLOGY AND METABOLISMT32DK007271 · NIDDK · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI ACCILI, DOMENICO · 1986 to 2019
$6.1M
NCATS NIH HHS UL1 TR000040NCRR NIH HHS UL1 RR024156NIDDK NIH HHS R01 DK072011NIDDK NIH HHS T32 DK007271
6 · The paper itself

Abstract

contextRoux-en-Y gastric bypass (RYGB) is associated with postprandial hyperinsulinemia.

objectiveThis study assessed whether increased blood insulin levels may be due to an increase in maximal DESIGN SETTING AND

participantsWe performed a cross-sectional study at Columbia University Medical Center, New York, New York. Subjects without a history of diabetes were studied after surgery (n = 12) and were compared with nonsurgical controls (n = 10) who were mean matched for body mass index, insulin sensitivity, and hemoglobin A1c and with nonobese controls (n = 8).

methodsSubjects underwent a mixed-meal tolerance test and on a separate day an intravenous glucose tolerance test followed by a hyperglycemic clamp (450 mg/dL; 25 mM blood glucose) and arginine stimulation. The main outcome measure was maximal insulin secretion quantified after arginine stimulation (AinsRmax).

resultsThe RYGB group exhibited greater peak postprandial glucose levels and fourfold greater peak insulin levels than control groups; however, there were no significant differences in insulinogenic index or AinsRmax. Another finding was significantly greater postprandial glucagon levels in the RYGB group compared with controls.

conclusionsOur results suggest that after RYGB, the increase in postprandial levels of insulin are not due to changes in maximal

Indexed as

arginine stimulationbariatric surgeryhyperinsulinemiaobesityRoux-en-Y gastric bypassβ-cell function

Identifiers

PMID30834358
PMCPMC6391719

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.