Evidence mapPaperPMID 35713854Full record

ArticleObesity surgery2022

Endoscopic Bariatric Treatment with Duodenal-Jejunal Bypass Liner Improves Non-invasive Markers of Non-alcoholic Steatohepatitis.

Thomas Karlas, David Petroff, Jürgen Feisthammel, Sebastian Beer, Matthias Blüher, Tatjana Schütz, Ralf Lichtinghagen, Albrecht Hoffmeister, Johannes Wiegand

Abstract 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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Trial
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  4. Advances and future directions in endoscopic bariatric therapies.World journal of gastrointestinal endoscopy · 2025
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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

9 authors.

Thomas Karlas *Department of Medicine II, Division of Gastroenterology, Leipzig University Medical Center, Liebigstraße 20, 04103, Leipzig, Germany. thomas.karlas@medizin.uni-leipzig.de.ORCID 0000-0002-8109-8526
David Petroff *Clinical Trial Centre Leipzig, University of Leipzig, Härtelstraße 16/18, 04107, Leipzig, Germany.
Jürgen FeisthammelDepartment of Medicine II, Division of Gastroenterology, Leipzig University Medical Center, Liebigstraße 20, 04103, Leipzig, Germany.
Sebastian BeerDepartment of Medicine II, Division of Gastroenterology, Leipzig University Medical Center, Liebigstraße 20, 04103, Leipzig, Germany.
Matthias BlüherIntegrated Research and Treatment Center (IFB) AdiposityDiseases, University of Leipzig, Philipp-Rosenthal-Str. 27, 04103, Leipzig, Germany.
Tatjana SchützIntegrated Research and Treatment Center (IFB) AdiposityDiseases, University of Leipzig, Philipp-Rosenthal-Str. 27, 04103, Leipzig, Germany.
Ralf LichtinghagenInstitute of Clinical Chemistry, Hannover Medical School, Carl-Neuberg-Str.1, 30625, Hannover, Germany.
Albrecht HoffmeisterDepartment of Medicine II, Division of Gastroenterology, Leipzig University Medical Center, Liebigstraße 20, 04103, Leipzig, Germany.
Johannes WiegandDepartment of Medicine II, Division of Hepatology, Leipzig University Medical Center, Liebigstraße 20, 04103, Leipzig, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePeople with obesity often develop non-alcoholic fatty liver disease (NAFLD) and are at high risk of progression to non-alcoholic steatohepatitis (NASH). Few therapies are effective other than bariatric surgery. We therefore analyzed data from duodenal-jejunal bypass liner (DJBL) patients regarding steatosis, fibrosis, and NASH.

methodsConsecutive DJBL patients with type 2 diabetes underwent standardized assessments up to device removal at 48 weeks. These included aspartate and alanine transaminase (AST, ALT), controlled attenuation parameter (CAP, for steatosis), and liver stiffness measurement (LSM, for fibrosis). The NAFLD fibrosis score (NFS), fibrosis-4 score (FIB4), and enhanced liver fibrosis (ELF) test were also used to assess fibrosis and the Fibroscan-AST (FAST) score to assess NASH. Mixed models were used and missing data were accounted for with multiple imputation.

resultsThirty-two patients (18 female, mean age 55.1, mean BMI 40.2 kg/m

conclusionsOne year of DJBL therapy is associated with relevant improvements in non-invasive markers of steatosis and NASH, but not fibrosis, and is accompanied by a substantial number of complications. Given the lack of alternatives, DJBL deserves further attention.

Indexed as

Bariatric SurgeryDiabetes Mellitus, Type 2Elasticity Imaging TechniquesNon-alcoholic Fatty Liver DiseaseObesity, MorbidAspartate AminotransferasesBiomarkersFemaleFibrosisHumansLiver CirrhosisMiddle AgedAspartate AminotransferasesBiomarkersDiabetesDuodenal-jejunal bypass linerEndobarrierFibroscanLiver elastographyNASH

Identifiers

PMID35713854
PMCPMC9273553

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.