Evidence map›Paper›PMID 33123868›Full record

SynthesisObesity surgery2021

Gastric Fistula in the Chest After Sleeve Gastrectomy: a Systematic Review of Diagnostic and Treatment Options.

Nasser Sakran, Roxanna Zakeri, Brijesh Madhok, Yitka Graham, Chetan Parmar, Kamal Mahawar, Sjaak Pouwels, Global Bariatric Research Collaborative

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 16% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Surgical Repair of a Traumatic Gastrobronchial Fistula.The American journal of case reports · 2022
    Article
  14. 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

8 authors at 7 institutions in 4 countries.

Nasser SakranDepartment of Surgery, Emek Medical Center, 21 Izhak Rabin Blvd, 1834111, Afula, Israel. sakranas@gmail.com.ORCID http://orcid.org/0000-0003-2570-7822
Roxanna ZakeriDepartment of Surgery, University College London Hospital NHS Foundation Trust, London, UK.
Brijesh MadhokUniversity Hospital of Derby and Burton NHS Foundation Trust, Derby, UK.
Yitka GrahamFaculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, UK.
Chetan ParmarThe Whittington Hospital NHS Trust, London, UK.
Kamal MahawarFaculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, UK.
Sjaak PouwelsDepartment of Intensive Care Medicine, Elisabeth-Tweesteden Hospital, Tilburg, The Netherlands.
Global Bariatric Research Collaborative
Elisabeth-TweeSteden Ziekenhuis · NLSouth Tyneside and Sunderland NHS Foundation Trust · GBTechnion – Israel Institute of Technology · ILUniversidad Anáhuac · MXUniversity College London Hospitals NHS Foundation Trust · GBUniversity Hospitals of Derby and Burton NHS Foundation Trust · GBWhittington Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to establish the optimal diagnostic and treatment algorithm for the management of gastric fistula in the chest (GFIC) after sleeve gastrectomy (SG) through a systematic review of published cases. A multi-database search was performed, which produced 1182 results, of which 26 studies were included in this systematic review. The initial presentation included subphrenic collections, leaks, or (recurrent) pneumonia with associated symptoms such as persistent cough, fever, and/or dyspnea. Computed tomography (CT) scan in combination with either upper gastrointestinal (UGI) series or an esophagogastroduodenoscopy (EGD) was used to adequately diagnose the fistulas. Initial treatment was either with clips and/or clips and stents that were placed endoscopically. When unsuccessful in the majority of the cases, the surgical treatment consisted of total gastrectomy and Roux-en-Y esophagojejunostomy in a laparoscopic or open fashion.

Indexed as

Gastric FistulaLaparoscopyObesity, MorbidAnastomosis, Roux-en-YGastrectomyHumansRetrospective StudiesTreatment OutcomeBariatric surgeryGastro-bronchial fistulaGastro-pleural fistulaGastro-pulmonary fistulaSleeve gastrectomy

Identifiers

PMID33123868
OpenAlexW3097465708

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.