Evidence map›Paper›PMID 28054296›Full record

ArticleObesity surgery2017

Staple Line Reinforcement in Laparoscopic SleeveGastrectomy: Experience in 1023 Consecutive Cases.

Matías Sepúlveda, Cristián Astorga, Juan P Hermosilla, Munir Alamo

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Article in Obesity surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Is phenytoin a safe agent for staple line recovery after gastric sleeve surgery in rats?Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Matías SepúlvedaDepartment of Bariatric and Metabolic Surgery, Hospital Dipreca, Vital Apoquindo 1200, Las Condes, Santiago, Chile. drmsepulveda@gmail.com.ORCID 0000-0002-9454-7466
Cristián AstorgaDepartment of Bariatric and Metabolic Surgery, Hospital Dipreca, Vital Apoquindo 1200, Las Condes, Santiago, Chile.
Juan P HermosillaDepartment of Bariatric and Metabolic Surgery, Hospital Dipreca, Vital Apoquindo 1200, Las Condes, Santiago, Chile.
Munir AlamoDepartment of Surgery, Hospital El Carmen, Camino A Rinconada 1201, Maipú, Santiago, Chile.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLaparoscopic sleeve gastrectomy (LSG) is one of the most frequently performed bariatric procedures performed worldwide. However, staple line-related complications have become a major challenge for bariatric surgeons. The aim of this study was to evaluate the morbidity in a cohort of patients who underwent LSG with imbricated oversewing of the staple line at a single high-volume center. MATERIALS AND

methodsWe retrospectively reviewed prospectively collected data for all patients who underwent LSG to treat obesity at our institution from January 2010 to September 2016. All practitioners had undergone training with a single senior bariatric surgeon using oversewing as staple line reinforcement (SLR).

resultsIn total, 1023 LSGs were performed (female, 67.3%; mean age, 40.6 ± 10.8 years; median preoperative body mass index, 37 ± 4.5 kg/m

conclusionsLSG is a safe technique, but staple line-associated complications can be life-threatening. In this series, no leaks occurred from the very beginning of the surgeons' experience in LSG. Imbricated oversewing of the staple line, proper mentoring, and performance of surgery in appropriate settings are good approaches to decreasing complications.

Indexed as

AdolescentAdultAgedAnastomotic LeakChileCohort StudiesConversion to Open SurgeryFemaleGastrectomyHumansLaparoscopyMaleMiddle AgedObesity, MorbidOperative TimePostoperative ComplicationsLeakOversewingSleeve gastrectomyStaple line reinforcementSurgical experience

Identifiers

What OpenQuestion holds

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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.