Closure of Mesenteric Defects in Laparoscopic Gastric Bypass: a Meta-Analysis
Introduction The purpose of the current study was to review the available literature on morbidly obese patients treated with laparoscopic Roux-en-Y gastric bypass (LRYGB) in order to assess the clinical outcomes of the routine closure of the mesenteric defects. Methods A literature search was perfor...
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| Veröffentlicht in: | Obesity surgery 2020-05, Vol.30 (5), p.1935-1943 |
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| container_title | Obesity surgery |
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| creator | Magouliotis, Dimitrios E. Tzovaras, George Tasiopoulou, Vasiliki S. Christodoulidis, Grigorios Zacharoulis, Dimitris |
| description | Introduction
The purpose of the current study was to review the available literature on morbidly obese patients treated with laparoscopic Roux-en-Y gastric bypass (LRYGB) in order to assess the clinical outcomes of the routine closure of the mesenteric defects.
Methods
A literature search was performed in PubMed, Cochrane library, and Scopus, in accordance with the PRISMA guidelines.
Results
Nine studies met the inclusion criteria. A total of 16,520 patients were incorporated with a mean follow-up ranging from 34 to 120 months. The closure of the mesenteric defects was associated with a lower incidence of internal hernias (odds ratio, 0.25 [95% confidence interval 0.20, 0.31];
p
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| doi_str_mv | 10.1007/s11695-020-04418-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2342356172</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2342356172</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-d88d93054262153212ebd332e97b8436cd4ea96e6c9d3abdd25f16b45724a1503</originalsourceid><addsrcrecordid>eNp9kLFu2zAQhomgRe04fYEMhYAuWZSSR5EiuzlO4hSw0SWdCUo6FTJkSeFJg98-dO02QIZOxPG--8n7GLsW_FZwnn8jIbRVKQee8iwTJoULNhc5N7EE84HNudU8NRbkjF0S7TgHoQE-sZkUVimZiznbrtqepoBJXydbJOxGDE2Z3GON5UhJ0yUbP_jQU9kP8X7taTz27w6DJ_qe-Dg0-nTZ-fZADV2xj7VvCT-fzwX79fjwvHpKNz_XP1bLTVrKXI1pZUxlJVcZaBBKggAsKikBbV6YTOqyytBbjbq0lfRFVYGqhS4ylUPmheJywW5OuUPoXyak0e0bKrFtfYf9RA5kBlJpkUNEv75Dd_0U4n-PlDHSWitVpOBElXFVCli7ITR7Hw5OcHeU7U6yXZTt_sh2x-gv5-ip2GP1b-Sv3QjIE0Cx1f3G8Pb2f2JfAXYJh8Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2388399935</pqid></control><display><type>article</type><title>Closure of Mesenteric Defects in Laparoscopic Gastric Bypass: a Meta-Analysis</title><source>MEDLINE</source><source>SpringerLink</source><creator>Magouliotis, Dimitrios E. ; Tzovaras, George ; Tasiopoulou, Vasiliki S. ; Christodoulidis, Grigorios ; Zacharoulis, Dimitris</creator><creatorcontrib>Magouliotis, Dimitrios E. ; Tzovaras, George ; Tasiopoulou, Vasiliki S. ; Christodoulidis, Grigorios ; Zacharoulis, Dimitris</creatorcontrib><description>Introduction
The purpose of the current study was to review the available literature on morbidly obese patients treated with laparoscopic Roux-en-Y gastric bypass (LRYGB) in order to assess the clinical outcomes of the routine closure of the mesenteric defects.
Methods
A literature search was performed in PubMed, Cochrane library, and Scopus, in accordance with the PRISMA guidelines.
Results
Nine studies met the inclusion criteria. A total of 16,520 patients were incorporated with a mean follow-up ranging from 34 to 120 months. The closure of the mesenteric defects was associated with a lower incidence of internal hernias (odds ratio, 0.25 [95% confidence interval 0.20, 0.31];
p
< 0.01), small bowel obstruction (SBO) (0.30 [0.17, 0.52];
p
< 0.0001) and reoperations (0.28 [0.15, 0.52];
p
< 0.001). Both approaches presented similar complication rates and % excess weight loss (%EWL).
Conclusion
The present meta-analysis is the best currently available evidence on the topic and supports the routine closure of the mesenteric defects.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-020-04418-2</identifier><identifier>PMID: 31955371</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Defects ; Gastric Bypass - adverse effects ; Gastrointestinal surgery ; Humans ; Laparoscopy ; Medicine ; Medicine & Public Health ; Mesentery - surgery ; Meta-analysis ; Obesity, Morbid - surgery ; Original Contributions ; Postoperative Complications ; Retrospective Studies ; Surgery</subject><ispartof>Obesity surgery, 2020-05, Vol.30 (5), p.1935-1943</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-d88d93054262153212ebd332e97b8436cd4ea96e6c9d3abdd25f16b45724a1503</citedby><cites>FETCH-LOGICAL-c375t-d88d93054262153212ebd332e97b8436cd4ea96e6c9d3abdd25f16b45724a1503</cites><orcidid>0000-0002-8972-064X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-020-04418-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-020-04418-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31955371$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Magouliotis, Dimitrios E.</creatorcontrib><creatorcontrib>Tzovaras, George</creatorcontrib><creatorcontrib>Tasiopoulou, Vasiliki S.</creatorcontrib><creatorcontrib>Christodoulidis, Grigorios</creatorcontrib><creatorcontrib>Zacharoulis, Dimitris</creatorcontrib><title>Closure of Mesenteric Defects in Laparoscopic Gastric Bypass: a Meta-Analysis</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Introduction
The purpose of the current study was to review the available literature on morbidly obese patients treated with laparoscopic Roux-en-Y gastric bypass (LRYGB) in order to assess the clinical outcomes of the routine closure of the mesenteric defects.
