Evidence map›Paper›PMID 23173751›Full record

Trial reportBMC surgery2012

GERD in elderly patients: surgical treatment with Nissen-Rossetti laparoscopic technique, outcome.

Giovanni Aprea, Antonio Ferronetti, Alfonso Canfora, Fabrizio Cardin, Antonio Giugliano, Francesco Guida, Antonio Braun, Melania Battaglini Ciciriello, Federica Tovecci, Giovanni Mastrobuoni and 1 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Giovanni ApreaDepartment of General, Geriatric, Oncologic Surgery and Advanced Technologies, University Federico II of Naples, Via Pansini 5, 80131 Naples, Italy. giovanni.aprea@yahoo.it
Antonio Ferronetti
Alfonso Canfora
Fabrizio Cardin
Antonio Giugliano
Francesco Guida
Antonio Braun
Melania Battaglini Ciciriello
Federica Tovecci
Giovanni Mastrobuoni
Bruno Amato
University of Naples Federico II · ITUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe gastro-esophageal reflux disease (GERD) is one of the most frequent disease of the upper gastro-entheric tract. Surgical treatment is reserved to selected patients, affected by severe forms of disease and/or without compliance to medical therapy.In 95%-60% of the patients submitted to surgical antireflux intervention, a notable improvement of the quality of life is observed.Functional evaluations performed on pre and post--surgical pHmetric and manometric examination have provided new acquisitions about improvements in the restoration of anatomical and functional integrity of the esophagus-gastric antireflux barrier.

methods45 elderly patients with GERD were recruited in a 27 months period. All patients were subjected to laparoscopic Nissen-Rossetti 360° fundoplication. The subjects had a pre-surgical evaluation with:• 24 hours pHmetry,• esophageal manometry,The same evaluation was repeated 1 month and 6 months after surgical intervention.

resultsIn our series all patients get benefit from surgical treatment, with an improvement of pHmetric and manometric parameters and a regression of complications of GERD such as Barrett's metaplasia. In 8.33% of patients a PPI therapy was necessary, after the surgical intervention, to control symptoms.

conclusionsThe role of surgery in GERD concerns selected patients. Nissen-Rossetti mini-invasive approach is performed with an acceptable percentage of complications (3%-10%). This technique is associated with a good control of GERD symptoms in a short and middle term and with an improvement of functional parameters, such as pHmetric and manometric.

Indexed as

AgedAged, 80 and overEsophageal pH MonitoringFemaleFollow-Up StudiesFundoplicationGastroesophageal RefluxHumansLaparoscopyMaleManometryProspective StudiesTreatment Outcome

Identifiers

PMID23173751
PMCPMC3499210
OpenAlexW2036263974

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.