Evidence map›Paper›PMID 25105023›Full record

ArticleJournal of obesity2014

Complicated gallstones after laparoscopic sleeve gastrectomy.

Eleni Sioka, Dimitris Zacharoulis, Eleni Zachari, Dimitris Papamargaritis, Ourania Pinaka, Georgia Katsogridaki, George Tzovaras

Abstract read
In one paragraph

Article in Journal of obesity, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Risk and Prophylactic Management of Gallstone Disease in Bariatric Surgery: a Systematic Review and A Bayesian meta-analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
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  15. The effect of concomitant cholecystectomy and sleeve gastrectomy on morbidity in high-risk obese patients with symptomatic gallstones.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019
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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.

Eleni SiokaDepartment of Surgery, University Hospital of Larissa, Viopolis, 41110 Larissa, Greece.
Dimitris ZacharoulisDepartment of Surgery, University Hospital of Larissa, Viopolis, 41110 Larissa, Greece.
Eleni ZachariDepartment of Surgery, University Hospital of Larissa, Viopolis, 41110 Larissa, Greece.
Dimitris PapamargaritisDepartment of Surgery, University Hospital of Larissa, Viopolis, 41110 Larissa, Greece.ORCID 0000-0001-5044-1515
Ourania PinakaDepartment of Surgery, University Hospital of Larissa, Viopolis, 41110 Larissa, Greece.ORCID 0000-0003-0758-0936
Georgia KatsogridakiDepartment of Surgery, University Hospital of Larissa, Viopolis, 41110 Larissa, Greece.
George TzovarasDepartment of Surgery, University Hospital of Larissa, Viopolis, 41110 Larissa, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe natural history of gallstone formation after laparoscopic sleeve gastrectomy (LSG), the incidence of symptomatic gallstones, and timing of cholecystectomy are not well established.

methodsA retrospective review of prospectively collected database of 150 patients that underwent LSG was reviewed.

resultsPreoperatively, gallbladder disease was identified in 32 of the patients (23.2%). Postoperatively, eight of 138 patients (5.8%) became symptomatic. Namely, three of 23 patients (13%) who had evident cholelithiasis preoperatively developed complicated cholelithiasis. From the cohort of patients without preoperative cholelithiasis, five of 106 patients (4.7%) experienced complicated gallstones after LSG. Total cumulative incidence of complicated gallstones was 4.7% (95% CI: 1.3-8.1%). The gallbladder disease-free survival rate was 92.2% at 2 years. No patient underwent cholecystectomy earlier than 9 months or later than 23 months indicating the post-LSG effect.

conclusionA significant proportion of bariatric patients compared to the general population became symptomatic and soon developed complications after LSG, thus early cholecystectomy is warranted. Routine concomitant cholecystectomy could be considered because the proportion of patients who developed complications especially those with potentially significant morbidities is high and the time to develop complications is short and because of the real technical difficulties during subsequent cholecystectomy.

Indexed as

LaparoscopyAdultCholecystectomyCholelithiasisDisease SusceptibilityFemaleFollow-Up StudiesGastrectomyHumansIncidenceMaleMiddle AgedObesity, MorbidPatient SelectionPostgastrectomy SyndromesRetrospective Studies

Identifiers

PMID25105023
PMCPMC4106056

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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.