Evidence map›Paper›PMID 35137287›Full record

Trial reportObesity surgery2022

Effect of laparoscopic sleeve gastrectomy vs laparoscopic sleeve + Rossetti fundoplication on weight loss and de novo GERD in patients affected by morbid obesity: a randomized clinical study.

Stefano Olmi, Giovanni Cesana, Angela Gambioli, Marta Bonaldi, Davide Ferrari, Matteo Uccelli, Francesca Ciccarese, De Carli Stefano, Giorgi Riccardo, Mantovani Lorenzo

Erratum issuedOpen access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Obesity surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
6.1field-weighted citation impact, top 3% 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  4. Trial
  5. Article
  6. Weight loss outcomes after Nissen sleeve gastrectomy vs standard sleeve gastrectomy in female patients: a retrospective matched -cohort study.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2026
    Article
  7. Review
  8. Outcomes of Nissen sleeve gastrectomy in a short‑term follow‑up: a new future?Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2025
    Article
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  10. Review
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  16. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Stefano OlmiDepartment of Surgery, S.I.C.OB. (Italian Society of Bariatric Surgery) Referral Center for Bariatric Surgery, Policlinico San Marco, GSD University and Research, viale Europa 7, 24040 Zingonia-Osio Sotto, Bergamo, Italy.
Giovanni CesanaDepartment of Surgery, S.I.C.OB. (Italian Society of Bariatric Surgery) Referral Center for Bariatric Surgery, Policlinico San Marco, GSD University and Research, viale Europa 7, 24040 Zingonia-Osio Sotto, Bergamo, Italy. giovanni.cesana@gmail.com.ORCID http://orcid.org/0000-0002-0743-478X
Angela GambioliResearch Centre on Public Health (CESP) of the University of Milan-Bicocca, Via Pergolesi 33, 20900, Monza, MB, Italy.
Marta BonaldiDepartment of Surgery, S.I.C.OB. (Italian Society of Bariatric Surgery) Referral Center for Bariatric Surgery, Policlinico San Marco, GSD University and Research, viale Europa 7, 24040 Zingonia-Osio Sotto, Bergamo, Italy.
Davide FerrariDepartment of Surgery, S.I.C.OB. (Italian Society of Bariatric Surgery) Referral Center for Bariatric Surgery, Policlinico San Marco, GSD University and Research, viale Europa 7, 24040 Zingonia-Osio Sotto, Bergamo, Italy.
Matteo UccelliDepartment of Surgery, S.I.C.OB. (Italian Society of Bariatric Surgery) Referral Center for Bariatric Surgery, Policlinico San Marco, GSD University and Research, viale Europa 7, 24040 Zingonia-Osio Sotto, Bergamo, Italy.
Francesca CiccareseDepartment of Surgery, S.I.C.OB. (Italian Society of Bariatric Surgery) Referral Center for Bariatric Surgery, Policlinico San Marco, GSD University and Research, viale Europa 7, 24040 Zingonia-Osio Sotto, Bergamo, Italy.
De Carli StefanoDepartment of Surgery, S.I.C.OB. (Italian Society of Bariatric Surgery) Referral Center for Bariatric Surgery, Policlinico San Marco, GSD University and Research, viale Europa 7, 24040 Zingonia-Osio Sotto, Bergamo, Italy.
Giorgi RiccardoDepartment of Surgery, S.I.C.OB. (Italian Society of Bariatric Surgery) Referral Center for Bariatric Surgery, Policlinico San Marco, GSD University and Research, viale Europa 7, 24040 Zingonia-Osio Sotto, Bergamo, Italy.
Mantovani LorenzoResearch Centre on Public Health (CESP) of the University of Milan-Bicocca, Via Pergolesi 33, 20900, Monza, MB, Italy.
University of Milan · ITUniversity of Milano-Bicocca · ITVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare sleeve gastrectomy (SG) to SG associated with Rossetti fundoplication (SG + RF) in terms of de novo gastro-esophageal reflux disease (GERD) after surgery, weight loss, and postoperative complications. MATERIALS AND

methodsPatients affected by morbid obesity, without symptoms of GERD, who were never in therapy with proton pump inhibitors (PPIs), were randomized into two groups. One group underwent SG and the other SG + RF. The study was stopped on February 2020 due to the COVID pandemic.

resultsA total of 278 patients of the programmed number of 404 patients were enrolled (68.8%). De novo esophagitis was considered in those patients who had both pre- and postoperative gastroscopy (97/278, 34.9%). Two hundred fifty-one patients (90.3%) had completed clinical follow-up at 12 months. SG + RF resulted in an adequate weight loss, similar to classic SG at 12-month follow-up (%TWL = 35. 4 ± 7.2%) with a significantly better outcome in terms of GERD development. One year after surgery, PPIs were necessary in 4.3% SG + RF patients compared to 17.1% SG patients (p = 0.001). Esophagitis was present in 2.0% of SG + RF patients versus 23.4% SG patients (p = 0.002). The main complication after SG + RF was wrap perforation (4.3%), which improved with the surgeon's learning curve.

conclusionSG + RF seemed to be an effective alternative to classic SG in preventing de novo GERD. More studies are needed to establish that an adequate learning curve decreases the higher percentage of short-term complications in the SG + RF group.

Indexed as

COVID-19EsophagitisGastroesophageal RefluxLaparoscopyObesity, MorbidFundoplicationGastrectomyHumansPostoperative ComplicationsProton Pump InhibitorsRetrospective StudiesTreatment OutcomeWeight LossProton Pump InhibitorsGERDNissen sleeveObesityRossetti sleeve

Identifiers

PMID35137287
PMCPMC9055016
OpenAlexW4210885748

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.