Evidence map›Paper›PMID 25913755›Full record

ArticleObesity surgery2015

Treatment of Leaks Following Sleeve Gastrectomy by Endoscopic Internal Drainage (EID).

G Donatelli, J-L Dumont, F Cereatti, S Ferretti, B M Vergeau, T Tuszynski, G Pourcher, H Tranchart, P Mariani, A Meduri and 5 more

Abstract read
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In one paragraph

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 68 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 5 pooled it
15.9field-weighted citation impact, top 1% 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.

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

68 citing papers in PubMed, 5 syntheses or guidelines pooled it, 140 citations in OpenAlex.

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8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 7 institutions in 2 countries.

G DonatelliUnité d'Endoscopie Interventionnelle, Générale de Santé, Hôpital Privé des Peupliers, 8 Place de l'Abbé G. Henocque, 75013, Paris, France, donatelligianfranco@gmail.com.
J-L Dumont
F Cereatti
S Ferretti
B M Vergeau
T Tuszynski
G Pourcher
H Tranchart
P Mariani
A Meduri
J-M Catheline
I Dagher
F Fiocca
J-P Marmuse
B Meduri
Générale de Santé · FRAssistance Publique – Hôpitaux de Paris · FRHôpital Antoine-Béclère · FRSapienza University of Rome · ITCentre Hospitalier Saint-Denis · FRPoliclinico Umberto I · ITUniversité Claude Bernard Lyon 1 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeaks are considered one of the major complications of laparoscopic sleeve gastrectomy (LSG) with a reported rate up to 7 %. Drainage of the collection coupled with SEMS deployment is the most frequent treatment. Its success is variable and burdened by high morbidity and not irrelevant mortality. The aim of this paper is to suggest and establish a new approach by endoscopic internal drainage (EID) for the management of leaks.

methodsSince March 2013, 67 patients presenting leak following LSG were treated with deployment of double pigtail plastic stents across orifice leak, positioning one end inside the collection and the other end in remnant stomach. The aim of EID is to internally drain the collection and at the same time promote leak healing.

resultsDouble pigtails stent were successfully delivered in 66 out of 67 patients (98.5 %). Fifty patients were cured by EID after a mean time of 57.5 days and an average of 3.14 endoscopic sessions. Two died for event not related to EID. Nine are still under treatment; five failure had been registered. Six patients developed late stenosis treated endoscopically.

conclusionsEID proved to be a valid, curative, and safe mini-invasive approach for treatment of leaks following SG. EID achieves complete drainage of perigastric collections and stimulates mucosal growth over the stent. EID is well tolerated, allows early re-alimentation, and it is burdened by fewer complications than others technique. Long-term follow-up confirms good outcomes with no motility or feeding alterations.

Indexed as

AdultAgedDrainageEndoscopyFemaleGastrectomyHumansMaleMiddle AgedObesity, MorbidPostoperative ComplicationsStentsTreatment OutcomeYoung Adult

Identifiers

PMID25913755
OpenAlexW2126061246

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.