Evidence map›Paper›PMID 26081111›Full record

ArticleObesity surgery2016

Short-Term Results of Laparoscopic Sleeve Gastrectomy in Combination with Hiatal Hernia Repair: Experience in a Single Accredited Center.

Maher El Chaar, George Ezeji, Leonardo Claros, Maureen Miletics, Jill Stoltzfus

Abstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Concomitant Hiatal Hernia Repair with Sleeve Gastrectomy: A 5-Year Analysis.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    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

5 authors.

Maher El ChaarDepartment of Surgery, Division of Bariatric and Minimally Invasive Surgery, The Medical School of Temple University, St Luke's University and Health Network, 240 Cetronia Road, Suite 205, North Allentown, PA, 18104, USA. Maher.Elchaar@sluhn.org.
George EzejiDepartment of Surgery, Division of Bariatric and Minimally Invasive Surgery, The Medical School of Temple University, St Luke's University and Health Network, 240 Cetronia Road, Suite 205, North Allentown, PA, 18104, USA.
Leonardo ClarosDepartment of Surgery, Division of Bariatric and Minimally Invasive Surgery, The Medical School of Temple University, St Luke's University and Health Network, 240 Cetronia Road, Suite 205, North Allentown, PA, 18104, USA.
Maureen MileticsDepartment of Surgery, Division of Bariatric and Minimally Invasive Surgery, The Medical School of Temple University, St Luke's University and Health Network, 240 Cetronia Road, Suite 205, North Allentown, PA, 18104, USA.
Jill StoltzfusResearch Institute and Medical School of Temple University, St. Luke's University Health Network, Allentown, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic sleeve gastrectomy (SG), while generally safe and efficacious, may be complicated by gastroesophageal reflux disease (GERD) symptoms as well as the need for hiatus hernia (HH) repair. Identification and management of HH during SG and the effect of HH repair on GERD-related symptoms following SG are controversial.

objectiveThis study aimed to evaluate HH repair during SG in morbidly obese patients and its short-term effect on GERD-related symptoms and other clinical outcomes.

settingUniversity Hospital, United States

methodsWe retrospectively reviewed patients who underwent primary SG and HH repair. Outcomes included operative time, blood loss, postoperative excess weight loss (%EWL), and self-reported GERD symptoms using a health-related quality of life (HRQL) questionnaire.

resultsFor a total of 338 patients, 99 patients (29 %) underwent SG in combination with HH repair; 56 patients (16 %) underwent anterior repair of HH (SG + HH), and 43 patients (13 %) underwent posterior repair with or without mesh placement (SG + paraesophageal hernia (PEH)). We found no significant differences in operative time or blood loss, with significantly higher %EWL at 6 months in SG + HH (n = 43) and SG + PEH (n = 32) compared to SG alone (n = 190). There was also a statistically significant improvement in postoperative GERD symptoms. Finally, SG + HH and SG + PEH patients reported greater satisfaction compared to SG patients (>93 versus 87 %).

conclusionsSG patients undergoing HH repair experienced higher %EWL, improved GERD symptoms, and greater satisfaction compared to SG alone in the short term. Further studies are needed to clarify long-term outcomes among patients undergoing SG in combination with HH repair.

Indexed as

AdultBariatric SurgeryFemaleGastrectomyGastroesophageal RefluxHernia, HiatalHerniorrhaphyHumansLaparoscopyMaleMiddle AgedObesity, MorbidOperative TimePatient SatisfactionQuality of LifeRetrospective StudiesBariatric surgeryGastroesophageal reflux disease (GERD)Hiatus hernia (HH) repairLaparoscopic sleeve gastrectomy (SG)

Identifiers

What OpenQuestion holds

Textmetadata
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.