The DOI matches its Crossref record; 18 of the 18 references it cites were found in a registry or an index.
Surgical Strategies That May Decrease Leak After Laparoscopic Sleeve Gastrectomy: A Systematic Review and Meta-Analysis of 9991 Cases
Abstract
In Brief Objective: To conduct a systematic review to identify surgical strategies that may decrease leak after laparoscopic sleeve gastrectomy (LSG). Background: LSG is growing in popularity as a primary bariatric procedure. Technical aspects of LSG including bougie size remain controversial. Methods: Our systematic review yielded 112 studies encompassing 9991 LSG patients. A general estimating equation (GEE) model was used to calculate the odds ratio (OR) for leak based on bougie size, distance from the pylorus, and use of buttressing on the staple line. Baseline characteristics, including age and body mass index (BMI), were included. A linear repeated measures regression model compared excess weight loss (%EWL) between bougie sizes. Results: A total of 198 leaks in 8922 patients (2.2%) were identified. The GEE model revealed that the risk of leak decreased with bougie ≥40 Fr (OR = 0.53, 95% CI = [0.37–0.77]; P = 0.0009). Buttressing did not impact leak. There was no difference in %EWL between bougie <40 Fr and bougie ≥40 Fr up to 36 months (mean: 70.1% EWL; P = 0.273). Distance from the pylorus did not affect leak or %EWL. Conclusions: Utilizing bougie ≥40 Fr may decrease leak without impacting %EWL up to 3 years. Distance from the pylorus does not impact leak or weight loss. Buttressing does not seem to impact leak; however, if surgeons desire to buttress, bioabsorbable material is the most common type used. Longer-term studies are needed to definitively determine the effect of bougie size on weight loss after LSG. Our meta-analysis of 9991 laparoscopic sleeve gastrectomy cases reveals that utilizing bougie ≥40 Fr may decrease leak without significantly impacting weight loss up to 3 years. Distance from the pylorus does not impact leak or weight loss. Staple-line buttressing does not seem to impact leak rate.
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Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000100 · Cited by 28,164
Sleeve gastrectomy and the risk of leak: a systematic analysis of 4,888 patients
Aurora, A. R., Khaitan, L., & Saber, A. A. (2012) · Surgical Endoscopy · doi:10.1007/s00464-011-2085-3 · Cited by 698
Hutter, M. M., Schirmer, B. D., Jones, D. B., Ko, C. Y., Cohen, M. E., Merkow, R. P., & Nguyen, N. T. (2011) · Annals of Surgery · doi:10.1097/sla.0b013e31822c9dac · Cited by 673
Systematic review of sleeve gastrectomy as staging and primary bariatric procedure
Brethauer, S. A., Hammel, J. P., & Schauer, P. R. (2009) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2009.05.011 · Cited by 536
Consten, E. C. J., Gagner, M., Pomp, A., & Inabnet, W. B. (2004) · Obesity Surgery · doi:10.1381/0960892042583905 · Cited by 233
Self-citationBellanger, D. E., & Greenway, F. L. (2011) · Obesity Surgery · doi:10.1007/s11695-010-0320-y · Cited by 188
Sánchez-Santos, R., Masdevall, C., Baltasar, A., Martínez-Blázquez, C., García Ruiz de Gordejuela, A., Ponsi, E., Sánchez-Pernaute, A., Vesperinas, G., Del Castillo, D., Bombuy, E., et al. (2009) · Obesity Surgery · doi:10.1007/s11695-009-9892-9 · Cited by 162
Updated Position Statement on Sleeve Gastrectomy as a Bariatric Procedure
(2009) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2009.11.004 · Cited by 150
Baltasar, A., Serra, C., Pérez, N., Bou, R., & Bengochea, M. (2006) · Obesity Surgery · doi:10.1381/096089206778869924 · Cited by 132
Laparoscopic sleeve gastrectomy: does bougie size affect mean %EWL? Short-term outcomes
Parikh, M., Gagner, M., Heacock, L. C., Strain, G. W., Dakin, G. F., & Pomp, A. (2008) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2008.03.245 · Cited by 115
Self-citation
Cited by
Gagner, M., Deitel, M., Erickson, A. L., & Crosby, R. D. (2013) · Obesity Surgery · doi:10.1007/s11695-013-1040-x · Cited by 362
Self-citationShikora, S. A., & Mahoney, C. B. (2015) · Obesity Surgery · doi:10.1007/s11695-015-1703-x · Cited by 210
Parikh, M., Chung, M., Sheth, S., McMacken, M., Zahra, T., Saunders, J. K., Ude-Welcome, A., Dunn, V., Ogedegbe, G., Schmidt, A. M., et al. (2014) · Annals of Surgery · doi:10.1097/sla.0000000000000919 · Cited by 123
Self-citationOtto, M., Elrefai, M., Krammer, J., Weiß, C., Kienle, P., & Hasenberg, T. (2016) · Obesity Surgery · doi:10.1007/s11695-015-1792-6 · Cited by 54
Rebibo, L., Maréchal, V., De Lameth, I., Dhahri, A., Escoffier, I., Lalau, J.-D., & Regimbeau, J.-M. (2017) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2017.05.026 · Cited by 35
Metadata
- Authors
- Parikh, M., Issa, R., McCrillis, A., Saunders, J. K., Ude-Welcome, A., & Gagner, M.
- Venue
- Annals of Surgery
- Published
- 2013-02
- Volume
- 257
- Issue
- 2
- Pages
- 231-237
- ISSN
- 0003-4932 (ISSN-L)
- OpenAlex
- W2312699519
- Cited by
- 459
- References
- 18
- FWCI
- 37.88
- Type
- journal article
- Language
- en
- Open access
- closed
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- Parikh, M., Issa, R., McCrillis, A., Saunders, J. K., Ude-Welcome, A., & Gagner, M. (2013). Surgical Strategies That May Decrease Leak After Laparoscopic Sleeve Gastrectomy: A Systematic Review and Meta-Analysis of 9991 Cases. Annals of Surgery. https://doi.org/10.1097/sla.0b013e31826cc714
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