Evidence map›Paper›PMID 34781991›Full record

ArticleTrials2021

Impact of the calibration bougie diametre during laparoscopic sleeve gastrectomy on the rate of postoperative staple-line leak (BOUST): study protocol for a multicentre randomized prospective trial.

Martin Gaillard, Panagiotis Lainas, Hélène Agostini, Ibrahim Dagher, Hadrien Tranchart

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02937649 (Multicentric Randomized Prospective Study Assessing the Impact of the Bougie Calibration Size During Laparoscopic Sleeve Gastrectomy on the Rate of Postoperative Staple-line Leak Rate), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 20% 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.

NCT02937649 narecruitingnot on this map

Multicentric Randomized Prospective Study Assessing the Impact of the Bougie Calibration Size During Laparoscopic Sleeve Gastrectomy on the Rate of Postoperative Staple-line Leak Rate

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2020 to 2027Enrolled1,658ConditionsMorbid ObesityArmsLaparoscopic sleeve gastrectomy using 48-Fr bougie, Laparoscopic sleeve gastrectomy using standard care bougie
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. 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

5 authors at 1 institution in 1 country.

Martin GaillardDepartment of Minimally Invasive Digestive Surgery, Hôpital Antoine Béclère, AP-HP, Université Paris-Saclay, 157 rue de la Porte de Trivaux, 92140, Clamart, France.ORCID http://orcid.org/0000-0003-1539-2118
Panagiotis LainasDepartment of Minimally Invasive Digestive Surgery, Hôpital Antoine Béclère, AP-HP, Université Paris-Saclay, 157 rue de la Porte de Trivaux, 92140, Clamart, France.
Hélène AgostiniDepartment of Biostatistics and Clinical Research, Hôpital Bicêtre, AP-HP, Université Paris-Saclay, Le Kremlin Bicêtre, France.
Ibrahim DagherDepartment of Minimally Invasive Digestive Surgery, Hôpital Antoine Béclère, AP-HP, Université Paris-Saclay, 157 rue de la Porte de Trivaux, 92140, Clamart, France.
Hadrien TranchartDepartment of Minimally Invasive Digestive Surgery, Hôpital Antoine Béclère, AP-HP, Université Paris-Saclay, 157 rue de la Porte de Trivaux, 92140, Clamart, France. hadrien.tranchart@aphp.fr.
Université Paris-Saclay · FR

Funding

Direction Générale de l'offre de Soins AOM15323
6 · The paper itself

Abstract

backgroundLaparoscopic sleeve gastrectomy (LSG) has become an increasing bariatric procedure. The basic principle is to create a narrow stomach along the lesser curvature, using a calibration bougie as a template to perform a vertical partial gastrectomy, resecting the greater curvature and fundus of the stomach. The most common postoperative complication is gastric leak from the staple line, observed in approximately 3% of cases, which can result in long and incapacitating treatment. The diametre of the bougie used to calibrate the remnant stomach could impact the rate of postoperative gastric leak, a higher diametre being correlated with a lower risk of leak, without lowering long-term weight loss. This is the first randomized trial to compare the outcomes of LSG regarding the use of two different bougie diametres on postoperative gastric leak and mid-term weight loss.

methodsBougie Sleeve Trial (BOUST) is a superiority single-blinded randomized national trial, involving 17 centres. Participants will be randomized into two groups. LSG will be performed using a 48-Fr diametre calibration bougie in the experimental group and a standard care (34 to 38-Fr diametre) calibration bougie in the control group. Both groups will take part in a 2-year postoperative follow-up to assess postoperative gastric leak rate and weight loss and quality of life evolution. DISCUSSION: This study protocol will allow the investigators to determine if the use of a larger calibration bougie during LSG is associated with lower postoperative gastric leak occurrence without impairing mid-term weight loss and quality of life. The results of this trial will provide important data on patient safety and promote best practice for LSG procedures.

trial registrationClinicalTrials.gov NCT02937649 . Registered on 18 October 2016.

Indexed as

LaparoscopyObesity, MorbidCalibrationEquivalence Trials as TopicGastrectomyHumansMulticenter Studies as TopicPostoperative ComplicationsProspective StudiesQuality of LifeRandomized Controlled Trials as TopicSurgical StaplingBariatric surgeryCalibrationGastrectomyObesity, MorbidPostoperative complicationsSurgical staplingWeight loss

Identifiers

PMID34781991
PMCPMC8591884
OpenAlexW3213478419

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.