Evidence map›Paper›PMID 40156751›Full record

ArticleObesity surgery2025

Incidence and Risk Factors of In-Hospital Gastrointestinal-Related Complications Following Bariatric Surgery: A Retrospective Nationwide Inpatient Sample Database Study.

Lingli Liang, Luansheng Liang, Yangguang Huang, Haimao Liang, Jianghua Su, Yanling Zhou

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Article in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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5citing papers in PubMed, 1 pooled it
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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

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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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Lingli LiangDeparement of Radiology, Xiaolan People's Hospital of ZhongShan, Guangdong, China.
Luansheng LiangDeparement of Bariatric and Metabolic Diseases Surgery, Xiaolan People's Hospital of ZhongShan, Guangdong, China.
Yangguang HuangDeparement of Radiology, Xiaolan People's Hospital of ZhongShan, Guangdong, China.
Haimao LiangDeparement of Radiology, Xiaolan People's Hospital of ZhongShan, Guangdong, China.
Jianghua SuDeparement of Radiology, Xiaolan People's Hospital of ZhongShan, Guangdong, China.
Yanling ZhouDeparement of Radiology, Xiaolan People's Hospital of ZhongShan, Guangdong, China. zyl2227@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity is associated with numerous serious physiological and psychological health problems. Bariatric surgery (BS) remains the most effective treatment for obesity, but early postoperative gastrointestinal complications may require additional surgical intervention. The objective of this study was to analyze gastrointestinal-related complications (GRCs) and their risk factors following BS, including sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB), using a nationwide database.

methodsAn analysis of the Nationwide Inpatient Sample data from 2010 to 2019 was conducted to compare patients following BS with versus without postoperative GRCs. Variables included demographics, hospital characteristics, length of stay, costs, comorbidities, and complications. Risk factors were identified through stepwise multivariate logistic regression.

resultsAmong 323,066 BS patients, 12,248 (3.79%) developed GRCs, with a decreasing trend observed over the study period. Common complications included gastrointestinal bleeding (1.37%), bowel obstruction (1.84%), and anastomotic issues (0.99%). Significant risk factors included advanced age, anemia (deficiency and chronic blood loss), cardiovascular conditions (heart failure, valve disease, peripheral vascular disorders), coagulation abnormalities, rheumatoid arthritis or collagen vascular diseases, drug abuse, electrolyte imbalances, neurological conditions, renal failure, non-bleeding peptic ulcer disease, and weight loss. Interestingly, liver disease emerged as a risk factor for GRCs after SG while acting as a protective factor for GRCs after RYGB.

conclusionUnderstanding the risk factors for GRCs after BS would allow for improved patient management and clinical outcomes.

Indexed as

Bariatric SurgeryGastrointestinal DiseasesObesity, MorbidPostoperative ComplicationsAdultDatabases, FactualFemaleHumansIncidenceInpatientsMaleMiddle AgedRetrospective StudiesRisk FactorsUnited StatesBariatric surgeryComplicationsDatabaseRisk factor

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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.