Evidence map›Paper›PMID 20932372›Full record

ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons

Early results of trans-oral endoscopic plication and revision of the gastric pouch and stoma following Roux-en-Y gastric bypass surgery.

I Michael Leitman, Chiranjiv S Virk, Dimitrios V Avgerinos, Radha Patel, Valentina Lavarias, Burton Surick, John L Holup, Elliot R Goodman, Martin S Karpeh

Abstract read
In one paragraph

Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
–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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
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  7. Review
  8. Article
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  12. Current status of endoluminal bariatric procedures for primary and revision indications.Gastrointestinal endoscopy clinics of North America · 2011
    Review
  13. Endoscopy after bariatric surgery.Annals of gastroenterology
    Review
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.

I Michael LeitmanDepartment of Surgery, 10 Beth Israel Medical Center, 10 Union Square East, 2M, New York, NY 10003, USA. mleitman@chpnet.org
Chiranjiv S Virk
Dimitrios V Avgerinos
Radha Patel
Valentina Lavarias
Burton Surick
John L Holup
Elliot R Goodman
Martin S Karpeh

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveA new technique for endoscopic plication and revision of the gastric pouch (EPRGP) for patients who underwent gastric bypass (RGB) surgery was evaluated in patients with severe GERD, dumping syndrome, failure of weight loss, or all of these. PATIENTS AND

methodsPatients underwent EPRGP over a 12-month period. The StomaphyX device (Endogastric Solutions, Redmond, WA) was utilized over a standard flexible gastroscope. Patients were kept on a liquid diet for 1 week.

resultsThe study included 64 patients with a mean age of 48 years who underwent 67 procedures. EPRGP was performed an average of 5 years after RGB. The mean preoperative BMI was 39.5 kg/m². The primary indications for the procedure were inadequate weight loss, dumping syndrome (42), and GERD (15). The mean follow-up period was 5.8 months (range, 3 to 12). The average operative time was 50 minutes, with a significant reduction with increased operator experience. There were only 2 (3%) intraoperative complications during the early period (equipment failure), which did not result in any morbidity. All symptoms from dumping syndrome or reflux improved, with no further operative-related complications. The mean weight loss was 7.3 kg.

conclusionsThis study demonstrates the technical feasibility, safety, and efficacy of EPRGP.

Indexed as

Endoscopy, GastrointestinalGastric BypassBody Mass IndexDilatation, PathologicDumping SyndromeFemaleHumansMaleMiddle AgedObesity, MorbidReoperationSurgical StomasSuture Techniques

Identifiers

PMID20932372
PMCPMC3043571

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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 OpenQuestion graph.