Evidence map›Paper›PMID 29235015›Full record

ArticleObesity surgery2018

Use of Self-Expandable Metal Stents in the Treatment of Leaks Complicating Laparoscopic Sleeve Gastrectomy: A Cohort Study.

Majid Abdularahman Almadi, Fahad Bamihriz, Othman Alharbi, Nahla Azzam, Ahmed Aljammaz, Mohanned Eltayeb, Salem Thaniah, Abdullah Aldohayan, Abdulrahman Aljebreen

Abstract read
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In one paragraph

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 10 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 4 pooled it
1.5field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 4 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  4. Pooled it
  5. Article
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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

9 authors at 2 institutions in 1 country.

Majid Abdularahman AlmadiDivision of Gastroenterology, King Khalid University Hospital, King Saud University, P.O. Box 2925(59), Riyadh, 11461, Saudi Arabia. maalmadi@ksu.edu.sa.
Fahad BamihrizDivision of Surgery, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
Othman AlharbiDivision of Gastroenterology, King Khalid University Hospital, King Saud University, P.O. Box 2925(59), Riyadh, 11461, Saudi Arabia.
Nahla AzzamDivision of Gastroenterology, King Khalid University Hospital, King Saud University, P.O. Box 2925(59), Riyadh, 11461, Saudi Arabia.
Ahmed AljammazDivision of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
Mohanned EltayebDivision of Gastroenterology, King Khalid University Hospital, King Saud University, P.O. Box 2925(59), Riyadh, 11461, Saudi Arabia.
Salem ThaniahDivision of Gastroenterology, King Khalid University Hospital, King Saud University, P.O. Box 2925(59), Riyadh, 11461, Saudi Arabia.
Abdullah AldohayanDivision of Surgery, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
Abdulrahman AljebreenDivision of Gastroenterology, King Khalid University Hospital, King Saud University, P.O. Box 2925(59), Riyadh, 11461, Saudi Arabia.
King Saud University · SAKing Khalid University Hospital · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUse of a self-expandable metal stent (SEMS) as an initial intervention for leaks after laparoscopic sleeve gastrectomy (LSG) has increased. We assessed the efficacy and safety of SEMS in the treatment of post-LSG leaks, and the determinants of repeated rounds of stenting.

methodsA retrospective chart review was conducted at a university hospital in Saudi Arabia. The study included patients who developed leaks after undergoing LSG between October 2011 and April 2016.

resultsSixty-four patients (mean age, 35.69 ± 10.71 years) were included; 55% were males. The mean estimated size of the defect was 1.18 cm; partially covered SEMS and fully covered SEMS were used as the initial stents in 82.81 and 17.19% patients, respectively. One round of stenting was required in most patients (82.81%), two rounds in 10.94%, and three rounds in 6.25%. Clinical success was achieved in 93.75% patients, including 78.13% in the first round, 89.06% by the second round, and 93.75% by the third round. A higher proportion of patients who needed one round of stenting received a partially covered SEMS compared to those who needed two rounds (91.11 vs. 42.86%, p < 0.01). Additionally, the rate of migration in patients who underwent two rounds was higher than that in patients who underwent one round (42.86 vs. 5.26%, p < 0.01) of stenting.

conclusionRepeated stenting for leaks after LSG is an effective and safe intervention. The efficacy of partially covered SEMS appears superior to that of the fully covered SEMS.

Indexed as

Self Expandable Metallic StentsAdultAnastomotic LeakFemaleGastrectomyHumansLaparoscopyMaleMiddle AgedRetrospective StudiesYoung AdultBariatric surgeryEndoscopyFistulaLaparoscopic sleeve gastrectomySelf-expandable metal stentsStaple line leaks

Identifiers

PMID29235015
OpenAlexW2773985212

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.