Oversewing/Suturing of the Staple Line During Sleeve Gastrectomy Is an Effective and Affordable Staple Line Reinforcement Method: a Meta-analysis of Randomized Controlled Trials.

Abdul-Rahman F Diab, Theo Sher, Sabrina Awshah, Madison Noom, Salvatore Docimo, Joseph A Sujka, Christopher G DuCoin

Abstract readReview

In one paragraph

Review in Obesity surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it

0cells of the map it votes in

8citing papers in PubMed, 2 pooled it

5.1field-weighted citation impact, top 4% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

A Meta-Analysis Comparing RYGB with Long Biliopancreatic Limb (BPL) Versus Long Alimentary Limb (AL) in Groups with Equal or Nearly Equal Combined Bypass Lengths (Combined BPL and AL Lengths): Does Switching Seats Enhance Weight Loss?Obesity surgery · 2024
Pooled it
How Does Oversewing/Suturing (OS/S) Compare to Other Staple Line Reinforcement Methods? A Systematic Review and Meta-Analysis.Obesity surgery · 2024
Pooled it
Impact of Staple Line Oversewing on the Rate and Severity of Postoperative Complications and Intraoperative Events After Sleeve Gastrectomy: A Retrospective Study of 2,391 Patients.Obesity surgery · 2026
Article
The Effect of Gluing Versus Suturing of the Stapler Line in Sleeve Gastrectomy on Weight Loss.Obesity surgery · 2025
Article
Delayed Splenic Rupture Secondary to Chronic Staple Line Leak Following Laparoscopic Sleeve Gastrectomy: A Case Report.Cureus · 2025
Article
Staple Line Reinforcement during Sleeve Gastrectomy with SeamGuard: Single-Center Retrospective Case-Control Study over a 5-Year Period.Journal of clinical medicine · 2024
Article
Antral Preservation in Sleeve Gastrectomy Appears to Protect Against Prolonged Vomiting and Gastroesophageal Reflux Disease. A Meta-Analysis of Randomized Controlled Trials.Obesity surgery · 2023
Review
A comparative study between staple line reinforcement during laparoscopic sleeve gastrectomy and no reinforcement: an Egyptian experience.Surgical endoscopy · 2023
Article

4 · The record

Corrections and comments

Commented on by
Reply to Letter to the Editor: Oversewing/Suturing of the Staple Line During Sleeve Gastrectomy Is an Effective and Affordable Staple Line Reinforcement Method: a Meta-analysis of Randomized Controlled Trials.2023

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Abdul-Rahman F DiabDivision of Gastrointestinal Surgery, Department of Surgery, University of South Florida Morsani College of Medicine, 5 Tampa General Circle, Tampa, FL, 33606, USA. a.diab94@hotmail.com.ORCID 0000-0002-6322-4402

Theo SherUniversity of South Florida Morsani College of Medicine, 560 Channelside Dr, Tampa, FL, 33602, USA.

Sabrina AwshahUniversity of South Florida Morsani College of Medicine, 560 Channelside Dr, Tampa, FL, 33602, USA.

Madison NoomUniversity of South Florida Morsani College of Medicine, 560 Channelside Dr, Tampa, FL, 33602, USA.

Salvatore DocimoDivision of Gastrointestinal Surgery, Department of Surgery, University of South Florida Morsani College of Medicine, 5 Tampa General Circle, Tampa, FL, 33606, USA.

Joseph A SujkaDivision of Gastrointestinal Surgery, Department of Surgery, University of South Florida Morsani College of Medicine, 5 Tampa General Circle, Tampa, FL, 33606, USA.

Christopher G DuCoinDivision of Gastrointestinal Surgery, Department of Surgery, University of South Florida Morsani College of Medicine, 5 Tampa General Circle, Tampa, FL, 33606, USA.

University of South Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bleeding and leaks are the most ominous postoperative complications after laparoscopic sleeve gastrectomy (LSG). Various staple line reinforcement (SLR) techniques have been innovated such as oversewing/suturing (OS/S), omentopexy/gastropexy, buttressing, and gluing. Currently, no high-quality evidence supports the use of one method over the others or even supports the use of SLR over no SLR. This study aimed to compare postoperative outcomes between LSG with OS/S versus LSG without any SLR.

Indexed as

LaparoscopyObesity, MorbidGastrectomyHumansRandomized Controlled Trials as TopicSurgical StaplingTreatment OutcomeBleedingLeakOversewingSleeve gastrectomyStaple line reinforcementSuture

Identifiers

PMID37312007

DOI10.1007/s11695-008-9652-2

OpenAlexW4380480079

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.