Evidence map›Paper›PMID 25593947›Full record

ArticleFrontiers in surgery2014

Circular Versus Linear Versus Hand-Sewn Gastrojejunostomy in Roux-en-Y-Gastric Bypass Influence on Weight Loss and Amelioration of Comorbidities: Data Analysis from a Quality Assurance Study of the Surgical Treatment of Obesity in Germany.

Christine Elisabeth Stroh, Grigorij Nesterov, Rudolf Weiner, Frank Benedix, Christian Knoll, Matthias Pross, Thomas Manger, Obesity Surgery Working Group, Competence Network Obesity

Abstract read
In one paragraph

Article in Frontiers in surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. [Stenosis and ulceration after bariatric surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2015
    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.

Christine Elisabeth StrohSRH Municipal Hospital , Gera , Germany ; Institute for Quality Assurance in Surgical Medicine at the University Hospital Magdeburg , Magdeburg , Germany.
Grigorij NesterovHelios Hospital , Bad Saarow , Germany.
Rudolf WeinerSachsenhausen Hospital , Frankfurt am Main , Germany.
Frank BenedixUniversity Hospital Magdeburg , Magdeburg , Germany.
Christian KnollStatConsult , Magdeburg , Germany.
Matthias ProssDRK Hospital Berlin-Koepenick , Berlin , Germany.
Thomas MangerSRH Municipal Hospital , Gera , Germany ; Institute for Quality Assurance in Surgical Medicine at the University Hospital Magdeburg , Magdeburg , Germany.
Obesity Surgery Working Group
Competence Network Obesity

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince January 1 2005, the outcomes of bariatric surgeries have been recorded in Germany. All data are registered prospectively in cooperation with the Institute of Quality Assurance in Surgery at Otto-von-Guericke University Magdeburg.

methodsData are collected in an online data bank. Data collection began in 2005 for the results of Roux-en-Y-Gastric Bypass (RYGB). In addition to primary bariatric operations, data regarding the complications and the amelioration of comorbidities have been analyzed. Participation in the quality assurance study is required for all certified centers in Germany.

resultsRoux-en-Y Gastric Bypass is the most popular bariatric operation in Germany. There were 5115 operations performed from 2005 to 2010. A circular anastomosis was performed in 1587 patients, and a linear anastomosis was performed in 2734 patients. In 783 patients, the hand-sewn technique was used. The leakage rate for the linear technique is 1.6%, and the leakage rate is 1.2% for circular anastomosis, and 1.4% for hand-sewn technique.

conclusionRoux-en-Y-Gastric Bypass is a popular procedure in Germany. The complication rate has decreased since 2005. The amelioration of comorbidities is not influenced by the anastomosis technique. Additional data are necessary to evaluate the long-term effect of linear versus hand-sewn and versus circular-stapled gastrojejunal anastomosis regarding pouch dilatation, small bowel dilatation, and consecutive weight loss.

Indexed as

amelioration of comorbiditiescircular versus linear and hand-sewn anastomosisRoux-en-Y-Gastric Bypassweight loss

Identifiers

PMID25593947
PMCPMC4287013

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