Promising effects of 33 to 36 Fr. bougie calibration for laparoscopic sleeve gastrectomy: a systematic review and network meta-analysis
Abstract The standard size of bougie for laparoscopic sleeve gastrectomy (LSG) is not yet established. Therefore, a systematic review and network meta-analysis were conducted to assess the weight loss effects and associated complications of LSG for patients with morbid obesity, based on different bo...
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| Format: | Article |
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Nature Portfolio
2021-07-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-021-94716-1 |
| _version_ | 1819200173125926912 |
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| author | Po-Chih Chang Kai-Hua Chen Hong-Jie Jhou Po-Huang Chen Chih-Kun Huang Cho-Hao Lee Ting-Wei Chang |
| author_facet | Po-Chih Chang Kai-Hua Chen Hong-Jie Jhou Po-Huang Chen Chih-Kun Huang Cho-Hao Lee Ting-Wei Chang |
| author_sort | Po-Chih Chang |
| collection | DOAJ |
| description | Abstract The standard size of bougie for laparoscopic sleeve gastrectomy (LSG) is not yet established. Therefore, a systematic review and network meta-analysis were conducted to assess the weight loss effects and associated complications of LSG for patients with morbid obesity, based on different bougie sizes. A total of 15 studies were reviewed in this systemic review and network meta-analysis (2,848 participants), including RCTs and retrospective studies in PubMed, and Embase until September 1, 2020. The effectiveness of different bougie calibration sizes was assessed based on excess weight loss (EWL), total complications, and staple line leak. Within this network meta-analysis, S-sized (≤ 32 Fr.) and M-sized (33–36 Fr.) bougies had similar effects and were associated with the highest EWL improvement among all different bougie sizes (S-sized: standardized mean difference [SMD], 10.52; 95% confidence interval [CI] − 5.59 to − 26.63, surface under the cumulative ranking curve [SUCRA], 0.78; and M-sized: SMD, 10.16; 95% CI − 3.04–23.37; SUCRA, 0.75). M-sized bougie was associated with the lowest incidence of total complications (M-sized: odds ratio, 0.43; 95% CI, 0.16–1.11; SUCRA, 0.92). Based on our network meta-analysis, using M-sized bougie (33–36 Fr.) is an optimal choice to balance the effectiveness and perioperative safety of LSG in the clinical practice. |
| first_indexed | 2024-12-23T03:28:01Z |
| format | Article |
| id | doaj.art-94837a9410c24fcd91761ae2885ba09e |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-23T03:28:01Z |
| publishDate | 2021-07-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-94837a9410c24fcd91761ae2885ba09e2022-12-21T18:01:47ZengNature PortfolioScientific Reports2045-23222021-07-011111910.1038/s41598-021-94716-1Promising effects of 33 to 36 Fr. bougie calibration for laparoscopic sleeve gastrectomy: a systematic review and network meta-analysisPo-Chih Chang0Kai-Hua Chen1Hong-Jie Jhou2Po-Huang Chen3Chih-Kun Huang4Cho-Hao Lee5Ting-Wei Chang6Division of Thoracic Surgery, Department of Surgery, Kaohsiung Medical University Hospital/Kaohsiung Medical UniversityDepartment of Surgery, Kaohsiung Medical University Hospital/Kaohsiung Medical UniversityDepartment of Neurology, Changhua Christian HospitalDepartment of Internal Medicine, Tri-Service General Hospital, National Defense Medical CenterBody Science and Metabolic Disorders International Medical Center, China Medical University HospitalDivision of Hematology and Oncology Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical CenterDepartment of Surgery, Kaohsiung Medical University Hospital/Kaohsiung Medical UniversityAbstract The standard size of bougie for laparoscopic sleeve gastrectomy (LSG) is not yet established. Therefore, a systematic review and network meta-analysis were conducted to assess the weight loss effects and associated complications of LSG for patients with morbid obesity, based on different bougie sizes. A total of 15 studies were reviewed in this systemic review and network meta-analysis (2,848 participants), including RCTs and retrospective studies in PubMed, and Embase until September 1, 2020. The effectiveness of different bougie calibration sizes was assessed based on excess weight loss (EWL), total complications, and staple line leak. Within this network meta-analysis, S-sized (≤ 32 Fr.) and M-sized (33–36 Fr.) bougies had similar effects and were associated with the highest EWL improvement among all different bougie sizes (S-sized: standardized mean difference [SMD], 10.52; 95% confidence interval [CI] − 5.59 to − 26.63, surface under the cumulative ranking curve [SUCRA], 0.78; and M-sized: SMD, 10.16; 95% CI − 3.04–23.37; SUCRA, 0.75). M-sized bougie was associated with the lowest incidence of total complications (M-sized: odds ratio, 0.43; 95% CI, 0.16–1.11; SUCRA, 0.92). Based on our network meta-analysis, using M-sized bougie (33–36 Fr.) is an optimal choice to balance the effectiveness and perioperative safety of LSG in the clinical practice.https://doi.org/10.1038/s41598-021-94716-1 |
| spellingShingle | Po-Chih Chang Kai-Hua Chen Hong-Jie Jhou Po-Huang Chen Chih-Kun Huang Cho-Hao Lee Ting-Wei Chang Promising effects of 33 to 36 Fr. bougie calibration for laparoscopic sleeve gastrectomy: a systematic review and network meta-analysis Scientific Reports |
| title | Promising effects of 33 to 36 Fr. bougie calibration for laparoscopic sleeve gastrectomy: a systematic review and network meta-analysis |
| title_full | Promising effects of 33 to 36 Fr. bougie calibration for laparoscopic sleeve gastrectomy: a systematic review and network meta-analysis |
| title_fullStr | Promising effects of 33 to 36 Fr. bougie calibration for laparoscopic sleeve gastrectomy: a systematic review and network meta-analysis |
| title_full_unstemmed | Promising effects of 33 to 36 Fr. bougie calibration for laparoscopic sleeve gastrectomy: a systematic review and network meta-analysis |
| title_short | Promising effects of 33 to 36 Fr. bougie calibration for laparoscopic sleeve gastrectomy: a systematic review and network meta-analysis |
| title_sort | promising effects of 33 to 36 fr bougie calibration for laparoscopic sleeve gastrectomy a systematic review and network meta analysis |
| url | https://doi.org/10.1038/s41598-021-94716-1 |
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