Evidence map›Paper›PMID 27644435›Full record

ArticleObesity surgery2017

Intraoperative Patterns of Gastric Microperfusion During Laparoscopic Sleeve Gastrectomy.

Tarik Delko, Henry Hoffmann, Marko Kraljević, Raoul A Droeser, Lincoln Rothwell, Daniel Oertli, Urs Zingg

Erratum issuedAbstract read
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In one paragraph

Article in Obesity surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. The Use of Fluorescence Angiography During Laparoscopic Sleeve Gastrectomy.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Tarik DelkoDepartment of General and Visceral Surgery, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland. tarik.delko@gmail.com.ORCID 0000-0003-4868-6665
Henry HoffmannDepartment of General and Visceral Surgery, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland.
Marko KraljevićDepartment of General and Visceral Surgery, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland.
Raoul A DroeserDepartment of General and Visceral Surgery, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland.
Lincoln RothwellDepartment of Surgery, Ipswich General Hospital, Ipswich, QLD, Australia.
Daniel OertliDepartment of General and Visceral Surgery, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland.
Urs ZinggDepartment of Surgery, Limmattal Hospital, Zurich-Schlieren, Switzerland.
University Hospital of Basel · CHIpswich Hospital · AUSpital Limmattal · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic sleeve gastrectomy (LSG) has become a very popular surgical treatment for the treatment of morbidly obese patients. Staple line leaks are the major cause of severe morbidity. Reasons for leaks might be hyperpressure (mechanical theory) or hypoperfusion (vascular theory) of the narrow gastric tube. This study assessed microperfusion patterns of the stomach during LSG using visible light spectroscopy (VLS), a method to measure tissue oxygenation (saturated O2 (StO2)).

methodsThe study population comprised 20 patients undergoing LSG. Real-time intraoperative microperfusion measurements were performed at nine different ventral stomach localizations in the antrum, body, and fundus at the beginning of the operation, after mobilization of the greater curve and after sleeve resection.

resultsThere were 17 women and 3 men, mean age 42.9 years, mean BMI 45.6 kg/m

conclusionAssessment of microperfusion patterns of the stomach during LSG using VLS is safe and efficacious to use allowing an accurate measurement of StO2%. The upper third of the stomach is the zone of reduced microperfusion with a significant drop of tissue oxygenation after sleeve resection of the stomach.

Indexed as

AdultFemaleGastrectomyHumansIntraoperative PeriodLaparoscopyMaleMicrocirculationMiddle AgedObesity, MorbidOximetryOxygenSpectrum AnalysisStomachSurgical StaplingTreatment OutcomeOxygenMicroperfusion patternsSleeve gastrectomyVascular theory

Identifiers

PMID27644435
OpenAlexW2523136189

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.