Evidence map›Paper›PMID 30002927›Full record

ArticleJournal of obesity2018

A Shorter Circular Stapler Height at the Gastrojejunostomy during a Roux-En-Y Gastric Bypass Results in Less Strictures and Bleeding Complications.

Michael Horkoff, Kieran Purich, Noah Switzer, Shalvin Prasad, Neal Church, Xinzhe Shi, Philip Mitchell, Estifanos Debru, Shahzeer Karmali, Richdeep Gill

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of obesity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

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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 at 3 institutions in 1 country.

Michael HorkoffDepartment of Surgery, University of Calgary, 1023 North Tower, 1403-29 Street NW, Calgary, AB, Canada T2N 2T9.ORCID 0000-0001-7024-5159
Kieran PurichFaculty of Medicine and Dentistry, 2J2.00 WC Mackenzie Health Sciences Centre, University of Alberta, 8440 112 Street NW, Edmonton, AB, Canada T6G 2R7.
Noah SwitzerDepartment of Surgery, 2D WC Mackenzie Health Sciences Centre, University of Alberta, 8440 112 Street NW, Edmonton, AB, Canada T6G 2B7.ORCID 0000-0002-9273-1008
Shalvin PrasadDepartment of Surgery, University of Calgary, 1023 North Tower, 1403-29 Street NW, Calgary, AB, Canada T2N 2T9.
Neal ChurchDepartment of Surgery, University of Calgary, 1023 North Tower, 1403-29 Street NW, Calgary, AB, Canada T2N 2T9.
Xinzhe ShiCentre for the Advancement of Minimally Invasive Surgery (CAMIS), Royal Alexandra Hospital, 5th Floor, 10240 Kingsway Ave., Edmonton, AB, Canada T5H 3V9.ORCID 0000-0003-1212-2702
Philip MitchellDepartment of Surgery, University of Calgary, 1023 North Tower, 1403-29 Street NW, Calgary, AB, Canada T2N 2T9.
Estifanos DebruDepartment of Surgery, University of Calgary, 1023 North Tower, 1403-29 Street NW, Calgary, AB, Canada T2N 2T9.
Shahzeer KarmaliFaculty of Medicine and Dentistry, 2J2.00 WC Mackenzie Health Sciences Centre, University of Alberta, 8440 112 Street NW, Edmonton, AB, Canada T6G 2R7.
Richdeep GillDepartment of Surgery, University of Calgary, 1023 North Tower, 1403-29 Street NW, Calgary, AB, Canada T2N 2T9.
University of Calgary · CAUniversity of Alberta · CARoyal Alexandra Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The laparoscopic Roux-en-Y gastric bypass (LRYGB) is prone to a number of complications, most notably at the gastrojejunostomy (GJ) staple line. The circular stapler technique is a common method used to create the GJ anastomosis. Although recent studies have shown a decreased rate of anastomotic strictures with shorter stapler heights, the optimal circular stapler height to use remains controversial. We therefore completed a retrospective cohort study within the Alberta Provincial Bariatric Program (APBP) to compare outcomes between the 3.5 mm and 4.8 mm stapler heights. We identified 215 patients who had a LRYGB done between the years 2015 and 2017. 143 patients had the GJ constructed with a 3.5 mm circular stapler height, with the remaining 72 patients having the GJ fashioned with a 4.8 mm stapler height. The rate of anastomotic stricturing was lower in the 3.5 mm stapler group compared to the other cohort (3.5 versus 13.9%, resp.,

Indexed as

AdultCanadaConstriction, PathologicFemaleGastric BypassHumansLaparoscopyMaleMiddle AgedObesity, MorbidPostoperative HemorrhageRetrospective StudiesSurgical Stapling

Identifiers

PMID30002927
PMCPMC5996411
OpenAlexW2805852975

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.