Evidence map›Paper›PMID 32683638›Full record

ArticleObesity surgery2020

Gastric Stenosis After Sleeve Gastrectomy: an Algorithm for Management.

Hosam Hamed, Hosam Elghadban, Helmy Ezzat, Mohamed Attia, Amr Sanad, Mohamed El Sorogy

Abstract read
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In one paragraph

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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Stricturing Diseases of the Gastrointestinal Tract-Current Clinical Practice.JGH open : an open access journal of gastroenterology and hepatology · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Endoscopy in surgery.Frontiers in gastroenterology (Lausanne, Switzerland) · 2023
    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

6 authors at 1 institution in 1 country.

Hosam HamedGastrointestinal Surgical Center, Mansoura University, Jehan street, Mansoura, Dakahleyya, 35516, Egypt. Hosam-eldin@hotmail.com.ORCID http://orcid.org/0000-0003-2774-2947
Hosam ElghadbanGeneral Surgery Department, Mansoura University, Jehan street, Mansoura, Dakahleyya, Egypt.
Helmy EzzatGastrointestinal Surgical Center, Mansoura University, Jehan street, Mansoura, Dakahleyya, 35516, Egypt.
Mohamed AttiaGastrointestinal Surgical Center, Mansoura University, Jehan street, Mansoura, Dakahleyya, 35516, Egypt.
Amr SanadGastrointestinal Surgical Center, Mansoura University, Jehan street, Mansoura, Dakahleyya, 35516, Egypt.
Mohamed El SorogyGastrointestinal Surgical Center, Mansoura University, Jehan street, Mansoura, Dakahleyya, 35516, Egypt.
Mansoura University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastric stenosis (GS) is a well-recognized complication after sleeve gastrectomy (SG) with a negative impact on patients' nutritional status and quality of life. There is no consensus on a validated, comprehensive management algorithm for GS. This study evaluates treatment modalities and proposes a management algorithm for obstructive gastric symptoms (OGSs) after SG.

methodsThis is a retrospective cohort study of patients with GS after SG between January 2013 and January 2019. Patients with concomitant GS and staple-line leak were excluded. The primary outcome was the clinical response to treatment.

resultsForty-nine patients presented with OGSs. One patient underwent urgent surgical treatment for acute migration of cardia. Of 42 patients who had evident GS, pneumatic balloon dilatation (PBD) achieved clinical success in 28 (66.7%) patients. Six patients were diagnosed with indolent GS, and four of them improved after empirical PBD. The mean interval from index surgery to PBD was 5.3 (± 4.2) months. Longer duration of PBD session was associated with better clinical outcomes (5.8 ± 3.7 vs. 3.2 ± 1.7 min) (P = 0.017). After failed PBD, endoscopic stenting (n = 2) and revisional surgery (n = 7) were performed with clinical success in all patients.

conclusionPBD using achalasia balloon is the mainstay of treatment with good clinical outcomes. The utility of endoscopic stenting for GS should be different from its use for leakage in aspects of dwelling time and required endoscopic expertise. RYGB is the gold standard revisional procedure due to the high success rate and technical familiarity. Controversial aspects of management require future prospective comparative studies.

Indexed as

Gastric BypassLaparoscopyObesity, MorbidAlgorithmsConstriction, PathologicGastrectomyHumansQuality of LifeReoperationRetrospective StudiesTreatment OutcomeBalloon dilatationGastric stenosisRevisional bariatric surgerySleeve gastrectomyStent

Identifiers

PMID32683638
OpenAlexW3042287537

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.