Evidence map›Paper›PMID 33759960›Full record

ArticleArquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery2021

COULD THE INTESTINAL EPITHELIAL ALTERATIONS PROMOTED BY ROUX-EN-Y GASTRIC BYPASS EXPLAIN HIGHER TENDENCY FOR COLONIC DISEASES IN BARIATRIC PATIENTS?

Eduardo Wendler, Osvaldo Malafaia, Bruno Luiz Ariede, Jurandir Marcondes Ribas-Filho, Nicolau Gregori Czeczko, Paulo Afonso Nunes Nassif

Open access · diamondAbstract read
In one paragraph

Article in Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. SHORTEN PREOPERATIVE FASTING AND INTRODUCING EARLY EATING ASSISTANCE IN RECOVERY AFTER GASTROJEJUNAL BYPASS?Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2022
    Trial
  2. VITAMIN D LEVELS AND LIPID PROFILE IN PATIENTS UNDERGOING BARIATRIC SURGERY.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2023
    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

6 authors at 1 institution in 1 country.

Eduardo WendlerPost-Graduation Program in Principles of Surgery, Mackenzie Evangelical College of Paraná, Curitiba, PR, Brazil.ORCID http://orcid.org/0000-0003-4711-6169
Osvaldo MalafaiaPost-Graduation Program in Principles of Surgery, Mackenzie Evangelical College of Paraná, Curitiba, PR, Brazil.ORCID http://orcid.org/0000-0002-1829-7071
Bruno Luiz AriedePost-Graduation Program in Principles of Surgery, Mackenzie Evangelical College of Paraná, Curitiba, PR, Brazil.ORCID http://orcid.org/0000-0001-5397-6339
Jurandir Marcondes Ribas-FilhoPost-Graduation Program in Principles of Surgery, Mackenzie Evangelical College of Paraná, Curitiba, PR, Brazil.ORCID http://orcid.org/0000-0002-5251-7672
Nicolau Gregori CzeczkoPost-Graduation Program in Principles of Surgery, Mackenzie Evangelical College of Paraná, Curitiba, PR, Brazil.ORCID http://orcid.org/0000-0002-5926-150X
Paulo Afonso Nunes NassifPost-Graduation Program in Principles of Surgery, Mackenzie Evangelical College of Paraná, Curitiba, PR, Brazil.ORCID http://orcid.org/0000-0002-1752-5837
Universidade Presbiteriana Mackenzie · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKi-67 in ascending colon: A) experiment and B) control. Intestinal diversions have revolutionized the treatment of morbid obesity due to its viability and sustained response. However, experimental studies suggest, after these derivations, a higher risk of colon cancer.

aimTo analyze the histological and immunohistological changes that the jejunojejunal shunt can produce in the jejunum, ileum and ascending colon.

methodTwenty-four male Wistar rats were randomly divided into two groups, control (n=12) and experiment (n=12) and subdivided into groups of four. Nine weeks after the jejunojejunal shunt, segmental resection of the excluded jejunum, terminal ileum and ascending colon was performed. Histological analysis focused on the thickness of the mucosa, height of the villi, depth of the crypts and immunohistochemistry in the expression of Ki-67 and p53.

resultsSignificant differences were found between the experiment and control groups in relation to the thickness of the mucosa in the jejunum (p=0.011), in the ileum (p<0.001) and in the colon (p=0.027). There was also a significant difference in relation to the height of the villus in the ileum (p<0.001) and the depth of the crypts in the jejunum (p0.001). The results indicated that there is a significant difference between the groups regarding the expression of Ki-67 in the colon (p<0.001). No significant differences were found between the groups regarding the expression of Ki-67 in the jejunum and ileum. In the P53 evaluation, negative nuclear staining was found in all cases.

conclusionThe jejunojejunal deviation performed in the Roux-in-Y gastrojejunal bypass, predispose epithelial proliferative effects, causing an increase in the thickness of the mucosa, height of the villi and depth of the crypts of the jejunum, ileum and ascending colon.

Indexed as

Colonic DiseasesGastric BypassAnimalsHumansIleumIntestinal MucosaIntestinesIntestine, SmallJejunumKi-67 AntigenMaleRatsRats, WistarKi-67 Antigen

Identifiers

PMID33759960
PMCPMC7983526
OpenAlexW3139397826

What Socratic holds

Textmetadata
LicenceCC BY
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.