Evidence map›Paper›PMID 30097898›Full record

SynthesisObesity surgery2018

Cholecystectomy in Patients Submitted to Bariatric Procedure: A Systematic Review and Meta-analysis.

Francisco Tustumi, Wanderley M Bernardo, Marco A Santo, Ivan Cecconello

Open access · greenAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Obesity surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
7.1field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Risk and Prophylactic Management of Gallstone Disease in Bariatric Surgery: a Systematic Review and A Bayesian meta-analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
    Pooled it
  2. Guideline
  3. Article
  4. Article
  5. Biliary complications associated with weight loss, cholelithiasis and choledocholithiasis.World journal of gastrointestinal pharmacology and therapeutics · 2024
    Review
  6. Review
  7. Article
  8. [Cholecystolithiasis and intestinal bypass procedures].Chirurgie (Heidelberg, Germany) · 2023
    Review
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

4 authors at 1 institution in 2 countries.

Francisco TustumiHospital das Clínicas, Gastroenterology Department, University of Sao Paulo, Av. Dr. Eneas de Carvalho, 255, Cerqueira Cesar, SP, 05403-000, Brazil. franciscotustumi@gmail.com.ORCID 0000-0001-6695-0496
Wanderley M BernardoHospital das Clínicas, Gastroenterology Department, University of Sao Paulo, Av. Dr. Eneas de Carvalho, 255, Cerqueira Cesar, SP, 05403-000, Brazil.
Marco A SantoHospital das Clínicas, Gastroenterology Department, University of Sao Paulo, Av. Dr. Eneas de Carvalho, 255, Cerqueira Cesar, SP, 05403-000, Brazil.
Ivan CecconelloHospital das Clínicas, Gastroenterology Department, University of Sao Paulo, Av. Dr. Eneas de Carvalho, 255, Cerqueira Cesar, SP, 05403-000, Brazil.
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Weight loss following bariatric surgery increases risk for biliary stones. This study performed a meta-analysis evaluating cholecystectomy risks in bariatric patients. A systematic review and meta-analysis were performed. We evaluated the incidence rate for biliary complications in patients followed after bariatric surgery. We compared the risks for mortality, complications, and in hospital stay among patient submitted to cholecystectomy before, concomitantly with or after bariatric surgery, as well as patients submitted to bariatric surgery and cholecystectomy, and patients submitted only to bariatric surgery in order to evaluate when to perform cholecystectomy in morbidly obese patients. The incidence rate of biliary complications was 5.54 cases/1000 patient year. The addition of cholecystectomy to bariatric surgery resulted in an increased risk for complications (RD = 0.02). The risk for complications (RD = - 0.09) and reoperation (RD = - 0.02) was lower when performed concomitantly with bariatric surgery compared to post-bariatric procedure. Prophylactic cholecystectomy may be avoided. Patients submitted to bariatric surgery have low incidence rate of biliary complications, and concomitant cholecystectomy increases the risk for postoperative complications and operative time. If cholecystectomy is not indicated, patients should be carefully followed with attention for biliary complications, once cholecystectomy performed post-bariatric surgery is at higher risk for complications and reoperations.

Indexed as

GallstonesPostoperative ComplicationsAdultBariatric SurgeryCholecystectomyFemaleHumansMaleMiddle AgedObesity, MorbidReoperationWeight LossBariatric surgeryCholelithiasisGastric bypassMeta-analysisObesityWeight loss

Identifiers

PMID30097898
OpenAlexW2887893266

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.