Evidence mapPaperPMID 34973123Full record

ArticleObesity surgery2022

Revisional Surgery After One Anastomosis/Minigastric Bypass: an Italian Multi-institutional Survey.

Mario Musella, Antonio Vitiello, Antonio Susa, Francesco Greco, Maurizio De Luca, Emilio Manno, Stefano Olmi, Marco Raffaelli, Marcello Lucchese, Sergio Carandina and 15 more

Open access · hybridAbstract read
In one paragraph

Article in Obesity surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
8.3field-weighted citation impact, top 2% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 15 institutions in 1 country.

Mario MusellaAdvanced Biomedical Sciences Department, Naples "Federico II" University, Via S. Pansini, 5, Naples, 80131, Italy. mario.musella@unina.it.ORCID 0000-0002-7669-5115
Antonio VitielloAdvanced Biomedical Sciences Department, Naples "Federico II" University, Via S. Pansini, 5, Naples, 80131, Italy.
Antonio SusaBariatric Surgery II Unit, IRCCS Policlinico San Donato - San Donato Milanese, Milan, Italy.
Francesco GrecoBariatrc and Metabolic Surgery, Fondazione Poliambulanza Hospital, Brescia, Italy.
Maurizio De LucaGeneral Surgery Unit, Castelfranco and Montebelluna Hospitals, Treviso, Italy.
Emilio MannoBariatric and Metabolic Surgery Unit, AORN "A Cardarelli", Naples, Italy.
Stefano OlmiGeneral and Oncological Surgery, Bariatric Surgery Unit, Policlinico "San Marco", Bergamo, Zingonia, Italy.
Marco RaffaelliEndocrine and Metabolic Surgery Unit, Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS - Catholic University, Rome, Italy.
Marcello LuccheseGeneral and Bariatric Surgery, "Santa Maria Nuova" Hospital, Firenze, Italy.
Sergio CarandinaGeneral and Bariatric Surgery Unit, "Madonna Della Salute" Private Hospital - Porto Viro, Rovigo, Italy.
Mirto FolettoBariatric and Metabolic Surgery Unit, Padua University Hospital, Padua, Italy.
Francesco PizzaGeneral and Emergency Surgery, Asl Napoli 2 Nord, Naples, Italy.
Ugo BardiGeneral and Laparoscopic Surgery Unit, "SALUS" Private Hospital, Battipaglia, Salerno, Italy.
Giuseppe NavarraGeneral and Oncological Surgery, AOU "G Martino", Messina University, Messina, Italy.
Angelo Michele SchettinoGeneral Surgery, "San Lorenzino" Private Hospital, Cesena, Italy.
Paolo GentileschiBariatric and Metabolic Surgery Unit, "San Carlo Di Nancy" Hospital, Rome, Italy.
Giuliano SarroGeneral and Oncological Surgery, ASST OVEST MI, Magenta, Milan, Italy.
Sonja ChiappettaObesity and Metabolic Surgery Unit, Ospedale Evangelico "Betania", Naples, Italy.
Andrea TironeSurgical Sciences Department, Bariatric Surgery Unit, "S. Maria Alle Scotte" Hospital, University of Siena, Siena, Italy.
Giovanna BerardiAdvanced Biomedical Sciences Department, Naples "Federico II" University, Via S. Pansini, 5, Naples, 80131, Italy.
Nunzio VelottiAdvanced Biomedical Sciences Department, Naples "Federico II" University, Via S. Pansini, 5, Naples, 80131, Italy.
Diego FoschiBiomedical and Clinical Sciences Department, University of Milan - Head General Surgery Unit, Milan, Italy.
Marco ZappaGeneral Surgery Unit, "Fatebenefratelli" Hospital, Milan, Italy.
Luigi PiazzaGeneral and Emergency Surgery, ARNAS "Garibaldi", Catania, Italy.
SICOB Collaborative group for the study of OAGB/MGB, Giulia Bagaglini, Domenico Benavoli, Amanda Belluzzi, Cosimo Callari, Mariapaola Giusti, Enrico Facchiano, Leo Licari, Giuseppe Iovino, Giacomo Piatto, Francesco Stanzione, Matteo Uccelli, Gastone Veroux, Costantino Voglino
Federico II University Hospital · ITAgostino Gemelli University Polyclinic · ITAzienda-Unita' Sanitaria Locale Di Cesena · ITFatebenefratelli Hospital · ITFondazione Poliambulanza Istituto Ospedaliero · ITIRCCS Policlinico San Donato · ITOspedale Antonio Cardarelli · ITOspedale Castelfranco Veneto · ITOspedale Garibaldi · ITOspedale San Carlo · ITSanta Maria Nuova Hospital · ITUniversity of Messina · ITUniversity of Milan · ITUniversity of Padua · ITUniversity of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEfficacy and safety of OAGB/MGB (one anastomosis/mini gastric bypass) have been well documented both as primary and as revisional procedures. However, even after OAGB/MGB, revisional surgery is unavoidable in patients with surgical complications or insufficient weight loss.

methodsA questionnaire asking for the total number and demographics of primary and revisional OAGB/MGBs performed between January 2006 and July 2020 was e-mailed to all S.I.C. OB centres of excellence (annual caseload > 100; 5-year follow-up > 50%). Each bariatric centre was asked to provide gender, age, preoperative body mass index (BMI) and obesity-related comorbidities, previous history of abdominal or bariatric surgery, indication for surgical revision of OAGB/MGB, type of revisional procedure, pre- and post-revisional BMI, peri- and post-operative complications, last follow-up (FU).

resultsTwenty-three bariatric centres (54.8%) responded to our survey reporting a total number of 8676 primary OAGB/MGBS and a follow-up of 62.42 ± 52.22 months. A total of 181 (2.08%) patients underwent revisional surgery: 82 (0.94%) were suffering from intractable DGER (duodeno-gastric-esophageal reflux), 42 (0.48%) were reoperated for weight regain, 16 (0.18%) had excessive weight loss and malnutrition, 12 (0.13%) had a marginal ulcer perforation, 10 (0.11%) had a gastro-gastric fistula, 20 (0.23%) had other causes of revision. Roux-en-Y gastric bypass (RYGB) was the most performed revisional procedure (109; 54%), followed by bilio-pancreatic limb elongation (19; 9.4%) and normal anatomy restoration (19; 9.4%).

conclusionsOur findings demonstrate that there is acceptable revisional rate after OAGB/MGB and conversion to RYGB represents the most frequent choice.

Indexed as

Gastric BypassGastric FistulaObesity, MorbidHumansReoperationRetrospective StudiesSurveys and QuestionnairesWeight LossComplicationsMini gastric bypassOAGB/MGBOne anastomosis gastric bypassRevisional surgery

Identifiers

PMID34973123
PMCPMC8795019
OpenAlexW4205355039

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.