Evidence map›Paper›PMID 28685362›Full record

ReviewObesity surgery2018

Is Routine Preoperative Esophagogastroduodenoscopy Screening Necessary Prior to Laparoscopic Sleeve Gastrectomy? Review of 1555 Cases and Comparison with Current Literature.

Asaad Salama, Tamer Saafan, Walid El Ansari, Mohsen Karam, Moataz Bashah

Erratum issuedAbstract readComparative StudyReview
PubMed Publisher
In one paragraph

Review in Obesity surgery, 2018. 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 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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  14. Revisional Surgeries of Laparoscopic Sleeve Gastrectomy.Diabetes, metabolic syndrome and obesity : targets and therapy · 2021
    Review
  15. Accuracy of hiatal hernia diagnosis in bariatric patients: Preoperative endoscopyJGH open : an open access journal of gastroenterology and hepatology · 2020
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Asaad SalamaDepartment of Bariatric Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar. asaadfayrouz@live.com.ORCID http://orcid.org/0000-0003-1354-8756
Tamer SaafanDepartment of General Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Walid El AnsariDepartment of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Mohsen KaramDepartment of Bariatric Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Moataz BashahDepartment of Bariatric Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Hamad General Hospital · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundControversy exists as to whether routine preoperative esophagogastroduodenoscopy (p-OGD) in bariatric surgery should be routinely undertaken or undertaken selectively based on patients' symptoms. As very few studies have focused on the role of p-OGD prior to the increasingly common laparoscopic sleeve gastrectomy (LSG), we assessed the role/impact of p-OGD in LSG patients.

methodsRetrospective review of records of all LSG patients operated upon at Hamad General Hospital, Qatar (2011-2014, n = 1555). All patients were screened by p-OGD. Patient characteristics were analyzed, and p-OGD findings were categorized into four groups employing Sharaf et al.'s classification (Obes Surg 14:1367-1372, 23). We assessed the impact of p-OGD findings on any change in surgical management or lack thereof.

resultsp-OGD findings indicated that 89.5% of our patients had normal or mild findings and were asymptomatic (groups 0 and 1, not necessitating any change in surgical management), and no patients had gastric cancer or varices (group 3). A total of 10.5% of our sample were categorized as group 2 patients who, according to Sharaf et al. (Obes Surg 14:1367-1372, 23), might have their surgical approach changed. All patients diagnosed preoperatively with hiatal hernia (HH) had LSG with crural repair and their symptoms resolved postoperatively.

conclusionDue to effectiveness and best utilization of resources, routine p-OGD screening in patients scheduled for LSG may require further justification for asymptomatic patients especially in regions with low upper GI cancers. p-OGD findings had low impact on the management of asymptomatic patients. Crural repair plus LSG was effective for hiatal hernia.

Indexed as

Endoscopy, Digestive SystemGastrectomyAdultComorbidityDiagnostic Tests, RoutineFemaleGastroesophageal RefluxHernia, HiatalHumansLaparoscopyMaleMiddle AgedObesity, MorbidPredictive Value of TestsPreoperative CareRetrospective StudiesGastroesophageal reflux diseaseGERDHiatal herniaH. pyloriOGDPreoperative esophagogastroduodenoscopySleeve gastrectomy

Identifiers

PMID28685362
OpenAlexW2725202084

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.