ArticleObesity surgery2015
Costs of Leaks and Bleeding After Sleeve Gastrectomies.
Article in Obesity surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled it.
What it found
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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.
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Who cites it
23 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Omentopexy versus no omentopexy in sleeve gastrectomy: an updated systematic review and meta-analysis.Updates in surgery · 2024Pooled it
- Pooled it
- Staple Line Reinforcement During Laparoscopic Sleeve Gastrectomy: Systematic Review and Network Meta-analysis of Randomized Controlled Trials.Obesity surgery · 2022Pooled it
- Comparison of laparoscopic sleeve gastrectomy leak rates in five staple-line reinforcement options: a systematic review.Surgical endoscopy · 2020Pooled it
- Clinical Outcomes of Sleeve Gastrectomy Versus Roux-En-Y Gastric Bypass After Failed Adjustable Gastric Banding.Obesity surgery · 2019Pooled it
- Improving Hemostasis in Sleeve Gastrectomy With Alternative Stapler.JSLS : Journal of the Society of Laparoendoscopic SurgeonsTrial
- Modified sleeve gastrectomy technique with Hemoben hemostatic powder: prevention of early postoperative bleeding.Journal of surgical case reports · 2026Article
- Review
- Evaluation of complete gastric staple line bioabsorbable reinforcement during laparoscopic sleeve gastrectomy: a propensity score matched analysis.Updates in surgery · 2025Article
- Real-Time Perfusion and Leak Assessment in Bariatric Surgery: Bridging Traditional and Advanced Techniques.Cureus · 2024Review
- Robotic Versus Laparoscopic Sleeve Gastrectomy Outcome Trends Over Time: Are We Improving?Obesity surgery · 2024Article
- Measurement of gastric wall thickness after laparoscopic sleeve gastrectomy: obesity comorbidities and gastric wall in Chinese patients with obesity.Updates in surgery · 2023Article
- Battle of the buttress: 5-year propensity-matched analysis of staple-line reinforcement techniques from the MBSAQIP database.Surgical endoscopy · 2023Article
- Introducing a Bariatric Surgery Program at a Large Urban Safety Net Medical Center Serving a Primarily Hispanic Patient Population.Obesity surgery · 2021Article
- Gastric Fistula After Sleeve Gastrectomy: Clinical Features and Treatment Options.Obesity surgery · 2021Article
- Cost analysis of leak after sleeve gastrectomy.Surgical endoscopy · 2017Article
- Gastric Wall Thickness and the Choice of Linear Staples in Laparoscopic Sleeve Gastrectomy: Challenging Conventional Concepts.Obesity surgery · 2017Article
- Costs and Outcomes of Increasing Access to Bariatric Surgery: Cohort Study and Cost-Effectiveness Analysis Using Electronic Health Records.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2017Article
- Clinical and Economic Evaluation of Absorbable Staple Line Buttressing in Sleeve Gastrectomy in High-Risk Patients.Obesity surgery · 2016Observational
- The effect of oversewing the staple line in laparoscopic sleeve gastrectomy: randomized control trial.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2016Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLeaks and bleeding are serious postoperative complications after a sleeve gastrectomy (SG). The objective of the present study was to evaluate the costs of leaks and bleeding after SG.
methodsA retrospective analysis was conducted of a prospective cohort of primary SGs between August 2006 and September 2013 in a bariatric center. All SGs were performed consistently without reinforcement of the staple line. Abscesses adjacent to the staple line were also regarded as leaks. Data were collected on all diagnostic and therapeutic measures necessary to manage leaks or bleeding, days of hospitalization and parenteral feeding, number of blood products, antibiotics, and additional outpatient department visits.
resultsOne thousand two hundred sixty one patients underwent a SG. Leaks occurred in 32 (2.5%) and bleeding in 27 (2.1%) patients. Median additional costs for leaks were <euro>9284 (range <euro>1748-125,684) and <euro>4267 (range <euro>1524-40,022) for bleeding. Prolonged hospitalization in the ward and ICU accounted for the majority of costs, 50.3 and 31.4%, respectively, for leaks and 42.0 and 34.8% for bleeding.
conclusionsThese data provide insight into the costs of major complications after SG. A wide range is seen especially due to prolonged hospitalization in the ward and ICU. High costs are an additional argument to reduce complication rate. These data should be considered when analyzing the cost-effectiveness of staple line reinforcement.
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