Evidence map›Paper›PMID 27094877›Full record

ReviewObesity surgery2016

A Narrative of Intraoperative Staple Line Leaks and Bleeds During Bariatric Surgery.

Sudip K Ghosh, Sanjoy Roy, Ed Chekan, Elliott J Fegelman

Abstract readReview
In one paragraph

Review in Obesity surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Staple line leak with peritonitis after laparoscopic sleeve gastrectomy - a solution in one to six steps.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2017
    Article
  15. Observational
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

4 authors.

Sudip K GhoshGlobal Health Economics and Market Access, Ethicon Inc., 4545 Creek Road ML 96, Cincinnati, OH, USA. sghosh91@its.jnj.com.
Sanjoy RoyGlobal Health Economics and Market Access, Ethicon Inc., 4545 Creek Road ML 96, Cincinnati, OH, USA.
Ed ChekanMedical Affairs, Ethicon Inc., Cincinnati, OH, USA.
Elliott J FegelmanMedical Affairs, Ethicon Inc., Cincinnati, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The primary objective of this review was to assess the incidence of intraoperative staple line leaks and bleeds during laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB). A literature search of MEDLINE®, EMBASE™, and Biosis from January 2010 to November 2014, plus secondary citations extending to 2008, identified 16 relevant articles. For LSG, the incidence of intraoperative leaks and bleeds was as high as 3.93 and 4.07 %, respectively. For LRYGB, leaks occurred in up to 8.26 % and bleeds in 3.45 % of cases. Stapler misfire was commonly cited as a cause. Widespread, precautionary use of staple line reinforcement (SLR), lack of standardized testing, and underreporting suggest the incidence may be underestimated. Published studies were insufficient to address the economic impact of bleeds and leaks or interventions, but development of improved stapler designs that obviate the need for SLR may reduce costs and improve outcomes.

Indexed as

AdultAnastomotic LeakBariatric SurgeryFemaleGastrectomyGastric BypassHemorrhageHumansIncidenceIntraoperative ComplicationsLaparoscopyObesity, MorbidPostoperative HemorrhageRetrospective StudiesSurgical StaplingBariatric surgeryGastric bleedGastric bypassGastric leakIntraoperative interventionLaparoscopicSleeve gastrectomyStaple line

Identifiers

PMID27094877
PMCPMC4906064

What OpenQuestion holds

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LicenceCC BY
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.