Trial reportSurgical endoscopy2018
Long-term clinical outcomes after intrathoracic stomach surgery: a decade of longitudinal follow-up.
Trial report in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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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.
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Who cites it
10 citing papers in PubMed, 13 citations in OpenAlex.
- Symmetrical anterior-posterior partial fundoplication: technique and outcomes.Surgical endoscopy · 2026Article
- Long-term surgical outcomes for the surgical management of complete intrathoracic stomach (CIS).Surgical endoscopy · 2026Article
- Long-term durability and temporal pattern of revisional surgery of laparoscopic large hiatal hernia repair.Updates in surgery · 2025Article
- Surgical Repair of Large Hiatal Hernias: Insight from a High-Volume Center.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- The pathological conditions and surgical outcomes depending on the degree of hernia in the intra-thoracic stomach.Esophagus : official journal of the Japan Esophageal Society · 2023Article
- Article
- Surgical and clinical outcomes comparison of mesh usage in laparoscopic hiatal hernia repair.Surgical endoscopy · 2021Article
- Paraesophageal hernia: to fundoplicate or not?Annals of translational medicine · 2021Review
- How high is too high? Extensive mediastinal dissection in patients with hiatal hernia repair.Surgical endoscopy · 2021Article
- Minimally invasive surgery for large hiatal hernia.Annals of gastroenterological surgery · 2019Review
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA subset of patients with large paraesophageal hernias have more than 75% of the stomach herniated above the diaphragm; such cases are referred to as intrathoracic stomach (ITS). Herein, we report longitudinal symptomatic outcomes over a decade after surgical ITS repair in a large patient cohort.
methodsPatients who underwent surgical treatment for ITS from 01/2004 to 05/2016 were studied. Preoperative and follow-up data were prospectively collected. Patients completed a standardized symptom questionnaire 1 year postoperatively and at 2-year intervals thereafter.
resultsIn total, 235 patients were reviewed. The mean age was 70.0 ± 11.6 years; 174 patients (74.0%) were women. Surgical procedures included 7 transthoracic repairs and 228 transabdominal repairs (222 laparoscopic, 2 open, 4 laparoscopic-to-open conversions). Anti-reflux procedures were performed in 173 patients (73.6%). 33 patients (14.0%) had mesh reinforcement of hiatal closure; 11 (4.7%) underwent Collis gastroplasty. Follow-up symptom questionnaires at 1, 3, 5, 7, 9, and 11 years were available for 81, 48, 47, 30, 33, and 38% of patients, respectively. Significant and lasting symptom improvement was reported at all follow-up time points. Mean satisfaction scores of 9.3, 9.1, 9.3, 9.0, 9.5, and 9.8 on a 1-10 scale were recorded at the aforementioned intervals.
conclusionsLong-term clinical outcomes confirm that laparoscopic ITS repair is safe and durable, and is associated with a high degree of patient satisfaction and symptom resolution.
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