Evidence map›Paper›PMID 41331600›Full record

Trial reportBMC surgery2025

Comparative endoscopic ultrasound assessment of the gastric pouch after FundoRing-OAGB and OAGB.

Oral Ospanov, Bakhtiyar Yelembayev, J N Buchwald, Kassymkhan Sultanov, Medet Rakhmetov, Galymjan Duysenov, Bazar Tuleuov

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04834635 (The Total Wrapping of the Fundus of the Gastric Excluded Part), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT04834635 nacompletednot on this map

The Total Wrapping of the Fundus of the Gastric Excluded Part (FundoRing) Versus Non- Wrapping (Non-banded) Standard Method of Laparoscopic One Anastomosis Gastric Bypass/Mini - Gastric Bypass: A Randomized Controlled Trial

TypeinterventionalSponsorThe Society of Bariatric and Metabolic Surgeons of KazakhstanRan2021 to 2026Enrolled1,000ConditionsObesity, MorbidArmsFundoRingOAGB, OAGB
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

7 authors.

Oral OspanovDepartment of Surgical Disease and Bariatric Surgery, Astana Medical University, Mangilik el 72 n.p.4, Astana, 010017, Kazakhstan.
Bakhtiyar YelembayevDepartment of Surgical Disease and Bariatric Surgery, Astana Medical University, Mangilik el 72 n.p.4, Astana, 010017, Kazakhstan. elembaev.b@amu.kz.
J N BuchwaldDivision of Scientific Research Writing, Medwrite Medical Communications, Maiden Rock, WI, USA.
Kassymkhan SultanovSurgery Center of Professor Oral Ospanov, Astana, Kazakhstan.
Medet RakhmetovThe Medical Centre Hospital of the President's Affairs Administration of the Republic of Kazakhstan, Astana, Kazakhstan.
Galymjan DuysenovDepartment of Surgical Disease and Bariatric Surgery, Astana Medical University, Mangilik el 72 n.p.4, Astana, 010017, Kazakhstan.
Bazar TuleuovEmergency Hospital of the Health Care Department of the Abay Region, Semey, Kazakhstan.

Funding

Committee of Science of the Ministry of Science and Higher Education of the Republic of Kazakhstan grant number AP23490186
6 · The paper itself

Abstract

backgroundThe highly effective one-anastomosis gastric bypass (OAGB) is one of the most widely performed procedures in bariatric/metabolic surgery. However, concerns remain regarding the association of OAGB with bile reflux and long-term weight regain. The FundoRing modification of OAGB (FundoRing-OAGB) incorporates the excluded stomach in a primary fundoplication designed to limit reflux and weight regain by exerting an anti-dilatation effect on the gastric pouch. PATIENTS AND

methodsThis comparative prospective post-hoc sub-study included 50 patients (25 per group) randomly selected from participants in a precursor randomized controlled trial (RCT). The sub-study aimed to assess and compare the anatomical integrity and volumetric parameters of the gastric pouch at 1 and 3 years using endoscopic ultrasound (EUS) in patients who had undergone OAGB with, or without, the FundoRing modification. Measurements included pouch diameter, volume, and wall thickness.

resultsAt 3 years, patients in the FundoRing-OAGB group (n = 21) had significantly lower pouch diameters (2.8 ± 0.23 cm vs. 3.41 ± 0.4 cm, p = 0.014) and volumes (60.39 ± 10.04 mL vs. 87.93 ± 25.79 mL, p < 0.001) compared to the OAGB group (n = 20). In the FundoRing-OAGB group, at year 3, pouch volume had increased 36.25% vs. an increase of 74.33% in the OAGB group (p < 0.001). Wall thickness and pouch length did not differ significantly.

conclusionThe FundoRing-OAGB modification exerted a significant anti-dilatation effect on the gastric pouch, as confirmed reliably by EUS. This effect may potentially correlate with better long-term weight maintenance; however, these clinical outcomes were not assessed in the present study. Large studies with long-term follow-up are needed to validate these findings and assess their clinical impact.

trial registrationSub-study of#NCT04834635; registered 8 April 2021

Indexed as

EndosonographyFundoplicationGastric BypassObesity, MorbidStomachAdultFemaleHumansMaleMiddle AgedProspective StudiesBanded gastric bypassBariatric/metabolic surgeryBMSEndoscopic ultrasoundFundoplicationFundoRingGastric pouchOAGBOne-anastomosis gastric bypass

Identifiers

PMID41331600
PMCPMC12797450

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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.