Evidence map›Paper›PMID 26242885›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2015

Symptom Relief After Laparoscopic Paraesophageal Hernia Repair Without Mesh.

Rym El Khoury, Mauricio Ramirez, Eric S Hungness, Nathaniel J Soper, Marco G Patti

Abstract read
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In one paragraph

Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Guideline
  2. Paraesophageal hernia: to fundoplicate or not?Annals of translational medicine · 2021
    Review
  3. Article
  4. Article
  5. Long-Term Outcomes Following Laparoscopic Repair of Large Hiatus Hernias Performed by Trainees Versus Consultant Surgeons.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020
    Article
  6. Review
  7. Minimally Invasive Surgery Should Be the Standard of Care for Paraesophageal Hernia Repair.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017
    Article
  8. Surgical Treatment of Paraesophageal Hernias: A Review.Journal of laparoendoscopic & advanced surgical techniques. Part A · 2016
    Review
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 at 2 institutions in 1 country.

Rym El KhouryDepartment of Surgery, Northwestern University, 676 North Saint Clair, Suite 650, Chicago, IL, 60611, USA. rymelkhoury@gmail.com.
Mauricio RamirezDepartment of Surgery, University of Chicago, Chicago, IL, USA.
Eric S HungnessDepartment of Surgery, Northwestern University, 676 North Saint Clair, Suite 650, Chicago, IL, 60611, USA.
Nathaniel J SoperDepartment of Surgery, Northwestern University, 676 North Saint Clair, Suite 650, Chicago, IL, 60611, USA.
Marco G PattiDepartment of Surgery, University of Chicago, Chicago, IL, USA.
Northwestern University · USUniversity of Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic repair of paraesophageal hernia (LPEHR) is considered today the standard of care for this condition. While attention has been mostly focused on the incidence of postoperative radiologic recurrence of a hiatal hernia, few data are available about the effect of the operation on symptoms.

aimsIn this study, we aim to determine the effect of primary LPEHR on postoperative symptoms. PATIENTS AND

methodsOne hundred and sixty-two patients underwent LPEH repair in two academic tertiary care centers. Preoperative evaluation included barium swallow (100 %), endoscopy (80 %), manometry (81 %), and pH monitoring (25 %). Type III PEH was the most common (94 %), and it was associated with a gastric volvulus in 27 % of patients.

resultsA fundoplication was performed in all patients: Nissen in 57 %, Dor in 36 %, and Toupet in 6 %. A Collis gastroplasty was added in 6 % of patients. There were no perioperative deaths. The intraoperative complication rate was 7 %. The operation was completed laparoscopically in 98 % of patients. Postoperative complications occurred in four patients, and three needed a second operation. Average follow-up was 24 months. Heartburn, regurgitation, chest pain, dysphagia, respiratory symptoms, and hoarseness improved as a result of the operation. Anemia fully resolved in all patients.

conclusionsLPEH repair is safe and effective, and the need for reoperation is rare. Few patients experience postoperative symptoms, and these are easily controlled with acid-reducing medications.

Indexed as

HerniorrhaphyLaparoscopyAdultAgedFemaleFundoplicationHernia, HiatalHumansMaleMiddle AgedRetrospective StudiesSymptom AssessmentTreatment OutcomeAnemiaDor fundoplicationDysphagiaGastroesophageal reflux diseaseHeartburnNissen fundoplicationParaesophageal herniaRegurgitationToupet fundoplication

Identifiers

PMID26242885
OpenAlexW1104153378

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.