SynthesisObesity surgery2026
Prevalence of Severe Erosive Esophagitis After Sleeve Gastrectomy: A Systematic Review and Meta-Analysis.
Synthesis in Obesity surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundObesity has been a notable health problem over the past few decades because of its association with variable associated medical problems. Although sleeve gastrectomy (SG) is an important bariatric procedure, some reports suggest that its anatomical changes may compromise anti-reflux mechanisms. This systematic review and meta-analysis aim to evaluate the prevalence of postoperative endoscopically confirmed severe erosive esophagitis (EE), specifically defined as Los Angeles Grade C or D.
methodsThis research involved systematic review and meta-analysis of observational studies, with the study procedure in line with PRISMA 2020 guidelines. Extensive research was done in PubMed/MEDLINE, Scopus, and Web of Science to find studies on adult patients undergoing primary SG, followed by postoperative endoscopic evaluation. To be considered eligible, the study had to explicitly report erosive esophagitis, Los Angeles Grade C and/or Grade D.
resultsFifteen studies involving an overall counted patients of 1,587 patients were included in the meta-analysis, all of which were determined to be of high methodological quality. The overall pooled prevalence of severe erosive esophagitis (Los Angeles Grade C or D) was 3% (95% CI: 2%–6%), with substantial statistical heterogeneity (I² = 68.6%). prospective studies reported a prevalence of 7%, compared to 2% in retrospective studies.
conclusionThe overall prevalence of EE following SG is approximately 3%. While GERD remains a frequent post-procedure, the progression to endoscopic high-grade is a relatively infrequent phenomenon. However, the development of severe esophagitis represents a clinically significant outcome.
Indexed as
Identifiers
41964778What 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.