Evidence map›Paper›PMID 23519905›Full record

ReviewLangenbeck's archives of surgery2013

Acute complications after laparoscopic bariatric procedures: update for the general surgeon.

Fabio Cesare Campanile, Cristian E Boru, Mario Rizzello, Alessandro Puzziello, Catalin Copaescu, Giuseppe Cavallaro, Gianfranco Silecchia

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Langenbeck's archives of surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03412149 (Malabsorption and Gut Microbiota Profile Changes After Laparoscopic Mini-Gastric Bypass), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
7.3field-weighted citation impact, top 3% of its field
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.

NCT03412149 nacompletednot on this mapstarted 2018, after this paper: background citation

Malabsorption and Gut Microbiota Profile Changes After Laparoscopic Mini-Gastric Bypass (MGB) vs Roux-en-Y Gastric Bypass (RYGB): a Prospective Multicenter Comparative Study

TypeinterventionalSponsorUniversity of Roma La SapienzaRan2018 to 2020Enrolled90ConditionsObesity (Disorder)ArmsMini Gastric Bypass, Roux en Y Gastric Bypass
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 69 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Trends in Utilization and Relative Complication Rates of Bariatric Procedures.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019
    Article
  8. Observational
  9. Article
  10. Article
  11. What are the support experiences and needs of patients who have received bariatric surgery?Health expectations : an international journal of public participation in health care and health policy · 2017
    Article
  12. Article
  13. [Internal hernias after bariatric surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2015
    Review
  14. Article
  15. Bariatric emergencies: current evidence and strategies of management.World journal of emergency surgery : WJES · 2013
    Article
  16. Article
  17. 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 at 5 institutions in 3 countries.

Fabio Cesare CampanileDivision of General Surgery, AUSL Viterbo, Andosilla Hospital, Civita Castellana, Italy.
Cristian E Boru
Mario Rizzello
Alessandro Puzziello
Catalin Copaescu
Giuseppe Cavallaro
Gianfranco Silecchia
Sapienza University of Rome · ITClinical Emergency Hospital Bucharest · RODanube Delta National Institute for Research and Development · ROMagna Graecia University · ITOspedale di Civita Castellana · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDevelopment and widespread use of laparoscopic bariatric surgery exposes emergency room physicians and general surgeons to face acute or chronic surgical complications of bariatric surgery.

methodsThe most common surgical emergencies after bariatric surgery are examined based on an extensive review of bariatric surgery literature and on the personal experience of the authors' practice in four high-volume bariatric surgery centers.

resultsAn orderly stepwise approach to the bariatric patient with an emergency condition is advisable. Resuscitation should follow the same protocol adopted for the non-bariatric patients. Consultation with the bariatric surgeon should be obtained early, and referral to the bariatric center should be considered whenever possible. The identification of the surgical procedure to which the patient was submitted will orient in the diagnosis of the acute condition. Procedure-specific complication should always be taken into consideration in the differential diagnosis. Acute slippage is the most frequent complication that needs emergency treatment in a laparoscopic gastric banding. Sleeve gastrectomy and gastric bypasses may present with life-threatening suture leaks or suture line bleeding. Gastric greater curvature plication (investigational restrictive procedure) can present early complications related to prolonged postoperative vomiting. Both gastric bypass and bilio-pancreatic diversion may cause anastomotic marginal ulcer, bleeding, or rarely perforation and severe stenosis, while small bowel obstruction due to internal hernia represents a surgical emergency, also caused by trocar site hernia, intussusceptions, adhesions, strictures, kinking, or blood clots. Rapid weight loss after bariatric surgery can cause cholecystitis or choledocholithiasis, which are difficult to treat after bypass procedures.

conclusionsThe general surgeon should be informed about modern bariatric procedures, their potential acute complications, and emergency management.

Indexed as

LaparoscopyBariatric SurgeryGeneral SurgeryHumansObesity, MorbidPostoperative ComplicationsResuscitationRisk Factors

Identifiers

PMID23519905
OpenAlexW2113640572

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.