Methods
A literature search was performed in PubMed, Cochrane library, and Scopus, in accordance with the PRISMA guidelines.
Results
Nine studies met the inclusion criteria. A total of 16,520 patients were incorporated with a mean follow-up ranging from 34 to 120 months. The closure of the mesenteric defects was associated with a lower incidence of internal hernias (odds ratio, 0.25 [95% confidence interval 0.20, 0.31];
p
< 0.01), small bowel obstruction (SBO) (0.30 [0.17, 0.52];
p
< 0.0001) and reoperations (0.28 [0.15, 0.52];
p
< 0.001). Both approaches presented similar complication rates and % excess weight loss (%EWL).
Conclusion
The present meta-analysis is the best currently available evidence on the topic and supports the routine closure of the mesenteric defects.</description><subject>Defects</subject><subject>Gastric Bypass - adverse effects</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mesentery - surgery</subject><subject>Meta-analysis</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Contributions</subject><subject>Postoperative Complications</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kLFu2zAQhomgRe04fYEMhYAuWZSSR5EiuzlO4hSw0SWdCUo6FTJkSeFJg98-dO02QIZOxPG--8n7GLsW_FZwnn8jIbRVKQee8iwTJoULNhc5N7EE84HNudU8NRbkjF0S7TgHoQE-sZkUVimZiznbrtqepoBJXydbJOxGDE2Z3GON5UhJ0yUbP_jQU9kP8X7taTz27w6DJ_qe-Dg0-nTZ-fZADV2xj7VvCT-fzwX79fjwvHpKNz_XP1bLTVrKXI1pZUxlJVcZaBBKggAsKikBbV6YTOqyytBbjbq0lfRFVYGqhS4ylUPmheJywW5OuUPoXyak0e0bKrFtfYf9RA5kBlJpkUNEv75Dd_0U4n-PlDHSWitVpOBElXFVCli7ITR7Hw5OcHeU7U6yXZTt_sh2x-gv5-ip2GP1b-Sv3QjIE0Cx1f3G8Pb2f2JfAXYJh8Q</recordid><startdate>20200501</startdate><enddate>20200501</enddate><creator>Magouliotis, Dimitrios E.</creator><creator>Tzovaras, George</creator><creator>Tasiopoulou, Vasiliki S.</creator><creator>Christodoulidis, Grigorios</creator><creator>Zacharoulis, Dimitris</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8972-064X</orcidid></search><sort><creationdate>20200501</creationdate><title>Closure of Mesenteric Defects in Laparoscopic Gastric Bypass: a Meta-Analysis</title><author>Magouliotis, Dimitrios E. ; Tzovaras, George ; Tasiopoulou, Vasiliki S. ; Christodoulidis, Grigorios ; Zacharoulis, Dimitris</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-d88d93054262153212ebd332e97b8436cd4ea96e6c9d3abdd25f16b45724a1503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Defects</topic><topic>Gastric Bypass - adverse effects</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mesentery - surgery</topic><topic>Meta-analysis</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Contributions</topic><topic>Postoperative Complications</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Magouliotis, Dimitrios E.</creatorcontrib><creatorcontrib>Tzovaras, George</creatorcontrib><creatorcontrib>Tasiopoulou, Vasiliki S.</creatorcontrib><creatorcontrib>Christodoulidis, Grigorios</creatorcontrib><creatorcontrib>Zacharoulis, Dimitris</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Magouliotis, Dimitrios E.</au><au>Tzovaras, George</au><au>Tasiopoulou, Vasiliki S.</au><au>Christodoulidis, Grigorios</au><au>Zacharoulis, Dimitris</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Closure of Mesenteric Defects in Laparoscopic Gastric Bypass: a Meta-Analysis</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2020-05-01</date><risdate>2020</risdate><volume>30</volume><issue>5</issue><spage>1935</spage><epage>1943</epage><pages>1935-1943</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Introduction
The purpose of the current study was to review the available literature on morbidly obese patients treated with laparoscopic Roux-en-Y gastric bypass (LRYGB) in order to assess the clinical outcomes of the routine closure of the mesenteric defects.
Methods
A literature search was performed in PubMed, Cochrane library, and Scopus, in accordance with the PRISMA guidelines.
Results
Nine studies met the inclusion criteria. A total of 16,520 patients were incorporated with a mean follow-up ranging from 34 to 120 months. The closure of the mesenteric defects was associated with a lower incidence of internal hernias (odds ratio, 0.25 [95% confidence interval 0.20, 0.31];
p
< 0.01), small bowel obstruction (SBO) (0.30 [0.17, 0.52];
p
< 0.0001) and reoperations (0.28 [0.15, 0.52];
p
< 0.001). Both approaches presented similar complication rates and % excess weight loss (%EWL).
Conclusion
The present meta-analysis is the best currently available evidence on the topic and supports the routine closure of the mesenteric defects.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31955371</pmid><doi>10.1007/s11695-020-04418-2</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-8972-064X</orcidid></addata></record> |
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| subjects | Defects Gastric Bypass - adverse effects Gastrointestinal surgery Humans Laparoscopy Medicine Medicine & Public Health Mesentery - surgery Meta-analysis Obesity, Morbid - surgery Original Contributions Postoperative Complications Retrospective Studies Surgery |
| title | Closure of Mesenteric Defects in Laparoscopic Gastric Bypass: a Meta-Analysis |
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