Evidence map›Paper›PMID 29104588›Full record

ArticleEuropean surgery : ACA : Acta chirurgica Austriaca2017

Preoperative diagnosis of hiatal hernia: barium swallow X-ray, high-resolution manometry, or endoscopy?

Michael Weitzendorfer, Gernot Köhler, Stavros A Antoniou, Leo Pallwein-Prettner, Lisa Manzenreiter, Philipp Schredl, Klaus Emmanuel, Oliver Owen Koch

Open access · hybridAbstract read
In one paragraph

Article in European surgery : ACA : Acta chirurgica Austriaca, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 45 citations in OpenAlex.

  1. Diagnostic value of real-time dynamic gastric contrast ultrasound for hiatal hernia.Hernia : the journal of hernias and abdominal wall surgery · 2026
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  13. WHEN SHOULD BE CONVERTED LAPAROSCOPIC SLEEVE GASTRECTOMY TO LAPAROSCOPIC ROUX-EN-Y GASTRIC BYPASS DUE TO GASTROESOPHAGEAL REFLUX?Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2021
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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

8 authors at 2 institutions in 2 countries.

Michael WeitzendorferDepartment of Surgery, Paracelsus Medical University, 5020 Salzburg, Austria.
Gernot KöhlerDepartment of General and Visceral Surgery, Ordensklinikum Linz Sisters of Charity Hospital, Linz, Austria.
Stavros A AntoniouDepartment of General Surgery, 401 Military Hospital, Athens, Greece.
Leo Pallwein-PrettnerDepartment of Diagnostic and Interventional Radiology, Ordensklinikum Linz Sisters of Charity Hospital, Linz, Austria.
Lisa ManzenreiterDepartment of Surgery, Paracelsus Medical University, 5020 Salzburg, Austria.
Philipp SchredlDepartment of Surgery, Paracelsus Medical University, 5020 Salzburg, Austria.
Klaus EmmanuelDepartment of Surgery, Paracelsus Medical University, 5020 Salzburg, Austria.
Oliver Owen KochDepartment of Surgery, Paracelsus Medical University, 5020 Salzburg, Austria.
Paracelsus Medical University · AT401 General Military Hospital of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe assessment of hiatal hernias (HH) is typically done with barium swallow X‑ray, upper endoscopy, and by high-resolution esophageal manometry (HRM). The aim of this study was to assess the clinical utility of these methods in terms of HH detection and their correlation to gastroesophageal reflux disease (GERD).

methodsA retrospective comparative analysis of patients with symptoms of GERD was carried out. The performance of endoscopy and HRM in diagnosing HH was assessed, taking barium swallow X‑ray as a reference. Furthermore, statistically comparative analysis between detected hernias and the presence of reflux disease in ambulatory impedance-pH monitoring (MII) was performed.

resultsOverall, 112 patients were analyzed. Barium swallow X‑ray showed no correlation either to HR manometrically or to endoscopically assessed HH. Significant accordance in the detection rate of HH was proved between HRM and gastroesophagoscopy (

conclusionsBarium swallow X‑ray provided the highest rate of HH detection (76.8%). For the reliable exclusion of HH prior to treatment, all three mentioned investigations appear to be necessary in order of low conformity.

Indexed as

Barium swallowEndoscopyGastroesophageal reflux diseaseHiatus herniaHigh-resolution manometry

Identifiers

PMID29104588
PMCPMC5653726
OpenAlexW2755932011

What OpenQuestion holds

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Registered trials

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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.