Evidence map›Paper›PMID 29159599›Full record

Trial reportWorld journal of surgery2018

Delayed Gastric Emptying Following Laparoscopic Repair of Very Large Hiatus Hernias Impairs Quality of Life.

David S Liu, Chek Tog, Hou K Lim, Peter Stiven, Sarah K Thompson, David I Watson, Ahmad Aly

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 42% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Patients with Delayed Gastric Emptying Following Laparoscopic Repair of Large Hiatus Hernias Regain Long-Term Quality of Life.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020
    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

7 authors at 4 institutions in 1 country.

David S LiuDepartment of Surgery, Austin Hospital, 145 Studley Road, Heidelberg, VIC, 3084, Australia. liu.davidsh@gmail.com.
Chek TogDepartment of Surgery, Austin Hospital, 145 Studley Road, Heidelberg, VIC, 3084, Australia.
Hou K LimDepartment of Surgery, Austin Hospital, 145 Studley Road, Heidelberg, VIC, 3084, Australia.
Peter StivenDepartment of Surgery, Austin Hospital, 145 Studley Road, Heidelberg, VIC, 3084, Australia.
Sarah K ThompsonUniversity of Adelaide Discipline of Surgery, Royal Adelaide Hospital, Adelaide, SA, 5000, Australia.
David I WatsonFlinders University Department of Surgery, Flinders Medical Centre, Bedford Park, SA, 5042, Australia.
Ahmad AlyDepartment of Surgery, Austin Hospital, 145 Studley Road, Heidelberg, VIC, 3084, Australia.
Austin Hospital · AUFlinders Medical Centre · AUPeter MacCallum Cancer Centre · AURoyal Adelaide Hospital · AU

Funding

National Health and Medical Research Council 1022722National Health and Medical Research Council 375111
6 · The paper itself

Abstract

backgroundDelayed gastric emptying (DGE) following hiatus hernia surgery may affect a substantial number of patients with adverse clinical consequences. Here, we aim to evaluate the impact of DGE following laparoscopic repair of very large hiatus hernias on patients' quality of life, gastrointestinal symptomatology, and daily function.

methodsAnalysis of data collected from a multicenter prospective randomised trial of patients who underwent laparoscopic mesh versus sutured repair of very large hiatus hernias (>50% of stomach in chest). DGE was defined as gastric food retention visualised at endoscopy after 6 h of fasting at 6 months post-surgery. Quality of life (QOL), gastrointestinal symptomatology, and daily function were assessed with the SF-36 questionnaire, Visick scoring and structured surveys administered prior to surgery and at 1, 3, 6 and 12 months after surgery.

resultsNineteen of 102 (18.6%) patients had DGE 6 months after surgery. QOL questionnaires were completed in at least 80% of patients across all time points. Compared with controls, the DGE group demonstrated significantly lower SF-36 physical component scores, delayed improvement in health transition, more adverse gastrointestinal symptoms, higher Visick scores and a slower rate of return to normal daily activities. These differences were still present 12 months after surgery.

conclusionsDGE following large hiatus hernia repair is associated with a negative impact on quality of life at follow-up to 12 months after surgery.

Indexed as

Quality of LifeAdultAgedFemaleGastric EmptyingHernia, HiatalHumansLaparoscopyMaleMiddle AgedProspective Studies

Identifiers

PMID29159599
OpenAlexW2770980474

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.