Evidence map›Paper›PMID 28735375›Full record

ArticleObesity surgery2018

Perioperative Practices Concerning One Anastomosis (Mini) Gastric Bypass: A Survey of 210 Surgeons.

Kamal K Mahawar, Kuldeepak Singh Kular, Chetan Parmar, Michael Van den Bossche, Yitka Graham, William R J Carr, Brijesh Madhok, Conor Magee, Sanjay Purkayastha, Peter K Small

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Article in Obesity surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 6 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

26 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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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

10 authors.

Kamal K MahawarBariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK. kamal_mahawar@hotmail.com.ORCID http://orcid.org/0000-0003-2551-3462
Kuldeepak Singh KularKular Hospital, Bija, Khanna, Punjab, India.
Chetan ParmarWhittington Hospital, London, UK.
Michael Van den BosscheSpire Southampton Hospital, Southampton, UK.
Yitka GrahamBariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.
William R J CarrBariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.
Brijesh MadhokRoyal Derby Hospital, Derby, UK.
Conor MageeArrowe Park Hospital, Wirral, UK.
Sanjay PurkayasthaImperial College, London, UK.
Peter K SmallBariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is currently little evidence available on the perioperative practices concerning one anastomosis/mini gastric bypass (OAGB/MGB) and no published consensus amongst experts. Even the published papers are not clear on these aspects. The purpose of this study was to understand various perioperative practices concerning OAGB/MGB.

methodsBariatric surgeons from around the world were invited to participate in a questionnaire-based survey. Only surgeons performing this procedure were included.

resultsTwo hundred and ten surgeons from 39 countries with a cumulative experience of 68,442 procedures took the survey. Surgeons described a large number of absolute (n = 55) and relative contraindications (n = 59) to this procedure in their practice. Approximately 71.0% (n = 148/208), 70.0% (n = 147/208) and 65.0% (n = 137/209), respectively, routinely perform a preoperative endoscopy, screening for Helicobacter pylori and ultrasound scan of the abdomen. A minority (35.0%, n = 74/208) of the surgeons used a constant bilio-pancreatic limb (BPL) length for all the patients with remaining preferring to tailor the limb length to the patient and approximately half (49.0%, n = 101/206) routinely approximate diaphragmatic crura in patients with hiatus hernia. Some 48.5% (n = 101/208) and 40.0% (n = 53/205) surgeons, respectively, do not recommend routine iron and calcium supplementation.

conclusionThis survey is the first attempt to understand a range of perioperative practices with OAGB/MGB. The findings will help in identifying areas for future research and allow consensus building amongst experts with preparation of guidelines for future practice.

Indexed as

AdolescentAdultAgedAged, 80 and overChoice BehaviorFemaleGastric BypassGeographyHumansMaleMiddle AgedObesity, MorbidPerioperative CarePractice Patterns, Physicians'SurgeonsSurveys and QuestionnairesCancerMini gastric bypassObjectionsOmega loop gastric bypassOne anastomosis gastric bypassPerioperative practicesSingle anastomosis gastric bypass

Identifiers

PMID28735375

What OpenQuestion holds

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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.