Evidence map›Paper›PMID 37433914›Full record

Trial reportSurgical endoscopy2023

Does the use of a suction calibration system (SCS) reduce stapler load firings and operative time? A randomized controlled trial comparing use of endoscopic calibration vs. SCS in laparoscopic sleeve gastrectomy.

Elizabeth Hechenbleikner, Danny Mou, Victoria Delgado, Melissa Majumdar, Zachary Grunewald, Katherine Fay, Carrie E Hall, Marcus T Wells, Ankit Patel, Jamil Stetler and 6 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Elizabeth HechenbleiknerDepartment of Surgery, Emory University, 550 Peachtree St. NE, Medical Office Tower Fl 14, Atlanta, GA, 30308, USA. elizabeth.hechenbleikner@emory.edu.ORCID http://orcid.org/0000-0002-0706-7860
Danny MouDepartment of Surgery, Emory University, 550 Peachtree St. NE, Medical Office Tower Fl 14, Atlanta, GA, 30308, USA.
Victoria DelgadoDepartment of Surgery, Emory University, 550 Peachtree St. NE, Medical Office Tower Fl 14, Atlanta, GA, 30308, USA.
Melissa MajumdarDepartment of Surgery, Emory University, 550 Peachtree St. NE, Medical Office Tower Fl 14, Atlanta, GA, 30308, USA.
Zachary GrunewaldDepartment of Surgery, Emory University, 550 Peachtree St. NE, Medical Office Tower Fl 14, Atlanta, GA, 30308, USA.
Katherine FayDepartment of Surgery, Emory University, 550 Peachtree St. NE, Medical Office Tower Fl 14, Atlanta, GA, 30308, USA.
Carrie E HallDepartment of Surgery, Emory University, 550 Peachtree St. NE, Medical Office Tower Fl 14, Atlanta, GA, 30308, USA.
Marcus T WellsDepartment of Surgery, Emory University, 550 Peachtree St. NE, Medical Office Tower Fl 14, Atlanta, GA, 30308, USA.
Ankit PatelDepartment of Surgery, Emory University, 550 Peachtree St. NE, Medical Office Tower Fl 14, Atlanta, GA, 30308, USA.
Jamil StetlerDepartment of Surgery, Emory University, 550 Peachtree St. NE, Medical Office Tower Fl 14, Atlanta, GA, 30308, USA.
Federico SerrotDepartment of Surgery, Emory University, 550 Peachtree St. NE, Medical Office Tower Fl 14, Atlanta, GA, 30308, USA.
Jahnavi SrinivasanDepartment of Surgery, Emory University, 550 Peachtree St. NE, Medical Office Tower Fl 14, Atlanta, GA, 30308, USA.
Omobolanle OyefuleDepartment of Surgery, Emory University, 550 Peachtree St. NE, Medical Office Tower Fl 14, Atlanta, GA, 30308, USA.
Maggie DillerDepartment of Surgery, Emory University, 550 Peachtree St. NE, Medical Office Tower Fl 14, Atlanta, GA, 30308, USA.
Scott DavisDepartment of Surgery, Emory University, 550 Peachtree St. NE, Medical Office Tower Fl 14, Atlanta, GA, 30308, USA.
Edward LinDepartment of Surgery, Emory University, 550 Peachtree St. NE, Medical Office Tower Fl 14, Atlanta, GA, 30308, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is critical to ensure appropriate and consistent sleeve size and orientation during laparoscopic sleeve gastrectomy (LSG). Various devices are used to achieve this, including weighted rubber bougies, esophagogastroduodenoscopy (EGD), and suction calibration systems (SCS). Prior reports suggest that SCSs may decrease operative time and stapler load firings but are limited by single-surgeon experience and retrospective design. We performed the first randomized controlled trial comparing SCS against EGD in patients undergoing LSG to investigate whether the SCS decreases the number of stapler load firings.

methodsThis was a randomized, non-blinded study from a single MBSAQIP-accredited academic center. Appropriate LSG candidates ≥ 18 years of age were randomized to EGD or SCS calibration. Exclusion criteria included prior gastric or bariatric surgery, detection of hiatal hernia before surgery, and intraoperative hiatal hernia repair. A randomized block design was employed controlling for body mass index, gender, and race. Seven surgeons employed a standardized LSG operative technique. The primary endpoint was the number of stapler load firings. Secondary endpoints were operative duration, reflux symptoms, and change in total body weight (TBW). Endpoints were analyzed via t-test.

resultsA total of 125 LSG patients (84% female) underwent study enrollment, with an average age of 44 ± 12 years and average BMI of 49 ± 8 kg/m

conclusionUse of EGD and SCS resulted in a similar number of LSG stapler load firings and operative duration. Additional research is needed to compare LSG calibration devices in different patients and settings to optimize surgical technique.

Indexed as

LaparoscopyObesity, MorbidAdultCalibrationFemaleGastrectomyHumansMaleMiddle AgedOperative TimeRetrospective StudiesSuctionTreatment OutcomeBariatric surgeryBougieEndoscopyOperating room efficiencyOperative timeViSiGi 3D®

Identifiers

PMID37433914

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Registered trials

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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.