Cross-sectional studycited by the Tayebat archiveabstract only checked A-BAR-09 standard review
Endoscopy 5+ years after sleeve
Systematic Endoscopy 5 Years After Sleeve Gastrectomy Results in a High Rate of Barrett's Esophagus: Results of a Multicenter Study.
Overview
Sebastianelli L et al.. Obes Surg 2019 · PMID 30666544 · DOI 10.1007/s11695-019-03704-y
About 1 in 5 had Barrett's changes; reflux symptoms rose from 22% to 76%.
Does the study support the specific claim? Partly · Methodological quality: low
Plain-language summary
Study explained simply
- What did the researchers want to find out?
Prevalence
- How was the study done?
Cross-sectional
- How many people, animals or samples were studied?
90
- What was actually found?
High BE and GERD
- How large was the observed effect?
BE 18.8%
- What do the results mean in everyday life?
Reflux is frequent after sleeve
- What are the study's limitations?
Small, no control
- What does it say about Elawady's specific claim?
Supports reflux claim
- Do the results apply to Germany and Europe?
European
- What can explicitly not be concluded from this study?
Exact risk
Scientific in-depth review
1. Full reference
- Authors
- Sebastianelli L, Benois M, Vanbiervliet G, Bailly L, Robert M, Turrin N, Gizard E, Foletto M, Bisello M, Albanese A, Santonicola A, Iovino P, Piche T, Angrisani L, Turchi L, Schiavo L, Iannelli A
- Journal
- Obes Surg
- Year
- 2019
- Identifier
- PMID 30666544 DOI 10.1007/s11695-019-03704-y
- Verification
- verified – PubMed E-utilities efetch, 2026-10-25
- Retracted
- no
- Corrections
- none
- Extent checked
- abstract only
- Conflicts of interest and funding
COI: not stated in record | Grants: none listed
2. Research question
Prevalence of GERD and Barrett's >=5 years after SG
3. Study design and population
- Study design
- Cross-sectional study – Multicentre cross-sectional endoscopy study >=5 years after SG
- Population
SG patients without preoperative BE
- Country
France, Italy
- Period
Endoscopy 2017-2018
- Sample size
90
4. Methods and endpoints
- Exposure / intervention
SG
- Comparator
Preoperative status
- Endpoints
BE, GERD symptoms, esophagitis, PPI use
5. Actual results
- Results
BE 18.8%; GERD symptoms 22% -> 76%; erosive esophagitis 10% -> 41%; PPI use 22% -> 52%; weight-loss failure associated with BE.
- Absolute risks
BE 18.8%
- Authors' conclusion
High rate of BE at least 5 years after SG; systematic endoscopy suggested.
6. Strengths
- Preoperative endoscopy available
7. Weaknesses
- Small
- No control
- Possible selection of symptomatic patients
8. Risk of bias
- Orienting tool
- none applicable
- Type of assessment
- simplified assessment (abstract only)
- Full formal assessment
- no
- Overall risk of bias
- high
- Rationale
No comparator; small.
9. Assessment of the statistical interpretation
10. Relevance to the specific claim
Supports increased GERD after SG.
11. Independent contrary findings
SLEEVEPASS BE 4%.
12. Transferability to Germany and Europe
European.
13. Overall methodological judgement
Signal; magnitude uncertain.
| Multidimensional assessment | |
|---|---|
| Authenticity of the source | verified |
| Methodological quality | low |
| Risk of bias | high |
| Precision of results | low |
| Directness | direct |
| Reproducibility | partly replicated |
| Consistency with the overall evidence | mixed |
| Regional transferability | moderate |
| Adequacy of the interpretation (by the archive) | not applicable |
14. Open questions
15. Linked fact checks
- Sleeve gastrectomy substantially increases gastro-oesophageal reflux disease and erosive oesophagitis. – Studies supporting the claim
- After sleeve gastrectomy reflux is inevitable, and patients must take acid-suppressing drugs for life. – Studies supporting the claim
- Sleeve gastrectomy leaves the oesophagus exposed to Barrett's oesophagus (archive: Barrett's in 4% at 10 years in SLEEVEPASS). – Studies supporting the claim
Use by the Tayebat archive
Note: according to the archive, the studies were compiled by the archive operators. Whether Dr. Elawady himself cited this study is not established.
- What the archive says about the study
Listed in the archive bibliography only; the archive gives no specific interpretation.
- A. What was actually studied?
Endoscopy after SG
- B. What did the authors find?
BE 18.8%, GERD 76%
- C. What conclusions do the authors themselves draw?
Suggest systematic endoscopy
- D. What does the archive derive from it?
Supports narrative.
- E. Is this derivation scientifically justified?
Reasonable as a signal; magnitude likely higher than in larger series.
- Adequacy of the interpretation (by the archive)
- not applicable