Evidence map›Paper›PMID 31956952›Full record

ArticleLangenbeck's archives of surgery2020

Sleeve gastrectomy for treatment of delayed gastric emptying-indications, technique, and results.

Arielle Marian Lee, Karl-Hermann Fuchs, Gabor Varga, Wolfram Breithaupt, Kai Neki, Ryan Broderick, Santiago Horgan

Abstract read
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In one paragraph

Article in Langenbeck's archives of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
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  4. The open accordion: a novel application of endoscopic sleeve gastroplasty for the treatment of refractory gastroparesis.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2024
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  12. Management of Gastroparesis.Gastroenterology & hepatology · 2021
    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

7 authors at 2 institutions in 2 countries.

Arielle Marian LeeDepartment of Surgery, Center for the Future of Surgery, University of California San Diego, 9500 Gilman Drive, MC: 0740, La Jolla, CA, 92093, USA.
Karl-Hermann FuchsDepartment of Surgery, Center for the Future of Surgery, University of California San Diego, 9500 Gilman Drive, MC: 0740, La Jolla, CA, 92093, USA. Karl-Hermann.Fuchs@gmx.de.ORCID http://orcid.org/0000-0002-3951-7133
Gabor VargaDepartment of General and Viszeral-Surgery, AGAPLESION Markus Krankenhaus, Frankfurt am Main, Germany.
Wolfram BreithauptDepartment of General and Viszeral-Surgery, AGAPLESION Markus Krankenhaus, Frankfurt am Main, Germany.
Kai NekiDepartment of Surgery, Center for the Future of Surgery, University of California San Diego, 9500 Gilman Drive, MC: 0740, La Jolla, CA, 92093, USA.
Ryan BroderickDepartment of Surgery, Center for the Future of Surgery, University of California San Diego, 9500 Gilman Drive, MC: 0740, La Jolla, CA, 92093, USA.
Santiago HorganDepartment of Surgery, Center for the Future of Surgery, University of California San Diego, 9500 Gilman Drive, MC: 0740, La Jolla, CA, 92093, USA.
University of California San Diego · USAgaplesion Markus Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDelayed gastric emptying (DGE) can be caused by gastric motility disorders such as gastroparesis with idiopathic background, diabetic neuropathy, or postsurgical nerve damage. Currently, a variety of endoscopic and surgical treatment options are available. We noted clinical improvement of gastric emptying with reduction of the gastric fundus following both fundoplication and fundectomy. As a consequence, we explored the effect of sleeve gastrectomy on gastric emptying. The focus of this paper is to investigate the role of laparoscopic sleeve gastrectomy (LSG) in the treatment of gastroparesis.

methodsPatients with symptoms suggestive of gastroparesis received diagnostic work-up (gastric emptying scintigraphy and/or Radiographic Barium-Sandwich Emptying studies). Patients with fundic emptying problems and moderate gastric dilation were selected for a LSG. All perioperative parameters were documented regarding patients characteristics, complications, and outcomes expressed as symptoms and quality of life (GIQLI gastrointestinal quality of life index). Assessment of DGE: Barium Emptying Radigraphy Index (BERI) 0-5.

resultsFrom 122 patients with gastroparesis, 19 patients were selected for LSG (mean age 54 years (23-68); 10 males/9 females. Morbidity 2/19; no mortality; follow-up mean 24 months (12-60); preop/postop: BERI: 2, 31/1, 27 (p < 0.01); we noted significant improvement of the quality of life (preoperative GIQLI 78 (44-89)) to postoperative values of 114 (range 87-120) (p < 0.0001). Preoperative median BMI of these 19 patients was 24 [1-10], which was not significantly changed in the 15 patients at > 1 year follow-up with 23 [1-8]. Postoperative recurrence of DGE occurred in 3 patients who were reoperated after >1 year follow-up.

conclusionLSG is a potential surgical treatment option for selected patients with gastroparesis and fundic emptying problems.

Indexed as

AdultAgedFemaleGastrectomyGastroparesisHumansLaparoscopyMaleMiddle AgedStomachTreatment OutcomeYoung AdultDelayed gastric emptyingGastroparesisLaparoscopic sleeve gastrectomySleeve gastrectomy

Identifiers

PMID31956952
OpenAlexW3000819224

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.