Evidence map›Paper›PMID 27277092›Full record

ArticleObesity surgery2016

Postoperative Bleeding and Leakage After Sleeve Gastrectomy: a Single-Center Experience.

Mousa Khoursheed, Ibtisam Al-Bader, Ali Mouzannar, Aqeel Ashraf, Yousef Bahzad, Abdulla Al-Haddad, Ali Sayed, Abe Fingerhut

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Article in Obesity surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Management of Staple Line Leaks after Laparoscopic Sleeve Gastrectomy.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Article
  12. Training in bariatric and metabolic endoscopy.Therapeutic advances in gastrointestinal endoscopy
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Mousa KhoursheedKuwait University, Faculty of Medicine, Kuwait City, Kuwait. khoursheed@hsc.edu.kw.
Ibtisam Al-BaderKuwait University, Faculty of Medicine, Kuwait City, Kuwait.
Ali MouzannarKuwait University, Faculty of Medicine, Kuwait City, Kuwait.
Aqeel AshrafKuwait University, Faculty of Medicine, Kuwait City, Kuwait.
Yousef BahzadKuwait University, Faculty of Medicine, Kuwait City, Kuwait.
Abdulla Al-HaddadKuwait University, Faculty of Medicine, Kuwait City, Kuwait.
Ali SayedKuwait University, Faculty of Medicine, Kuwait City, Kuwait.
Abe FingerhutKuwait University, Faculty of Medicine, Kuwait City, Kuwait.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSleeve gastrectomy is being performed increasingly, mainly due to its low morbidity and mortality, but complications do occur. The aim of this study was to evaluate bleeding and leakage rates of primary and revisional sleeve gastrectomy in a personal series of 664 consecutive patients.

methodsMedical charts of all patients undergoing a primary or revisional sleeve gastrectomy between August 2008 and December 2014 were reviewed retrospectively. Subgroup analysis compared bleeding in patients after reduced port versus multiport technique and primary versus revisional sleeve gastrectomy.

resultsA total of 664 sleeve gastrectomies (489 women and 175 men) were performed. Mean age and body mass index were 36.03 ± 11.4 years and 42.9 ± 8.3 kg/m

conclusionsIn this single-surgeon, single-center experience, sleeve gastrectomy was a safe and effective bariatric procedure with a low complication rate. Staple line reinforcement by oversewing was associated with low bleeding complications and no leakage. The majority of patients with postoperative bleeding could be managed conservatively. In our experience, reduced port technique and revisional sleeve gastrectomy had similar complication rates compared to multiport and primary sleeve gastrectomy.

Indexed as

AdultAnastomotic LeakFemaleGastrectomyHumansLaparoscopyMaleObesity, MorbidPostoperative HemorrhageRetrospective StudiesBleedingLaparoscopic sleeve gastrectomyRevisional surgerySingle-incision surgeryStaple line reinforcement

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Registered trials

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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.