Evidence map›Paper›PMID 38935262›Full record

ArticleObesity surgery2024

Weight Nadir and Long-Term Weight Outcomes After Laparoscopic Sleeve Gastrectomy in a Diverse Cohort of Adolescents and Young Adults.

Matthew A Hornick, Grace F Chao, Lee D Ying, Geoffrey Nadzam, Andrew Duffy, Saber Ghiassi, Elena Graetz, Karen E Gibbs, John M Morton

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Article in Obesity surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Matthew A HornickDivision of Pediatric Surgery, Yale School of Medicine, 330 Cedar St, FMB 131, New Haven, CT, 06510, USA. matthew.hornick@yale.edu.ORCID 0000-0001-8059-0028
Grace F ChaoDepartment of Surgery, Yale School of Medicine, 330 Cedar St, New Haven, CT, 06510, USA.
Lee D YingDepartment of Surgery, Yale School of Medicine, 330 Cedar St, New Haven, CT, 06510, USA.
Geoffrey NadzamDivision of Bariatric & Minimally Invasive Surgery, Yale School of Medicine, 330 Cedar St, New Haven, CT, 06510, USA.
Andrew DuffyDivision of Bariatric & Minimally Invasive Surgery, Yale School of Medicine, 330 Cedar St, New Haven, CT, 06510, USA.
Saber GhiassiDivision of Bariatric & Minimally Invasive Surgery, Yale School of Medicine, 330 Cedar St, New Haven, CT, 06510, USA.
Elena GraetzDepartment of Surgery, Yale School of Medicine, 330 Cedar St, New Haven, CT, 06510, USA.
Karen E GibbsDivision of Bariatric & Minimally Invasive Surgery, Yale School of Medicine, 330 Cedar St, New Haven, CT, 06510, USA.
John M MortonDivision of Bariatric & Minimally Invasive Surgery, Yale School of Medicine, 330 Cedar St, New Haven, CT, 06510, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLaparoscopic sleeve gastrectomy (LSG) is currently the most common bariatric procedure performed in adolescents and young adults in the United States (USA), but there are limited data available on long-term postoperative weight outcomes in these patients. This single-institution US study follows longitudinal weight data in a diverse group of patients undergoing LSG at age 25 years or younger.

methodsWe retrospectively reviewed records of all patients 25 years or younger who underwent LSG at our institution between 2013 and 2020. All weight data documented in the medical record through January 2023 was included. We calculated weight change postoperatively as percent total weight loss (%TWL) relative to preoperative weight.

resultsOne hundred forty-one patients underwent LSG, at a mean age of 23.1 years. Within this cohort, 56.1% identified as non-Hispanic Black or Hispanic, and 39.7% had private health insurance. The mean %TWL at weight nadir was 28.5% at a mean of 1.35 years postoperatively. The mean long-term %TWL (in patients with ≥ 4 years of follow-up) was 11.8% at a mean of 5.6 years postoperatively, with 43 of the 84 patients with long-term weight data (51%) within 10% of their preoperative weight at most recent follow-up.

conclusionAdolescents and young adults undergoing LSG at our institution had weight nadir comparable to published results during the first 1 to 2 years postoperatively, but the majority developed significant weight recurrence over the ensuing years. Our findings highlight the need for adjuvant weight loss strategies to improve the durability of weight outcomes after LSG in this population.

Indexed as

GastrectomyLaparoscopyObesity, MorbidWeight LossAdolescentAdultBariatric SurgeryFemaleHumansMaleRetrospective StudiesTreatment OutcomeUnited StatesYoung AdultLong-term weight lossSleeve gastrectomyWeight nadir

Identifiers

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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.