Trial reportSurgical endoscopy2009
Endoscopic treatment of Roux-en-Y gastric bypass-related gastrocutaneous fistulas using a novel biomaterial.
Trial report in Surgical endoscopy, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Closure of Gastrocutaneous Fistula Following Bariatric Surgery: a Systematic Review.Obesity surgery · 2023Pooled it
- Endoscopic management of leaks and fistulas after bariatric surgery: a systematic review and meta-analysis.Surgical endoscopy · 2021Pooled it
- Efficacy and Safety of Stents in the Treatment of Fistula After Bariatric Surgery: a Systematic Review and Meta-analysis.Obesity surgery · 2018Pooled it
- Endoscopic management for gastrointestinal leaks, perforations, and fistulae: Technical tips and outcomes.World journal of gastrointestinal endoscopy · 2025Review
- Choosing the best endoscopic approach for post-bariatric surgical leaks and fistulas: Basic principles and recommendations.World journal of gastroenterology · 2023Review
- Technical Review on Endoscopic Treatment Devices for Management of Upper Gastrointestinal Postsurgical Leaks.Gastroenterology research and practice · 2023Review
- Multi-layer endoscopic suturing: a novel method of gastric fistula closure.Endoscopy international open · 2021Article
- Gastric Fistula After Sleeve Gastrectomy: Clinical Features and Treatment Options.Obesity surgery · 2021Article
- Endoscopic management of gastrointestinal leaks and fistulae: What option do we have?World journal of gastroenterology · 2020Review
- Percutaneous Image-Guided Abdominal Interventions for Leaks and Fistulas Following Sleeve Gastrectomy and Roux-en-Y Gastric Bypass.Obesity surgery · 2019Article
- Repair of gastrocutaneous fistula utilizing thickened fluids: application of Poiseuille's Law to fistula healing.Journal of surgical case reports · 2018Article
- Endoluminal solutions to bariatric surgery complications: A review with a focus on technical aspects and results.World journal of gastrointestinal endoscopy · 2017Review
- Endoscopic Approach for Major Complications of Bariatric Surgery.Clinical endoscopy · 2017Article
- Endoscopic Closure for Full-Thickness Gastrointestinal Defects: Available Applications and Emerging Innovations.Clinical endoscopy · 2016Review
- Major complications of bariatric surgery: endoscopy as first-line treatment.Nature reviews. Gastroenterology & hepatology · 2015Review
- Comprehensive management of full-thickness luminal defects: The next frontier of gastrointestinal endoscopy.World journal of gastrointestinal endoscopy · 2015Article
- Treatment of foregut fistula with biologic plugs.Surgical endoscopy · 2015Article
- Endotherapy of leaks and fistula.World journal of gastrointestinal endoscopy · 2015Review
- Endoscopic Management of Gastrointestinal Fistulae.Gastroenterology & hepatology · 2014Article
- Confronting gastrocutaneous fistulas.Annals of gastroenterology · 2011Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRoux-en-Y gastric bypass (RYGB) is amongst the commonest surgical intervention for weight loss in obese patients. Gastrocutaneous fistula, which usually occurs along the vertical staple line of the pouch, is amongst its most alarming complications. Medical management comprised of wound drainage, nutritional support, acid suppression, and antibiotics may be ineffective in as many as a third of patients with this complication. We present outcomes after endoscopic application of SurgiSIS, which is a novel biomaterial for the treatment of this complication.
designA case series of 25 patients.
methodsTwenty-five patients who had failed conservative medical management of gastrocutaneous fistula after RYGB underwent endoscopic application of SurgiSIS--an acellular fibrogenic matrix biomaterial to help fistula healing.
main outcome measuresFistula closure as assessed by upper gastrointestinal imaging and endoscopic examination.
resultsIn patients who had failed medical management lasting 4-25 (median, 7) weeks, closure of the fistulous tract was successful after one application in six patients (30%), two applications in 11 patients (55%), and three applications in three patients (15%). There were no procedure-related complications.
conclusionsEndoscopic application of SurgiSIS-an acellular fibrogenic matrix--is safe and effective for the treatment of gastrocutaneous fistula after RYGB.
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What OpenQuestion holds
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 OpenQuestion graph.