Evidence mapPaperPMID 33159298Full record

SynthesisSurgical endoscopy2021

Customized bariatric stents for sleeve gastrectomy leak: are they superior to conventional esophageal stents? A systematic review and proportion meta-analysis.

Hytham K S Hamid, Sameh H Emile, Alan A Saber, Mürşit Dincer, Diogo T H de Moura, Lennard P L Gilissen, Majid A Almadi, Mauro Montuori, Michel Vix, Luis G S Perisse and 3 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
  6. CIRSE Standards of Practice on Oesophageal and Gastroduodenal Stenting.Cardiovascular and interventional radiology · 2023
    Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
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

13 authors at 13 institutions in 12 countries.

Hytham K S HamidDepartment of Surgery, Soba University Hospital, Khartoum, Sudan. kujali2@gmail.com.ORCID http://orcid.org/0000-0001-8068-0154
Sameh H EmileColorectal Surgery Unit, Department of General Surgery, Mansoura University Hospitals, Mansoura University, Mansoura, Egypt.
Alan A SaberBariatric Surgery Unit, Department of Surgery, Newark Beth Israel Medical Center, Newark, NJ, USA.
Mürşit DincerDepartment of General Surgery, School of Medicine, Firat University, Elazig, Turkey.
Diogo T H de MouraDepartment of Surgery, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Lennard P L GilissenDepartment of Gastroenterology and Hepatology, Catharina Hospital, Eindhoven, The Netherlands.
Majid A AlmadiDivision of Gastroenterology, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
Mauro MontuoriBariatric Surgery Unit, Department of Experimental Medicine and Surgery, University of Rome Tor Vergata, Rome, Italy.
Michel VixDepartment of General, Digestive and Endocrine Surgery, IRCAD-IHU, University of Strasbourg, Strasbourg, France.
Luis G S PerisseDigestive Endoscopy Unit, Gaffrée e Guinle University Hospital, Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil.
Nicolás QuezadaDepartment of Digestive Surgery, School of Medicine, Pontifical Catholic University of Chile, Santiago, Chile.
Fabio GarofaloDepartment of Surgery, Ospedale Régionale di Lugano (EOC), Lugano, Switzerland.
Radu PescarusDivision of Bariatric Surgery, Department of Surgery, Sacré-Cœur de Montréal Hospital, University of Montréal, Montreal, Canada.
Fırat University · TRHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRHospital Universitário Gaffrée e Guinle · BRInstitut de Recherche contre les Cancers de l’Appareil Digestif · FRKing Saud University · SAMansoura University · EGNewark Beth Israel Medical Center · USOspedale regionale di Lugano · CHPontificia Universidad Católica de Chile · CLRadboud University Nijmegen · NLUniversité de Montréal · CAUniversity of Khartoum · SDUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRecently, there has been a burgeoning interest in the utilization of customized bariatric stents (CBS) for management of sleeve gastrectomy leak (SGL). We aimed to conduct a proportion meta-analysis to evaluate the cumulative efficacy and safety of these new stents and to compare them with the conventional esophageal stents (CES).

methodsA systematic literature search of the PubMed, Cochrane Library, Scopus, Web of Science and Google Scholar databases was conducted through May 1, 2020. Primary outcomes were technical and clinical success and post-procedure adverse events of CBS and CES. Secondary outcomes were number of stents and endoscopic sessions per patient, and time to leak closure. A proportion meta-analysis was performed on outcomes using a random-effects model, and the weighted pooled rates (WPRs) or mean difference with 95% confidence interval (CI) were calculated.

resultsThe WPR with 95% CI of technical success, clinical success, and stent migration for CBS were 99% (93-100%) I

conclusionsIn treatment of SGL, there is very low level evidence that CES are superior to CBS in terms of clinical success and migration rate, though may require more stent insertions and endoscopic procedures. The evidence however remains very uncertain. Perhaps relevant to some types of stents, CBS are promising; however design modification is strongly recommended to improve outcomes.

Indexed as

AdultAnastomotic LeakBariatric SurgeryEndoscopyEsophagusFemaleGastrectomyHumansMaleStentsTreatment OutcomeBariatric stentsEndoscopicLeakObesitySleeve gastrectomy

Identifiers

PMID33159298
OpenAlexW3094808968

What Socratic 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 Socratic graph.