ReviewWorld journal of gastroenterology2023
Choosing the best endoscopic approach for post-bariatric surgical leaks and fistulas: Basic principles and recommendations.
Review in World journal of gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Endoscopic closure techniques of bariatric surgery complications: a meta-analysis.Surgical endoscopy · 2024Pooled it
- Enhanced Endoscopic Internal Drainage of Gastric Abscess Through Additively Manufactured Stents.Advanced healthcare materials · 2026Article
- Closing the Gap: Endoscopic Management of Post-Surgical Gastrointestinal Fistulas Using the Padlock Clip™-A Single-Center Experience.Journal of clinical medicine · 2026Article
- Interventional Endoscopy for the Management of Post-Surgical Leaks and Fistulas: A Scoping Review.Journal of clinical medicine · 2026Review
- Endoscopic Management of Post-Sleeve Gastrectomy Leaks Using Long, Fully Covered Stents.The Korean journal of helicobacter and upper gastrointestinal research · 2026Article
- Article
- Rectal Impaction of a Migratory Duck Bone After 72 Asymptomatic Hours: A Defused Time Bomb.Clinical case reports · 2026Article
- Complications After Bariatric Surgery: Insights from a 14-Year Single-Institutional Study Without Fistula.Journal of clinical medicine · 2025Article
- Article
- Endoscopic Management of Post-Sleeve Gastrectomy Complications.Journal of clinical medicine · 2024Review
- Endoscopic diagnosis and treatment of a pyriform sinus-cutaneous fistula in a non-pediatric patient: thinking outside the box.iGIE : innovation, investigation and insights · 2024Article
- Endoscopic management of colorectal anastomosis refractory leaks: a journey from conventional to inventive approaches.iGIE : innovation, investigation and insights · 2023Article
- Endoluminal Rescue Management in a Complete Dehiscence of the Gastric Sleeve Suture Line.Obesity surgery · 2023Article
- Endoscopic Approaches for Post Roux-en-Y Gastric Bypass Leaks: How to Choose the Best Tool for Each Task.Obesity surgery · 2023Article
- Primary Repair of Gastrobronchial Fistula Presenting 12 Years Post Uncomplicated Laparoscopic Sleeve Gastrectomy.CRSLS : MIS case reports from SLSArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Post-surgical leaks and fistulas are the most feared complication of bariatric surgery. They have become more common in clinical practice given the increasing number of these procedures and can be very difficult to treat. These two related conditions must be distinguished and characterized to guide the appropriate treatment. Leak is defined as a transmural defect with communication between the intra and extraluminal compartments, while fistula is defined as an abnormal communication between two epithelialized surfaces. Traditionally, surgical treatment was the preferred approach for leaks and fistulas and was associated with high morbidity with significant mortality rates. However, with the development of novel devices and techniques, endoscopic therapy plays an increasingly essential role in managing these conditions. Early diagnosis and endoscopic therapy initiation after clinical stabilization are crucial to success since clinical success rates are higher for acute leaks and fistulas when compared to late and chronic leaks and fistulas. Several endoscopic techniques are available with different mechanisms of action, including direct closure, covering/diverting or draining. The treatment should be individualized by considering the characteristics of both the patient and the defect. Although there is a lack of high-quality studies to provide standardized treatment algorithms, this narrative review aims to provide a summary of the current scientific evidence and, based on this data and our extensive experience, make recommendations to help choose the best endoscopic approach for the management of post-bariatric surgical leaks and fistulas.
Indexed as
Identifiers
What Socratic holds
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.