Evidence map›Paper›PMID 34780026›Full record

ArticleObesity surgery2022

Role of Endoscopic Internal Drainage in Treating Gastro-Bronchial and Gastro-Colic Fistula After Sleeve Gastrectomy.

Alessandra D'Alessandro, Giovanni Galasso, Francesco Paolo Zito, Cristiano Giardiello, Fabrizio Cereatti, Roberto Arienzo, Filippo Pacini, Jean-Marc Chevallier, Gianfranco Donatelli

Abstract read
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In one paragraph

Article in Obesity surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

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

9 authors at 3 institutions in 2 countries.

Alessandra D'AlessandroUnité d'Endoscopie Interventionnelle, Hôpital Privé des Peupliers, Ramsay Santé, 8 Place de l'Abbé G. Hénocque, 75013, Paris, France.
Giovanni GalassoEndoscopy Unit, Pineta Grande Hospital, Castel Volturno, CE, Italy.
Francesco Paolo ZitoGastroenterology and Digestive Endoscopy, AORN Cardarelli, Napoli, Italy.
Cristiano GiardielloDepartment of General, Emergency and Metabolic Surgery, Pineta Grande Hospital, Castel Volturno, CE, Italy.
Fabrizio CereattiUnité d'Endoscopie Interventionnelle, Hôpital Privé des Peupliers, Ramsay Santé, 8 Place de l'Abbé G. Hénocque, 75013, Paris, France.
Roberto ArienzoCentre Obésité Paris Peupliers, Hôpital Privé des Peupliers, Ramsay Santé, Paris, France.
Filippo PaciniCentre Obésité Paris Peupliers, Hôpital Privé des Peupliers, Ramsay Santé, Paris, France.
Jean-Marc ChevallierCentre Obésité Paris Peupliers, Hôpital Privé des Peupliers, Ramsay Santé, Paris, France.
Gianfranco DonatelliUnité d'Endoscopie Interventionnelle, Hôpital Privé des Peupliers, Ramsay Santé, 8 Place de l'Abbé G. Hénocque, 75013, Paris, France. donatelligianfranco@gmail.com.ORCID 0000-0003-0645-1710
Générale de Santé · FRVilla Pineta Hospital · ITOspedale Antonio Cardarelli · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastro-bronchial and gastro-colic fistulas (GB-GC) represent a rare, but serious complication after laparoscopic sleeve gastrectomy (LSG). The aim of this study is to evaluate the efficacy of endoscopic first-line approach with endoscopic internal drainage (EID) by inserting double pigtail stents (DPS)

methodsWe retrospectively analyzed data from 40 consecutive patients referred at two tertiary centers for gastro-bronchial (N=30) and gastrocolic (N=10) fistulas following LSG. Nineteen patients previously experienced emergency surgical drainage. The mean interval between the index surgery and endoscopic fistula treatment was 265.6±521 days.

resultsHealing of the fistulous tract was achieved in 19 patients (47.5%), with complete resolution at an average follow-up of 16 months. Mean time of treatment duration was 157.8±141 days with 5.0±2.9 endoscopic sessions. No major adverse events were registered.

conclusionsDespite complete fistula healing was achieved in less than 50% of our population, EID for GB/GC fistula after LSG still represents the most conservative approach with low complications rate. Previous surgical drainage seems to be a positive prognostic factor for endoscopic healing. While the longer the interval between the index surgery and endoscopic treatment, the lower was the rate of treatment success.

Indexed as

ColicGastric FistulaLaparoscopyObesity, MorbidAnastomotic LeakDrainageGastrectomyHumansRetrospective StudiesTreatment OutcomeDouble pigtail stentEIDEndoscopic internal drainageGastro-bronchial fistulaGastro-colic fistulaPost-bariatric surgery complicationsSleeve gastrectomy

Identifiers

PMID34780026
OpenAlexW3212028710

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.