Evidence map›Paper›PMID 32964881›Full record

ArticleJournal of minimal access surgery

Complications after bariatric surgery: A multicentric study of 11,568 patients from Indian bariatric surgery outcomes reporting group.

Ramen Goel, Amrit Manik Nasta, Madhu Goel, Arun Prasad, Gurvinder Jammu, Mathias Fobi, Mohamed Ismail, Praveen Raj, Raj Palaniappan, Sandeep Aggarwal and 17 more

Abstract read
In one paragraph

Article in Journal of minimal access surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 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

25 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Review
  7. Review
  8. Article
  9. Bariatric surgery in the Armed Forces: Reshaping the SHAPE!Medical journal, Armed Forces India · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Perioperative Care for Bariatric Surgery.Diagnostics (Basel, Switzerland) · 2024
    Review
  17. Article
  18. Article
  19. Article
  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

27 authors.

Ramen GoelCentre For Metabolic Surgery, Wockhardt Hospitals, Mumbai, Maharashtra, India.
Amrit Manik NastaCentre For Metabolic Surgery, Wockhardt Hospitals, Mumbai, Maharashtra, India.
Madhu GoelCentre For Metabolic Surgery, Wockhardt Hospitals, Mumbai, Maharashtra, India.
Arun PrasadDepartment of Surgery, Manipal Hospital, New Delhi, India.
Gurvinder JammuDirector and Chief Surgeon, Bariatric Surgery, Jammu Hospital, Jalandhar, Punjab, India.
Mathias FobiDirector of Clinical Affairs and Research, Mohak Bariatrics and Robotics; Clinical Professor of Surgery, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India.
Mohamed IsmailBariatric Surgeon, Moulana Hospital, Perintalmanna; Bariatric Surgeon, RIMS Hospital, Kottayam, Kerala, India.
Praveen RajBariatric Surgeon, Gem Hospital and Research Institute, Coimbatore, Tamil Nadu, India.
Raj PalaniappanLead Consultant, Bariatric, Metabolic and Robotic Surgery, Institute of Bariatrics, Apollo Hospitals, Chennai, Tamil Nadu, India.
Sandeep AggarwalBariatric Surgeon, AIIMS, New Delhi, India.
Vivek BindalVice-Chairman, Institute of Minimal Access, Metabolic and Bariatric Surgery, Sir Ganga Ram Hospital, New Delhi, India.
Abhishek KatakwarAssociate Director, Laparoscopic/Robotic Bariatric and Metabolic Surgery, AIG Hospitals, Hyderabad, Telangana, India.
Amar VennapusaChief Consultant Metabolic and Bariatric Surgeon, Dr. Amar Bariatric and Metabolic Center, Hyderabad, Telangana, India.
Aparna Govil BhaskerBariatric and Laparoscopic GI Surgeon, Gleneagles Global Hospital, Parel, Mumbai; Bariatric and Laparoscopic GI Surgeon, Apollo Hospital, Navi Mumbai, Maharashtra, India.
Atul PetersHOD and Senior Consultant, Apollo Institute of Bariatric and Metabolic Surgery, Indraprastha Apollo Hospitals, New Delhi, India.
Deep GoelDepartment of Surgical Gastroenterology, Bariatric and Metabolic Surgery, BLK Super Specialty Hospital, New Delhi, India.
Digvijay BediHope Obesity Center, Bhopal, Madhya Pradesh, India.
Jaydeep PalepDepartment of Bariatric and Minimal Access Surgery, Nanavati Super Speciality Hospital, Mumbai, Maharashtra, India.
Lakshmi KonaSenior Consultant, Gleneagles Global Hospital, Hyderabad, Telangana, India.
Magan MehrotraDirector, Bariatric Surgery, Apex Hospital, Moradabad, Uttar Pradesh, India.
Manish BaijalDirector, Institute of Minimal Access, Metabolic and Bariatric Surgery, Max Hospital, New Delhi, India.
Mohit BhandariDirector of Clinical Affairs and Research, Mohak Bariatrics and Robotics; Clinical Professor of Surgery, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India.
Nandakishore DukkipatiBariatric Surgeon, Livlife Hospitals, Hyderabad, Telangana, India.
Randeep WadhawanDepartment of Minimal Access, Bariatric and Gastrointestinal Surgery, Fortis Hospital, New Delhi, India.
Sarfaraz BaigDepartment of Minimal Access Surgery, Belle Vue Clinic, Kolkata, West Bengal, India.
Satish PattanshettiRuby Hall Clinic, MJM Hospital, Pune, Maharashtra, India.
Surendra UgaleDirector, Bariatric and Metabolic Surgery, Kirloskar and Virinchi Hospitals, Hyderabad, Telangana, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComplications after bariatric surgery are not uncommon occurrences that influence the choice of operations both by patients and by surgeons. Complications may be classified as intra-operative, early (<30 days post-operatively) or late (beyond 30 days). The prevalence of complications is influenced by the sample size, surgeon's experience and length and percentage of follow-up. There are no multicentric reports of post-bariatric complications from India.

objectivesTo examine the various complications after different bariatric operations that currently performed in India. MATERIALS AND

methodsA scientific committee designed a questionnaire to examine the post-bariatric surgery complications during a fixed time period in India. Data requested included demographic data, co-morbidities, type of procedure, complications, investigations and management of complications. This questionnaire was sent to all centres where bariatric surgery is performed in India. Data collected were reviewed, were analysed and are presented.

resultsTwenty-four centres responded with a report on 11,568 bariatric procedures. These included 4776 (41.3%) sleeve gastrectomy (SG), 3187 (27.5%) one anastomosis gastric bypass (OAGB), 2993 (25.9%) Roux-en-Y gastric bypass (RYGB) and 612 (5.3%) other procedures. Total reported complications were 363 (3.13%). Post-operative bleeding (0.75%) and nutritional deficiency (0.75%) were the two most common complications. Leaks (P = 0.009) and gastro-oesophageal reflux disease (P = 0.019) were significantly higher in SG, marginal ulcers in OAGB (P = 0.000), intestinal obstruction in RYGB (P = 0.001) and nutritional complications in other procedures (P = 0.000). Overall, the percentage of complications was higher in 'other' procedures (6.05%, P = 0.000). There were 18 (0.16%) reported mortalities.

conclusionsThe post-bariatric composite complication rate from the 24 participating centres in this study from India is at par with the published data. Aggressive post-bariatric follow-up is required to improve nutritional outcomes.

Indexed as

Bariatric surgerycomplicationsmulticentric studyone anastomosis gastric bypassRoux-en-Y gastric bypasssleeve gastrectomy

Identifiers

PMID32964881
PMCPMC8083745

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.