Evidence map›Paper›PMID 39136791›Full record

ReviewLangenbeck's archives of surgery2024

Leaks after laparoscopic sleeve gastrectomy: 2024 update on risk factors.

Angelo Iossa, Lorenzo Martini, Francesco De Angelis, Alessandra Micalizzi, Brad Michael Watkins, Gianfranco Silecchia, Giuseppe Cavallaro

Abstract readReview
PubMed Publisher
In one paragraph

Review in Langenbeck's archives of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Technical variability and safety of sleeve gastrectomy: a nationwide survey of bariatric centers in Poland.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2025
    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

7 authors.

Angelo IossaDepartment of Medical-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, 'La Sapienza' University of Rome-Polo Pontino, Bariatric Centre of Excellence SICOB, Latina, Italy. angelo.iossa@uniroma1.it.ORCID http://orcid.org/0000-0002-6798-8100
Lorenzo MartiniDepartment of Medical-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, 'La Sapienza' University of Rome-Polo Pontino, Bariatric Centre of Excellence SICOB, Latina, Italy.
Francesco De AngelisDepartment of Medical-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, 'La Sapienza' University of Rome-Polo Pontino, Bariatric Centre of Excellence SICOB, Latina, Italy.
Alessandra MicalizziDepartment of Medical-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, 'La Sapienza' University of Rome-Polo Pontino, Bariatric Centre of Excellence SICOB, Latina, Italy.ORCID http://orcid.org/0000-0003-1562-4572
Brad Michael WatkinsOptum Medical Director, New York, USA.
Gianfranco SilecchiaDepartment of Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and Psychology, St Andrea Hospital, Sapienza University, Rome, Italy.
Giuseppe CavallaroDepartment of Medical-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, 'La Sapienza' University of Rome-Polo Pontino, Bariatric Centre of Excellence SICOB, Latina, Italy.ORCID http://orcid.org/0000-0001-7121-2295

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLeaks after sleeve gastrectomy remain a deadly complication significantly affecting outcomes and medical costs. The aim of the present review is to provide an updated decalogue on leak prevention.

methodsRisk factors of leakage after LSG were examined based on an extensive review of literature (in period time 2016-2024) and summary of evidence was provided using Oxford levels of evidence scale.

resultsPathogenesis of leakage after LSG still remain related to ischemic and mechanical factors and, therefore, no new evidence has been reported. Conversely, some technical aspect of the procedure has changed: bougie size, antrum resection, staple line reinforcement, and intraoperative leak testing.

conclusionsBougie size 36 F is effective and safe achieving similar leakage rate compared to larger bougie sizes (EL:2) 2024 UPDATE; There is no significant difference in the leak rate between restrictive (< 6 cm) and conservative (6 cm) antrum resection (EL: 1) 2024 UPDATE; Surgical experience and case volume affect the leak rate more consistently than every kind of SLR (EL: 2) 2024 UPDATE; Intraoperative leak test after LSG represents a decision based on surgeon preference in absence of standardization (endoscopy, bubble test, methylene blue, indocyanine green.) and strong detection/prevention rate (EL: 3) 2024 UPDATE.

Indexed as

Anastomotic LeakGastrectomyLaparoscopyHumansObesity, MorbidRisk FactorsFistulaLeakPathogenesisSleeve gastrectomyTechnical tips, leak prevention

Identifiers

PMID39136791

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.