Evidence map›Paper›PMID 34981323›Full record

ArticleObesity surgery2022

Combined Thoracic Spinal-Epidural Anesthesia for Laparoscopic Sleeve Gastrectomy; One Hundred Case Experience.

Wesameldin A Soltan, Ehab Fathy, Mohamed Khattab, Mohamed Saber Mostafa, Haytham Hasan, Ahmed Refaat, Mostafa Ali Mohamed Eltantawy, Hisham Fahmy Mohamed Ziada, Mohamed D Sarhan

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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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Wesameldin A SoltanDepartment of Anesthesia, ICU and Pain Management, Faculty of Medicine, Menoufia University, Gamal Abd El Naser St., Shebin El Koum, Menoufia, 32511, Egypt. wesamsultan@med.menofia.edu.eg.ORCID 0000-0003-2472-2174
Ehab FathyDepartment of General and Laparoscopic Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Mohamed KhattabDepartment of General and Laparoscopic Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Mohamed Saber MostafaDepartment of General and Laparoscopic Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Haytham HasanDepartment of General and Laparoscopic Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Ahmed RefaatDepartment of General and Laparoscopic Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Mostafa Ali Mohamed EltantawyDepartment of Anesthesia, ICU and Pain Management, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Hisham Fahmy Mohamed ZiadaDepartment of Anesthesia, ICU and Pain Management, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Mohamed D SarhanDepartment of General and Laparoscopic Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Cairo University · EGMenoufia University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity is a growingly impacting human health concern. Laparoscopic sleeve gastrectomy (LSG) is an effective treatment for morbid obesity. However, the general anesthesia (GA) used in this major surgery has its documented drawbacks in obese patients with high risk. On the other hand, combined thoracic spinal-epidural anesthesia (CTSEA), a modern regional anesthesia procedure, has the advantages of both spinal and epidural anesthesia but without their shortcomings. This prospective study is a case experience that assesses the feasibility of CTSEA as an anesthesia option for laparoscopic sleeve gastrectomy (LSG).

methodsA total of 100 patients were recruited for LSG as a management procedure for morbid obesity, which was performed under CTSEA. Perioperative events, functional parameters, and patients' satisfaction scores were recorded.

resultsOur prospective study showed successful use of CTSEA in 99% of the patients, except for one patient (1%) in whom CTSEA was converted into GA due to severe pain and anxiety. Few adverse events occurred and were managed accordingly. The satisfaction score revealed that 94% of the patients were satisfied.

conclusionsCTSEA was a successful anesthetic alternative procedure for LSG surgery.

Indexed as

Anesthesia, EpiduralLaparoscopyObesity, MorbidGastrectomyHumansProspective StudiesTreatment OutcomeWeight LossMorbid obesity, Laparoscopic sleeve gastrectomy, Combined thoracic spinal-epidural anesthesia

Identifiers

PMID34981323
OpenAlexW4205845766

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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.