Evidence map›Paper›PMID 27813017›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2017

Tri-comparison of Laparoscopic Nissen, Hill, and Nissen-Hill Hybrid Repairs for Uncomplicated Gastroesophageal Reflux Disease.

Andreas M Schneider, Ralph W Aye, Candice L Wilshire, Alexander S Farivar, Brian E Louie

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2017. 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
–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

2 citing papers in PubMed.

  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

5 authors.

Andreas M SchneiderDivision of Thoracic Surgery, Swedish Cancer Institute and Medical Center, 1101 Madison St. Suite 900, Seattle, WA, 98104, USA.
Ralph W AyeDivision of Thoracic Surgery, Swedish Cancer Institute and Medical Center, 1101 Madison St. Suite 900, Seattle, WA, 98104, USA. ralph.aye@swedish.org.
Candice L WilshireDivision of Thoracic Surgery, Swedish Cancer Institute and Medical Center, 1101 Madison St. Suite 900, Seattle, WA, 98104, USA.
Alexander S FarivarDivision of Thoracic Surgery, Swedish Cancer Institute and Medical Center, 1101 Madison St. Suite 900, Seattle, WA, 98104, USA.
Brian E LouieDivision of Thoracic Surgery, Swedish Cancer Institute and Medical Center, 1101 Madison St. Suite 900, Seattle, WA, 98104, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA randomized controlled trial (RCT) showed that laparoscopic Nissen fundoplication (LNF) and Hill (LHR) repairs are equivalent in treating uncomplicated GERD. We combined both repairs to create a laparoscopic Nissen-Hill Hybrid repair (HYB). The purpose of this study is to compare clinical and objective outcomes of a matched group of HYB to the two cohorts of the RCT.

methodsA retrospective analysis of prospectively collected data from the RCT and a prospectively collected data base was performed. Data were collected preoperatively, postoperatively short-term (ST) at 6 weeks and mid-term (MT) at 6-12 months. Evaluation was standardized according to the RCT and included three quality of life metrics (QOLRAD, GERD-HRQL, Dysphagia), endoscopy, manometry, pH testing, and barium swallow.

resultsThere were 51 HYB, 46 LNF, and 56 LHR patients. Age, BMI, follow-up, and gender were comparable. QOLRAD, HRQL, PPI use, DeMeester scores, and pH% time <4 significantly improved in all groups and were equivalent. Anatomic recurrence was seen in five LNF, four LHR, and two HYB patients. Reoperations were performed in three LHR, two LNF, and zero HYB patients.

conclusionTri-comparison shows that HYB is a promising alternative to LHR and LNF. Side effects were not increased and there were fewer reoperations for failure.

Indexed as

Quality of LifeAdultEsophageal pH MonitoringFemaleFundoplicationGastroesophageal RefluxHumansHydrogen-Ion ConcentrationLaparoscopyMaleManometryMiddle AgedProton Pump InhibitorsRandomized Controlled Trials as TopicRecurrenceReoperationProton Pump InhibitorsFundoplicationGastroesophageal refluxQuality of lifeRecurrenceReoperation

Identifiers

PMID27813017

What OpenQuestion holds

Textmetadata
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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.