Evidence mapPaperPMID 30788045Full record

ArticleWorld journal of diabetes2019

New results on the safety of laparoscopic sleeve gastrectomy bariatric procedure for type 2 diabetes patients.

Ohad Guetta, Alex Vakhrushev, Oleg Dukhno, Amnon Ovnat, Gilbert Sebbag

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in World journal of diabetes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04130217 (Ultrasonographic Evaluation of the Effect of Recruitment Maneuvers and Positive End-expiratory Pressure on Diaphragmatic Functions and Atelectasis in Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 16% 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.

NCT04130217 nacompletednot on this map

Ultrasonographic Evaluation of the Effect of Recruitment Maneuvers and Positive End-expiratory Pressure on Diaphragmatic Functions and Atelectasis in Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Study

TypeinterventionalSponsorZagazig UniversityRan2019 to 2020Enrolled69ConditionsBariatric Surgery CandidateArmsaddition of positive end expiratory pressure in ventilated patients, addition of positive end expiratory pressure and recruitment maneuver in ventilated patients
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 11 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Ohad GuettaDepartment General Surgery B, Soroka University Medical Center, Be'er Sheva 8457108, Israel. ohadgu@clalit.org.il.
Alex VakhrushevDepartment General Surgery B, Soroka University Medical Center, Be'er Sheva 8457108, Israel.
Oleg DukhnoDepartment General Surgery B, Soroka University Medical Center, Be'er Sheva 8457108, Israel.
Amnon OvnatDepartment General Surgery B, Soroka University Medical Center, Be'er Sheva 8457108, Israel.
Gilbert SebbagDepartment General Surgery B, Soroka University Medical Center, Be'er Sheva 8457108, Israel.
Soroka Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt has been established that bariatric surgery, including laparoscopic sleeve gastrectomy (LSG), has a positive impact on type 2 diabetes mellitus (T2DM). However, less frequently T2DM is reported as a risk factor for complications with this type of surgery.

aimTo evaluate the safety of LSG in T2DM.

methodsA retrospective cohort study was conducted over patients admitted for LSG from January 2008 to May 2015. Data was collected through digitized records. Any deviation from normal postoperative care within the first 60 d was defined as an early complication, and further categorized into mild or severe.

resultsNine hundred eighty-four patients underwent LSG, among these 143 (14.5%) were diagnosed with T2DM. There were 19 complications in the T2DM group (13.3%) compared to 59 cases in the non-T2DM (7.0%). Out of 19 complications in the T2DM group, 12 were mild (8.4%) and 7 were severe (4.9%). Compared to the non-T2DM group, patients had a higher risk for mild complications (Odds-ratio 2.316, CI: 1.163-4.611,

conclusionOur data suggest that LSG is relatively safe for patients with T2DM. Whether pre-operative control of hemoglobin A1c level will lower the complications rate has to be prospectively studied.

Indexed as

Bariatric surgeryClavien-Dindo classificationComplicationsFasting plasma glucoseHemoglobin A1cLaparoscopic sleeve gastrectomyMorbidityType 2 diabetes

Identifiers

PMID30788045
PMCPMC6379729
OpenAlexW2916073877

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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 Socratic graph.