Barbed versus conventional thread used in laparoscopic gastric bypass: a systematic review and meta-analysis

Chaouch, Mohamed Ali; Kellil, Tarek; Taieb, Sahbi Khaled; Zouari, Khadija

doi:10.1007/s00423-020-01979-9

Cited by 8 publications

(2 citation statements)

References 23 publications

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“…On the other hand, higher postoperative gastric remnant tube volume and neofundus formation have been linked to deteriorating weight loss. [ 29 , 30 ] In addition, the distance between the band and gastroesophageal junction varied slightly, ranging from 4 to 6 cm. The small sample size of the included patients made it difficult to determine the best band placement position.…”

Section: Discussionmentioning

confidence: 99%

Banded versus non-banded sleeve gastrectomy: A systematic review and meta-analysis

et al. 2023

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Background: Laparoscopic banded sleeve gastrectomy (LBSG) has been compared to laparoscopic sleeve gastrectomy (LSG) in terms of anthropometric results and postoperative complications, which are controversial. This systematic review and meta-analysis aimed to compare the safety and efficacy of LBSG and LSG. Methods: We performed a systematic review with meta-analysis according to preferred reporting items for systematic review and meta-analysis 2020 and assessing the methodological quality of systematic review 2 guidelines. We included studies that systematically searched electronic databases and compared LBSG with LSG conducted until August 10, 2021. Results: The literature search yielded 8 comparative studies. Seven hundred forty-three patients were included: 352 in the LBSG group and 391 in the LSG group. LBSG group allowed greater anthropometric parameters (body mass index [BMI] after 1 year (mean difference [MD] = −3.18; 95% CI [−5.45, −0.92], P = .006), %EWL after 1 year (MD = 8.02; 95% CI [1.22, 14.81], P = .02), and %EWL after 3 years (MD = 10.60; 95% CI [5.60, 15.69], P < .001) and similar results with LSG group in terms of operative time (MD = 1.23; 95% CI [−4.71, 7.17], P = .69), food intolerance (OR = 1.72; 95% CI [0.84, 3.49], P = .14), postoperative vomiting (OR = 2.10; 95% CI [0.69, 6.35], P = .19), and De novo GERD (OR = 0.65; 95% CI [0.34, 1.26], P = .2). Nevertheless, major postoperative complications did not differ between the 2 groups. Conclusions: This systematic review and meta-analysis comparing LBSG and LSG concluded that banding sleeve gastrectomy (SG) may ensure a lower BMI and %EWL after 1 year of follow-up, and a significant reduction in %EWL after 3 years of follow-up. There is no evidence to support LBSG in vomiting, de novo GERD, food intolerance, or operative time.

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Section: Discussionmentioning

confidence: 99%

Banded versus non-banded sleeve gastrectomy: A systematic review and meta-analysis

et al. 2023

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“…Conventional braided or monofilament suture threads are still widely used among surgeons for intestinal anastomosis [45, 46]. The challenge lies in maintaining the correct tension on the thread along the anastomotic run to prevent slippage [47]. An innovative approach that offers an alternative to the conventional braided or monofilament thread is the unidirectional knotless barbed suture which enables the surgeon to work efficiently with both hands and focus exclusively on following stitch placement [48, 49].…”

Section: Discussionmentioning

confidence: 99%

Enterotomy Closure after Minimally Invasive Distal Gastrectomy with Intracorporeal Anastomosis: A Multicentric Study

et al. 2022

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Introduction: Despite progressive improvements in technical skills and instruments have facilitate surgeons to perform intracorporeal gastro-jejunal and jejuno-jejunal anastomoses, one of the big challenging task is handsewn knot tying. We analysed the better way to fashion an handsewn intracorporeal enterotomy closure after a stapled anastomosis. Methods: All 579 consecutive patients from January 2009 to December 2019 who underwent minimally invasive partial gastrectomy for gastric cancer at thirteen high-volume institutions were retrospectively analysed. Different ways to fashion intracorporeal anastomoses were investigated: robotic vs. laparoscopic approach; laparoscopic HD vs. 3D vs. 4K technology; single layer vs. double layer enterotomies. Additionally, double layer enterotomies were analysed layer by layer, comparing running vs. interrupted suture; presence vs. absence of deep corner suture and type of suture thread (barbed, braided, non-braided suture). Results: Significant lower rates of bleeding (p = 0,011) and leakage (p = 0,048) from gastro-jejunal anastomosis were recorded in the double-layer group. Comparing barbed to braided and non-braided suture threads, the first was significantly associated to reduced intraluminal bleeding and leakage rates both in the first (p = 0,042 and p = 0,010) and second layer (p = 0,002 and p = 0,029). Conclusions: Our study found that double-layer sutures using barbed suture thread both in first and second layer to fashion enterotomy closure results in lower intraluminal bleeding and anastomotic leak rates.

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A fully stapled technique for gastrojejunal anastomosis creation in robotic Roux-en-Y gastric bypass

Prager

Huff²,

Alfieri³

et al. 2022

Langenbecks Arch Surg

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Barbed versus conventional thread used in laparoscopic gastric bypass: a systematic review and meta-analysis

Cited by 8 publications

References 23 publications

Banded versus non-banded sleeve gastrectomy: A systematic review and meta-analysis

Banded versus non-banded sleeve gastrectomy: A systematic review and meta-analysis

Enterotomy Closure after Minimally Invasive Distal Gastrectomy with Intracorporeal Anastomosis: A Multicentric Study

A fully stapled technique for gastrojejunal anastomosis creation in robotic Roux-en-Y gastric bypass

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