Evidence map›Paper›PMID 30895506›Full record

Trial reportObesity surgery2019

Food Tolerance After Laparoscopic Sleeve Gastrectomy with Total Antral Resection.

Ibrahim G Khalifa, Wael L Tobar, Tarek O Hegazy, Hany A Balamoun, Sameh Mikhail, Mohammed Abdalla Salman, Elsayed A Elsayed

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Obesity surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. 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

7 authors at 1 institution in 1 country.

Ibrahim G KhalifaDepartment of General Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Wael L TobarDepartment of General Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Tarek O HegazyDepartment of General Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Hany A BalamounDepartment of General Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt. hanyarmia@hotmail.com.ORCID http://orcid.org/0000-0003-0267-9267
Sameh MikhailDepartment of General Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Mohammed Abdalla SalmanDepartment of General Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Elsayed A ElsayedDepartment of General Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Cairo University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAmong the controversial points in laparoscopic sleeve gastrectomy (LSG) is how much of the antrum to be resected. This study aimed to evaluate food tolerance after preservation or resection of the antrum during LSG.

methodsProspective randomized study included 50 patients scheduled for LSG. Participants were randomly allocated into one of two groups. In antral resection (AR-LSG) group (n = 25), resection started 2 cm from the pylorus. In antral sparing (AS-LSG) group (n = 25), it started 6 cm from the pylorus. Percentage of excess weight loss (%EWL) and percentage of excess BMI loss (%EBL) were evaluated after 3 and 6 months. Quality of life (QOL) was evaluated by using the Bariatric Analysis and Reporting Outcome System (BAROS). Food tolerance was assessed using the Quality of Alimentation questionnaire. Primary outcome measure was food tolerance and %EWL.

resultsFood tolerance was significantly better in the antral sparing group compared to the antral resection group after 3 and 6 months. The two groups were comparable in %EWL and BMI change after 3 and 6 months. Six months after surgery, the majority of patients had a very good quality of life, with no significant difference between the two groups (p = 0.877). There was no significant difference between the two groups in operative time, intraoperative blood loss, and hospital stay.

conclusionsPreservation of the pyloric antrum during LSG is associated with significantly better food tolerance and comparable effect of weight loss up to 6 months postoperatively when compared with total antral resection.

Indexed as

GastrectomyLaparoscopyBariatric SurgeryFeeding BehaviorFoodHumansPostoperative ComplicationsProspective StudiesPyloric AntrumTreatment OutcomeAntral resectionFood toleranceSleeve gastrectomy

Identifiers

PMID30895506
OpenAlexW2922783001

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.