Evidence map›Paper›PMID 31792702›Full record

ArticleObesity surgery2020

Endoscopic Vacuum Therapy for Staple Line Leaks after Sleeve Gastrectomy.

Rami Archid, Dörte Wichmann, Wilfried Klingert, Giorgi Nadiradze, Felix Hönes, Nicole Archid, Ahmed E Othman, Suhaib J S Ahmad, Alfred Königsrainer, Jessica Lange

Abstract read
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Article in Obesity surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  12. Endoscopy in surgery.Frontiers in gastroenterology (Lausanne, Switzerland) · 2023
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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.

Rami ArchidDepartment for General, Visceral and Transplant Surgery, Eberhard-Karls-University Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.
Dörte WichmannDepartment for General, Visceral and Transplant Surgery, Eberhard-Karls-University Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany. doerte.wichmann@med.uni-tuebingen.de.ORCID http://orcid.org/0000-0002-8832-5031
Wilfried KlingertDepartment for General, Visceral and Transplant Surgery, Eberhard-Karls-University Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.
Giorgi NadiradzeDepartment for General, Visceral and Transplant Surgery, Eberhard-Karls-University Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.
Felix HönesDepartment for General, Visceral and Transplant Surgery, Eberhard-Karls-University Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.
Nicole ArchidDepartment for General, Visceral and Transplant Surgery, Eberhard-Karls-University Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.
Ahmed E OthmanDepartment for Diagnostic and Interventional Radiology, Eberhard-Karls-University Hospital Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.
Suhaib J S AhmadSchool of Medicine, University of Buckingham, Buckingham, MK18 1EG, UK.
Alfred KönigsrainerDepartment for General, Visceral and Transplant Surgery, Eberhard-Karls-University Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.
Jessica LangeDepartment for General, Visceral and Transplant Surgery, Eberhard-Karls-University Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeManagement of staple line leaks (SLL) after sleeve gastrectomy (SG) is challenging. The aim of this study was to evaluate the effectiveness of a novel endoscopic vacuum therapy (EVT) modality in the management of sleeve leaks. MATERIALS AND

methodsEight patients were treated with EVT for SLL. Therapy data and outcome measures including duration of therapy, therapy success, and change of treatment strategy were collected and analyzed.

resultsDuring the study period, SLL occurred in 1.6% of patients who underwent SG. After 9.8 ± 8.6 days of EVT, 3.3 ± 2.2 endoscopies, and 19 ± 15.1 days of hospitalization, endoscopic treatment using EVT was successful in seven out of eight patients (87.5%).

conclusionsEVT is an effective method for the management of staple line leaks after sleeve gastrectomy. The use of the intraluminal open-pore film drainage (OFD) could be considered as an advantageous modality of EVT, regarding placement and complications.

Indexed as

LaparoscopyNegative-Pressure Wound TherapyObesity, MorbidAnastomotic LeakGastrectomyHumansSurgical StaplingBariatric surgeryComplications managementEndoscopic vacuum therapy (EVT)Open-pore film drainage (OFD)Sleeve gastrectomy

Identifiers

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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.