Evidence map›Paper›PMID 26242886›Full record

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

Association of Body Mass Index (BMI) with Patterns of Fundoplication Failure: Insights Gained.

Shunsuke Akimoto, Kalyana C Nandipati, Harit Kapoor, Se Ryung Yamamoto, Pradeep K Pallati, Sumeet K Mittal

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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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Salvage Options for Fundoplication Failure.Current gastroenterology reports · 2019
    Review
  11. Article
  12. Article
  13. 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

6 authors.

Shunsuke AkimotoDepartment of Surgery, Creighton University Medical Center, 601 North 30th Street, Suite 3700, Omaha, NE, 68131, USA.
Kalyana C NandipatiDepartment of Surgery, Creighton University Medical Center, 601 North 30th Street, Suite 3700, Omaha, NE, 68131, USA.
Harit KapoorDepartment of Surgery, Creighton University Medical Center, 601 North 30th Street, Suite 3700, Omaha, NE, 68131, USA.
Se Ryung YamamotoDepartment of Surgery, Creighton University Medical Center, 601 North 30th Street, Suite 3700, Omaha, NE, 68131, USA.
Pradeep K PallatiDepartment of Surgery, Creighton University Medical Center, 601 North 30th Street, Suite 3700, Omaha, NE, 68131, USA.
Sumeet K MittalDepartment of Surgery, Creighton University Medical Center, 601 North 30th Street, Suite 3700, Omaha, NE, 68131, USA. skmittal@creighton.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity has been implicated as an important risk factor for fundoplication failure. However, the mechanism of fundoplication in obese patients is not fully understood. Our objective is to evaluate the patterns of failure in relation to the body mass index (BMI) undergoing re-operative intervention after failed fundoplication.

methodsAfter Institutional Review Board approval, the patients who underwent re-operative intervention for failed fundoplication between November 2008 and December 2013 were identified. Patients were classified into three groups: non-obese, obese, and morbidly obese (<30, 30-35, >35 BMI, respectively). Pre-operative assessment and operative procedure performed were compared between the groups.

resultsOne hundred twenty-four patients satisfied study criteria. Non-obese patients (53.2 %) had significantly more dysphagia as an indication for re-operative procedure (obese 31.6 %, p < 0.05; morbidly 16.7 %, p < 0.05). Obese and morbidly obese patients had significantly higher incidence of recurrent hiatal hernia than non-obese patients (88.7 vs. 65.6 %, p < 0.05). Morbidly obese patients had significantly higher incidence of disrupted fundoplication than non-obese patients (41.7 vs. 19.4 %, p < 0.05).

conclusionSimilar anatomical failure patterns of state of fundoplication and recurrent hiatal hernia were noted between obese patients and morbidly obese patients and were distinct from non-obese patients.

Indexed as

FundoplicationAdolescentAdultAgedAged, 80 and overBody Mass IndexFemaleGastroesophageal RefluxHumansMaleMiddle AgedObesity, MorbidReoperationRisk FactorsTreatment FailureYoung AdultAnti-reflux surgeryFailed fundoplicationObesityRedo fundoplicationRoux-en-Y

Identifiers

PMID26242886

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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.