Evidence map›Paper›PMID 33604864›Full record

ArticleObesity surgery2021

Implications of Technical Factors in Development of Early Sleeve Stenosis After Laparoscopic Sleeve Gastrectomy: an Analysis Using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Database.

Jaclyn Shelton, Valentin Mocanu, Jerry T Dang, Nasser Abualhassan, Daniel W Birch, Noah J Switzer, Shahzeer Karmali

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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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
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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 1 institution in 1 country.

Jaclyn SheltonFaculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Valentin MocanuDepartment of Surgery, University of Alberta, Edmonton, Alberta, Canada. vmocanu@ualberta.ca.ORCID http://orcid.org/0000-0001-7855-6242
Jerry T DangDepartment of Surgery, University of Alberta, Edmonton, Alberta, Canada.
Nasser AbualhassanDepartment of Surgery, University of Alberta, Edmonton, Alberta, Canada.
Daniel W BirchDepartment of Surgery, University of Alberta, Edmonton, Alberta, Canada.
Noah J SwitzerDepartment of Surgery, University of Alberta, Edmonton, Alberta, Canada.
Shahzeer KarmaliDepartment of Surgery, University of Alberta, Edmonton, Alberta, Canada.
University of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLaparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric procedure worldwide. Sleeve stenosis (SS) is a rare complication of LSG and is associated with significant morbidity and economic burden. The objective of this study was to determine the prevalence and impact of early SS and identify technical factors which may predict its development. MATERIALS AND

methodsData was extracted from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) data registry from 2015 to 2018. Patients undergoing primary LSG were included, while patients undergoing revisional bariatric surgery were excluded. A multivariable logistic regression analysis was performed to identify technical factors associated with SS.

resultsA total of 389,839 patients (79.4% female) were included with a mean age of 44.2 ± 12.0 years and mean body mass index of 45.1 ± 7.8 kg/m

conclusionOverall, early SS is a rare complication, affecting only 0.09% of patients undergoing primary LSG. Technical factors associated with 30-day SS included PD and operative time. Though current guidelines suggest a PD as short as 2 cm, our findings suggest this may be associated with an increased risk of early postoperative SS.

Indexed as

Bariatric SurgeryLaparoscopyObesity, MorbidAccreditationAdultConstriction, PathologicFemaleGastrectomyHumansMaleMiddle AgedPostoperative ComplicationsQuality ImprovementRetrospective StudiesTreatment OutcomeBariatric surgeryPylorus distanceSleeve gastrectomySleeve stenosisSurgical outcomes

Identifiers

PMID33604864
OpenAlexW3129598186

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.