Evidence map›Paper›PMID 29536176›Full record

SynthesisPediatric surgery international2018

Are prophylactic anti-reflux medications effective after esophageal atresia repair? Systematic review and meta-analysis.

Hiromu Miyake, Yong Chen, Alison Hock, Shogo Seo, Yuhki Koike, Agostino Pierro

Registry-linked trialOpen access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Pediatric surgery international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03619408 (Management of Esophagitis Following Repair of Esophageal Atresia), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 12% 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.

NCT03619408 unknown statusnot on this mapstarted 2019, after this paper: background citation

Management of Esophagitis Following Repair of Esophageal Atresia

Typeobservational_patient_registrySponsorBoston Children's HospitalRan2019 to 2025Enrolled50ConditionsEsophageal Atresia, EsophagitisArmsAntacids
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Multidisciplinary coordination of care for children with esophageal atresia and tracheoesophageal fistula.Journal of child health care : for professionals working with children in the hospital and community · 2025
    Article
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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

6 authors at 1 institution in 2 countries.

Hiromu MiyakeDivision of General and Thoracic Surgery, The Hospital for Sick Children, 1526-555 University Avenue, Toronto, ON, M5G1X8, Canada.
Yong ChenDivision of General and Thoracic Surgery, The Hospital for Sick Children, 1526-555 University Avenue, Toronto, ON, M5G1X8, Canada.
Alison HockDivision of General and Thoracic Surgery, The Hospital for Sick Children, 1526-555 University Avenue, Toronto, ON, M5G1X8, Canada.
Shogo SeoDivision of General and Thoracic Surgery, The Hospital for Sick Children, 1526-555 University Avenue, Toronto, ON, M5G1X8, Canada.
Yuhki KoikeDivision of General and Thoracic Surgery, The Hospital for Sick Children, 1526-555 University Avenue, Toronto, ON, M5G1X8, Canada.
Agostino PierroDivision of General and Thoracic Surgery, The Hospital for Sick Children, 1526-555 University Avenue, Toronto, ON, M5G1X8, Canada. agostino.pierro@sickkids.ca.ORCID http://orcid.org/0000-0002-6742-6570
Hospital for Sick Children · CA

Funding

Canadian Institutes of Health Research (353857)
6 · The paper itself

Abstract

purposeGastroesophageal reflux after surgical repair of esophageal atresia (EA) can be associated with complications, such as esophageal stricture. Recent guidelines recommend prophylactic anti-reflux medication (PARM) after EA repair. However, the effectiveness of PARM is still unclear. The aim of this study was to review evidence surrounding the use of PARM in children operated for EA.

methodsWe performed a systematic review and meta-analysis. We searched Medline, EMBASE, and the Cochrane Databases from inception until the end of 2016 for comparative studies of PARM versus no PARM (control). Primary outcome was postoperative esophageal stricture. Quality of evidence was assessed using GRADE system.

resultsWe identified four observational studies that focused on esophageal stricture as an outcome. A total of 362 patients were included in meta-analysis. There was no significant difference in esophageal stricture rates between PARM and control (OR = 1.14; 95% CI = 0.61-2.13; p = 0.68; I

conclusionsOur results indicate that PARM does not reduce the incidence of esophageal stricture after EA repair. Future well-controlled prospective studies are needed to obtain higher quality evidence.

Indexed as

ChildEsophageal AtresiaEsophagoplastyGastroesophageal RefluxGlobal HealthHumansIncidencePostoperative ComplicationsProton Pump InhibitorsProton Pump InhibitorsAnti-reflux medicineEsophageal atresiaEsophageal strictureGastroesophageal refluxH2 blockerProton pump inhibitor

Identifiers

PMID29536176
PMCPMC5899117
OpenAlexW2790514062

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.