Evidence map›Paper›PMID 32748202›Full record

ArticleObesity surgery2021

Internal Herniation Incidence After RYGB and the Predictive Ability of a CT Scan as a Diagnostic Tool.

Bart Torensma, Laurens Kooiman, Ronald Liem, Valerie M Monpellier, Dingeman J Swank, Larissa Tseng

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. 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

6 authors at 2 institutions in 1 country.

Bart TorensmaDepartment of Anaesthesiology, Leiden University Medical Center, Leiden, The Netherlands. info@barttorensma.nl.ORCID http://orcid.org/0000-0003-0274-9608
Laurens KooimanDepartment of Surgery, Dutch Obesity Clinic West & LUMC, The Hague, The Netherlands.
Ronald LiemDepartment of Surgery, Dutch Obesity Clinic West & LUMC, The Hague, The Netherlands.
Valerie M MonpellierDepartment of Surgery, Dutch Obesity Clinic West & LUMC, The Hague, The Netherlands.
Dingeman J SwankDepartment of Surgery, Dutch Obesity Clinic West & LUMC, The Hague, The Netherlands.
Larissa TsengDepartment of Surgery, Dutch Obesity Clinic West & LUMC, The Hague, The Netherlands.
Nederlandse Obesitas Kliniek · NLLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe clinical diagnosis of an internal herniation (IH) after a Roux-en-Y Gastric Bypass (RYGB) remains difficult; therefore, performing a CT scan is usually part of the diagnostic process. The goal of this study was to assess the incidence of IH in patients with open and closed MD (mesenteric defect) and to study if the ability to diagnose an IH with a CT scan is different between these groups. MATERIALS AND

methodsIH was defined as a visible intestine through the mesenteric defect underneath the jejunojejunostomy and/or in the Petersen's space. CT scan outcomes were compared with the clinical diagnosis of an IH. Until 31 June 2013, standard care was to leave mesenteric defects (MDs) open; after this date, they were always closed.

resultsThe incidence of IH in the primarily non-closed group was 3.9%, and in the primarily closed group, this was 1.3% (p = 0.001). In group A (non-closed MD and CT), the sensitivity of the CT scan was 80%, and specificity was 0%. In group C (closed MD and CT), the sensitivity was 64.7%, and specificity was 89.5%. In group B (non-closed, no CT), an IH was visible in 58.7% of the cases and not in 41.3%. In group D (only a re-laparoscopy), an IH was visible in 34.3% of the cases and not in 65.7%.

conclusionsUsing the CT scan in suspected IH is not useful in if the MDs were not closed. If the MDs were closed, then a CT scan is predictive for the diagnosis IH.

Indexed as

Gastric BypassHernia, AbdominalLaparoscopyObesity, MorbidHumansIncidencePostoperative ComplicationsRetrospective StudiesTomography, X-Ray ComputedBariatric surgeryCT scanDiagnostic toolIncidenceInternal herniationMorbid obesityRYGB

Identifiers

PMID32748202
PMCPMC7808966
OpenAlexW3047421635

What OpenQuestion holds

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LicenceCC BY
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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.