Evidence map›Paper›PMID 28540622›Full record

ArticleObesity surgery2017

The Impact of Technical Surgical Aspects on Morbidity of 984 Patients after Sleeve Gastrectomy for Morbid Obesity.

Ohad Guetta, Amnon Ovnat, David Czeiger, Alex Vakhrushev, Gal Tsaban, Gilbert Sebbag

Abstract 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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.7field-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

1 citing paper in PubMed, 9 citations in OpenAlex.

  1. Article
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

6 authors at 2 institutions in 1 country.

Ohad GuettaDepartment General Surgery B, Soroka University Medical Center, POB 151, Beer Sheva, Israel. ohadguetta@gmail.com.ORCID 0000-0002-2207-7127
Amnon OvnatDepartment General Surgery B, Soroka University Medical Center, POB 151, Beer Sheva, Israel.
David CzeigerDepartment General Surgery B, Soroka University Medical Center, POB 151, Beer Sheva, Israel.
Alex VakhrushevDepartment General Surgery B, Soroka University Medical Center, POB 151, Beer Sheva, Israel.
Gal TsabanDepartment of Public Health, Faculty of Health Sciences, Ben Gurion University, Beer Sheva, Israel.
Gilbert SebbagDepartment General Surgery B, Soroka University Medical Center, POB 151, Beer Sheva, Israel.
Soroka Medical Center · ILBen-Gurion University of the Negev · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate early complications after LSG in regard of staple line reinforcement (SLR), bougie size, previous bariatric surgery and surgeon experience.

methodsA retrospective cohort study of LSG patients at the Soroka University Medical Center (SUMC). Data was collected from digitalized database.

resultsNine hundred eighty-four LSG cases were performed by three surgeons. Seventy-eight complications were observed (7.9%): 44 mild (4.5%) and 34 severe (3.4%). Over-sewing of staple line was performed in 689 cases (76.2%), and no SLR in 217 cases (24.0%) without significant impact on mild or severe early morbidity. Bougie size 36 Fr or smaller was used in 635 cases (73.0%) without significant differences in early complications compared to 235 cases (27.0%) with larger bougie. LSG, as revision bariatric surgery, was performed in 273 cases (27.7%). Concomitant removal of a gastric band was performed in 199 of these cases (72.9%). History of silastic ring vertical gastroplasty (SRVG) was recorded in 10 cases (1.0%). Previous bariatric surgery was a significant risk factor for early mild complications (OR = 1.14, p value = 0.02), but not for severe ones (OR = 0.79, p value = 0.09). Concomitant removal of gastric band did not affect this result. The risk for mild complication was significantly reduced with surgeon experience achieving 100 cases.

conclusionsSLR or bougie size is not affecting LSG morbidity, but previous bariatric history and surgeon experience are significant factors for early mild complications.

Indexed as

AdultBariatric SurgeryDatabases, FactualFemaleGastrectomyGastroplastyHumansLaparoscopyMaleMiddle AgedMorbidityObesity, MorbidPostoperative ComplicationsRetrospective StudiesRisk FactorsSurgical StaplingBariatric surgeryBougie sizeEarly complicationsLSGRevision surgeryStaple line reinforcementSurgeon experience

Identifiers

PMID28540622
OpenAlexW2619253715

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.