ArticleObesity surgery2016
Management Algorithm for Leaks Following Laparoscopic Sleeve Gastrectomy.
Article in Obesity surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04834323 (Short Term Outcome Of Distal Mesogastric Fixation After Laparoscopic Sleeve Gastrectomy; A Randomized Control Trial), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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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.
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.
Short Term Outcome Of Distal Mesogastric Fixation After Laparoscopic Sleeve Gastrectomy; A Randomized Control Trial
Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.
- Endoscopic Treatment of Staple-Line Leaks After Sleeve Gastrectomy in Patients with Obesity: Which One is the Best Option, if Any? A Systematic Review with Meta-Analysis and Meta-regression.Obesity surgery · 2025Pooled it
- Endoscopic management of refractory leak and gastro-cutaneous fistula after laparoscopic sleeve gastrectomy: a randomized controlled trial.Surgical endoscopy · 2023Trial
- The short-term outcome of distal mesogastric fixation after laparoscopic sleeve gastrectomy: a randomized controlled trial.Surgery today · 2022Trial
- Rapid Scoping Review of Stent Outcomes for Metabolic and Bariatric Surgery Leaks: A Need for Definitions, Clarity, and Predictive Models.Obesity surgery · 2026Article
- Management of Leakage After Sleeve Gastrectomy: Outcome, Treatment Algorithm, and Predictors of Resolution.Cureus · 2025Article
- Staple line leakage after laparoscopic sleeve gastrectomy in Japan: a nationwide survey.Surgery today · 2025Article
- Management of a Proximal and Distal Staple Line Leak Following Sleeve Gastrectomy and a Concurrent Duodenal Ulcer by Emergency Laparoscopic Conversion to a Roux-en-Y Gastric Bypass.Obesity surgery · 2024Article
- Treatments for Staple Line Leakage after Laparoscopic Sleeve Gastrectomy.Journal of clinical medicine · 2023Review
- Mechanism of Staple Line Leak After Sleeve Gastrectomy via Isobaric Pressurisation Concentrating Stress Forces at the Proximal Staple Line.Obesity surgery · 2022Article
- Endoscopic Stent Placement Can Successfully Treat Gastric Leak Following Laparoscopic Sleeve Gastrectomy If and Only If an Esophagoduodenal Megastent Is Used.Obesity surgery · 2022Article
- Nonoperative Management of Leaks After Laparoscopic Sleeve Gastrectomy With Endoscopic Stents in a Tertiary Referral Center.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2022Article
- Total Gastrectomy with Roux-en-Y Limb Reconstruction for Complex and Chronic Fistulas After Laparoscopic Sleeve Gastrectomy: Single-Center Experience.Obesity surgery · 2021Article
- Factors that promote successful endoscopic management of laparoscopic sleeve gastrectomy leaks.Surgical endoscopy · 2021Article
- Staple Line Leaks Following Laparoscopic Sleeve Gastrectomy: Low Efficacy of the Over-the-Scope Clip.Obesity surgery · 2021Article
- Malignant Leakage After Sleeve Gastrectomy: Endoscopic and Surgical Approach.Obesity surgery · 2020Article
- Management of 69 Gastric Leakages after 4294 Consecutive Sleeve: The Experience of a High Volume Bariatric Center.Obesity surgery · 2020Article
- Article
- Outcome and Adverse Events of Endoscopic Bariatric Stents for Management of Leakage after Bariatric Surgery.Obesity surgery · 2020Article
- Management of leak after sleeve gastrectomy: outcomes of 73 cases, treatment algorithm and predictors of resolution.Obesity surgery · 2020Article
- 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 · 2019Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLeak after laparoscopic sleeve gastrectomy (LSG) is a serious complication. No clear algorithm has been described for management.
methodsWe reviewed our prospective database for all leaks after LSG treated at the Bariatric and Metabolic Institute (BMI) Abu Dhabi from 2010 to 2014. Our management algorithm is based on the timing of the LSG leak, nutritional status of the patient, and the presence of stenosis or peritonitis. Acute leaks with or without peritonitis are treated by operatively or utilizing endoscopic stenting, respectively. LSG leaks with stenosis not amenable to endoscopic stenting are treated with laparoscopic Roux en Y esophagojejunostomy (LRYEJ).
resultsWe performed 236 LSG without a leak, and 14 LSG leaks were referred to our unit. Mean age was 35.6 years, and 50 % of patients were males. Mean BMI was 37 kg/m(2). The patients presented on average 13.9 weeks after LSG. Enteral feeding was used as the primary nutrition route in 85.5 % of patients. Our management strategy was operative in 78.4 % of patients (jejunostomy feeding in 57 % and LRYEJ in 21.4 % of patients) and conservative with or without stents in 21.6 % of patients. Mean in hospital length of stay (LOS) was 5.6 weeks. Our reoperation rate was 7 %. There were no mortalities and one patient 7 % developed pulmonary embolism. None of the patients treated returned with a leak or collection after a mean follow up of 23.6 months.
conclusionTreating leaks following LSG based on the timing of presentation, presence of stricture, and malnutrition is safe and effective.
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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.