Evidence map›Paper›PMID 32492679›Full record

ArticleObesity facts2020

Roux-en-Y Gastric Bypass as an Effective Bariatric Revisional Surgery after Restrictive Procedures.

Rosa Marti-Fernandez, Norberto Cassinello-Fernandez, Maria Desamparados Cuenca-Ramirez, Maria Lapeña-Rodriguez, Maria Carmen Fernandez-Moreno, Raquel Alfonso-Ballester, Joaquin Ortega-Serrano

Abstract read
In one paragraph

Article in Obesity facts, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Trial
  2. Article
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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

7 authors.

Rosa Marti-FernandezDepartment of General and Digestive Surgery, Hospital Clinico Universitario, Valencia, Spain.
Norberto Cassinello-FernandezDepartment of General and Digestive Surgery, Hospital Clinico Universitario, Valencia, Spain.
Maria Desamparados Cuenca-RamirezDepartment of General and Digestive Surgery, Hospital Clinico Universitario, Valencia, Spain.
Maria Lapeña-RodriguezDepartment of General and Digestive Surgery, Hospital Clinico Universitario, Valencia, Spain.
Maria Carmen Fernandez-MorenoDepartment of General and Digestive Surgery, Hospital Clinico Universitario, Valencia, Spain.
Raquel Alfonso-BallesterDepartment of General and Digestive Surgery, Hospital Clinico Universitario, Valencia, Spain.
Joaquin Ortega-SerranoDepartment of General and Digestive Surgery, Hospital Clinico Universitario, Valencia, Spain, joaquin.ortega@uv.es.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRevisional surgery must be considered when insufficient weight loss is attained or weight is subsequently regained. This study aimed to investigate the value of Roux-en-Y gastric bypass (RYGB) as a revisional procedure after restrictive surgery. MATERIALS AND

methodsAn observational, retrospective study including patients initially operated on for morbid obesity with restrictive techniques (vertical-banded gastroplasty [VBG], adjustable gastric band [AGB], and sleeve gastrectomy) and reoperated with RYGB in our centre between December 1994 and January 2019. Demographic and anthropometric data, associated comorbidities (diabetes mellitus type II, arterial hypertension, dyslipidaemia, and chronic obstructive pulmonary disease) and surgery-related data (approach, complications, and hospital stay) were evaluated at 5 different time points: initial (prior to first intervention), after the first surgical intervention, before the second intervention (gastric bypass), after the gastric bypass, and at present.

resultsA total of 63 patients were included. VBG was the most frequent initial procedure (n = 33). The mean age was 39 ± 9.52 years, and the average initial weight was 143.53 ± 28.6 kg. Weight loss was achieved in all groups, with a median excess weight loss of 58% after the first surgery and 40.3% after gastric bypass. In terms of weight loss, the best results after the second surgery were obtained when the first surgery was AGB, with statistically significant differences.

conclusionsRYGB is effective as a conversion procedure after a previous restrictive surgery, obtaining a significant reduction in weight and BMI. It has an acceptable morbidity rate and is more effective after an AGB.

Indexed as

Bariatric SurgeryGastric BypassAdultComorbidityGastroplastyHumansIntraoperative ComplicationsLength of StayMiddle AgedObesity, MorbidReoperationRetrospective StudiesWeight LossBariatric surgeryConversion surgeryGastric bypassInsufficient weight loss

Identifiers

PMID32492679
PMCPMC7445544

What Socratic holds

Textmetadata
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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.