Evidence map›Paper›PMID 22661018›Full record

SynthesisObesity surgery2012

Reinforcing the staple line during laparoscopic sleeve gastrectomy: does it have advantages? A meta-analysis.

Yoon Young Choi, Jungmin Bae, Kyung Yul Hur, Dongho Choi, Yong Jin Kim

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Obesity surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 5 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

61 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  5. A systematic review of staple-line reinforcement in laparoscopic sleeve gastrectomy.JSLS : Journal of the Society of Laparoendoscopic Surgeons
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1 more citing papers are in PubMed but not listed here.

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

5 authors.

Yoon Young ChoiDepartment of Surgery, The Armed Forces Ildong Hospital, Pocheon, Republic of Korea.
Jungmin Bae
Kyung Yul Hur
Dongho Choi
Yong Jin Kim

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to identify whether reinforcing the staple line during laparoscopic sleeve gastrectomy (LSG) has advantages.

methodsWe searched MEDLINE (PubMed; till August 2011), EMBASE (till August 2011), and the Cochrane Central Register of Controlled Trials (Central) in the Cochrane Library (till August 2011) using common keywords related to sleeve gastrectomy and reinforcement. The keywords were as follows: "sleeve gastrectomy" and "reinforcement," or "reinforcing," or "reinforce," or "leak," or "leakage," or "staple," or "stapling," or "oversew," or "oversewing," or "oversewed." The language of publication was limited to English only.

resultsOf the 358 articles meeting our initial criteria, eight full texts (two randomized control trial [RCT] and six cohort studies), involving 1,345 participants (828 patient cases and 517 controls) were included in the final analysis. Comparing the reinforcement of the staple line to no reinforcement of the staple line, the odds ratio (OR) for overall complications was 0.521 (95 % confidence intervals [CI], 0.349-0.777). In addition, the OR for staple line leak was 0.425 (95 % CI, 0.226-0.799) and for staple line hemorrhage was 0.559 (95 % CI, 0.247-1.266).

conclusionThe current study showed that reinforcing the staple line during LSG has the following advantages: decreased incidence of postoperative leak and overall complications. More prospective studies with better evidence are needed.

Indexed as

Anastomotic LeakFemaleGastroplastyHumansLaparoscopyMaleObesity, MorbidPostoperative ComplicationsSurgical StaplingSuture Techniques

Identifiers

PMID22661018

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.