Evidence map›Paper›PMID 27556077›Full record

ArticleEndoscopy international open2016

Endoscopic extraction of adjustable gastric bands after intragastric migration as a complication of bariatric surgery: technique and advice.

David Collado-Pacheco, Luis Ramon Rábago-Torre, Maria Arias-Rivera, Alejandro Ortega-Carbonel, Ana Olivares-Valles, Alicia Alonso-Prada, Jaime Vázquez-Echarri, Norberto Herrera-Merino

Open access · goldAbstract read
In one paragraph

Article in Endoscopy international open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

David Collado-PachecoGastroenterology Unit, Hospital Universitario Severo Ochoa, Leganés (Madrid), Spain.
Luis Ramon Rábago-TorreGastroenterology Unit, Hospital Universitario Severo Ochoa, Leganés (Madrid), Spain.
Maria Arias-RiveraGastroenterology Unit, Hospital Universitario Severo Ochoa, Leganés (Madrid), Spain.
Alejandro Ortega-CarbonelGastroenterology Unit, Hospital Universitario Severo Ochoa, Leganés (Madrid), Spain.
Ana Olivares-VallesGastroenterology Unit, Hospital Universitario Severo Ochoa, Leganés (Madrid), Spain.
Alicia Alonso-PradaGastroenterology Unit, Hospital Universitario Severo Ochoa, Leganés (Madrid), Spain.
Jaime Vázquez-EcharriGeneral and Gastroenterological Surgery Department, Hospital Universitario Severo Ochoa, Leganés (Madrid), Spain.
Norberto Herrera-MerinoGeneral and Gastroenterological Surgery Department, Hospital Universitario Severo Ochoa, Leganés (Madrid), Spain.
Hospital Universitario Severo Ochoa · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgery has been the method most widely used to manage the extraction of gastric bands with inclusion as a late complication of bariatric surgery; however, surgical extraction entails morbidity and limits future surgical procedures. The development of endoscopic techniques has provided an important means of improving the treatment of this complication, enabling minimally invasive and safe procedures that have a high success rate.

methodsA retrospective analysis was conducted of patients who had laparoscopic gastric banding complicated by intragastric migration and were treated endoscopically. A technique already described for managing this complication was employed. An MTW Endoskopie Dormia basket for mechanical lithotripsy or a standard 0.0035-in guidewire was placed around the band, and an MTW Endoskopie emergency lithotripter was used to section it, after which the band was extracted with a standard polypectomy snare. Also analyzed were the initial symptoms of patients with this complication, the mean time from surgery to development of the event, the success rate of endoscopic treatment, and complications, Results: A total of 127 patients had undergone gastric banding surgery in our Bariatric Surgery Center; of these, 12 patients (9.4 %) developed a complication such as intragastric migration of the band. Weight gain and pain were the main symptoms in 11 patients (92 %), and the mean time to the development of symptoms was 51.3 months. A single endoscopic treatment was successful in 7 of 9 patients (78 %). Only 1 complication, involving ventilation during anesthesia, occurred; no other adverse events were recorded.

conclusionsThe endoscopic extraction of bands with inclusion is feasible and can be performed easily and successfully. The procedure is available in all hospitals and has a low incidence of related complications, so that unnecessary surgical procedures can be avoided.

Identifiers

PMID27556077
PMCPMC4993909
OpenAlexW2380752292

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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.