Evidence map›Paper›PMID 39313664›Full record

ArticleAesthetic plastic surgery2024

Histological Changes in Skin and Subcutaneous Cellular Tissue in Patients with Massive Weight Loss After Bariatric Surgery.

Miguel Cálix, Rodrigo Menéndez, Mauricio Baley, Alberto Cadena, Claudia Carrillo, Jafet García-Jiménez

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Article in Aesthetic plastic surgery, 2024. 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
–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

2 citing papers in PubMed.

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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

6 authors.

Miguel CálixServicio de Cirugía Plástica y Reconstructiva, Centro Médico ISSEMyM. Estado de Mexico, Mexico. Av. Baja Velocidad 284, km 57.5, San Jerónimo Chicahualco, Metepec, Estado de, Mexico. ma_calgarcia@hotmail.com.ORCID 0009-0003-0253-0371
Rodrigo MenéndezServicio de Cirugía Plástica y Reconstructiva, Centro Médico ISSEMyM. Estado de Mexico, Mexico. Av. Baja Velocidad 284, km 57.5, San Jerónimo Chicahualco, Metepec, Estado de, Mexico.
Mauricio BaleyServicio de Cirugía Plástica y Reconstructiva, Centro Médico ISSEMyM. Estado de Mexico, Mexico. Av. Baja Velocidad 284, km 57.5, San Jerónimo Chicahualco, Metepec, Estado de, Mexico.
Alberto CadenaServicio de Cirugía Plástica y Reconstructiva, Centro Médico ISSEMyM. Estado de Mexico, Mexico. Av. Baja Velocidad 284, km 57.5, San Jerónimo Chicahualco, Metepec, Estado de, Mexico.
Claudia CarrilloServicio de Patología, Centro Médico ISSEMyM. Estado de Mexico, Mexico. Av. Baja Velocidad 284, km 57.5, San Jerónimo Chicahualco, Metepec, Estado de, Mexico.
Jafet García-JiménezFacultad de Medicina, Universidad Autónoma del Estado de México, Av. Paseo Tollocan S/N, esq. Jesús Carranza, Col. Moderna de la Cruz, 50180, Toluca de Lerdo, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMorbid obesity is a public health problem with high social and economic impact. Due to failure in its treatment with traditional weight loss strategies, surgical interventions are usually required, which give rise to massive weight loss. Until now, the studies made are inconclusive regarding the histological changes in the skin caused by massive weight loss, which may later generate post-surgical complications. Therefore, the objective of this study is to evaluate the cutaneous histological changes before and after bariatric surgery. MATERIAL AND

methodsTwo skin biopsies were taken from nine different patients who underwent bariatric surgery. The first biopsy was taken before the surgical intervention, and the second biopsy was taken a year after the surgery and massive weight loss. Histological analysis was performed using haematoxylin & eosin staining, Weigert's Resorcin-Fuchsin, and Masson's trichrome stain to analyse the percentage of collagen fibres, percentage of fibrosis, percentage of vascularity, vascular layer involvement and adipocyte population. The differences between the biopsies were evaluated with the Student's T test and Mann-Whitney U test, with a p-value of <0.05.

resultsBiopsies from post-bariatric patients with MWL showed an increase in fibrosis percentage, and a decrease in collagen fibres, elastic fibres of the dermis, adipocyte population, as well as reduced vascular proliferation.

conclusionMWL after bariatric surgery gives rise to changes in the skin and subcutaneous cellular tissue. Skin shows an increased fibrosis percentage after massive weight loss. Elastic and collagen fibres become disorganized after massive weight loss. Vascular proliferation is decreased after massive weight loss. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

Bariatric SurgeryObesity, MorbidSkinSubcutaneous TissueWeight LossAdultBiopsyBiopsy, NeedleCohort StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedRisk AssessmentTreatment OutcomeBariatric surgeryComparativeHistologySkinWeight loss

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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.