Summary of findings 7. Laparaoscopic gastric imbrication compared with laparoscopic sleeve gastrectomy for obesity.
| Laparaoscopic gastric imbrication compared with laparoscopic sleeve gastrectomy for obesity | ||||||
| Patient or population: participants with obesity Settings: any Intervention: laparoscopic gastric imbrication Comparison: laparoscopic sleeve gastrectomy | ||||||
| Outcomes | Illustrative comparative risks* (95% CI) | Relative effect (95% CI) | No of participants (studies) | Quality of the evidence (GRADE) | Comments | |
| Assumed risk | Corresponding risk | |||||
| Laparoscopic sleeve gastrectomy | Laparaoscopic gastric imbrication | |||||
| BMI at study end [kg/m²] Follow‐up: mean 36 months | The mean BMI at study end in the control group was 32.1 | The mean BMI at study end in the intervention group was 4.8 higher (0.1 lower to 9.7 higher) | ‐ | 30 (1) | ⊕⊝⊝⊝ very lowa | ‐ |
| Health‐related quality of life | See comment | See comment | Not estimable | See comment | See comment | Not reported |
| Comorbidities | See comment | See comment | Not estimable | See comment | See comment | Not reported |
|
Mortality Follow‐up: mean 36 months |
See comment | See comment | Not estimable | 30 (1) | ⊕⊝⊝⊝ very lowa | No deaths occurred |
| Serious adverse events (SAEs) | See comment | See comment | Not estimable | See comment | See comment | Not reported |
|
Reoperations [%] Follow‐up: mean 36 months |
See comment | See comment | Not estimable | 30 (1) | ⊕⊝⊝⊝ very lowa | 2 (16.7%) participants in the laparoscopic gastric imbrication group |
| *The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI). BMI: body mass index; CI: confidence interval | ||||||
| GRADE Working Group grades of evidence High quality: Further research is very unlikely to change our confidence in the estimate of effect. Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate. Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate. Very low quality: We are very uncertain about the estimate. | ||||||
aDowngraded by three levels due to one trial only with few participants, and high risk of 'other' bias and unclear risk of bias across the other domains