Evidence map›Paper›PMID 32130670›Full record

ArticleUpdates in surgery2020

Laparoscopic Toupet fundoplication for gastroesophageal reflux disease and hiatus hernia: proposal for standardization using the "critical view" concept.

Davide Bona, Alberto Aiolfi, Emanuele Asti, Luigi Bonavina

Abstract read
PubMed Publisher
In one paragraph

Article in Updates in surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 8% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Efficacy and safety of mesh reinforced cruroplasty with Phasix™ ST vs. Bio-AHernia : the journal of hernias and abdominal wall surgery · 2026
    Pooled it
  2. Pooled it
  3. Article
  4. Evaluation of the safety and effectiveness of crural reinforcement with bio-aHernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  5. Hot topics in Hiatal Hernia.Hernia : the journal of hernias and abdominal wall surgery · 2024
    Article
  6. Observational
  7. Review
  8. Article
  9. Comment on "Laparoscopic Paraesophageal Hernia Repair: to Mesh or Not to Mesh".Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2023
    Article
  10. Comment to: Laparoscopic posterior cruroplasty: a patient tailored approach. Authors' reply.Hernia : the journal of hernias and abdominal wall surgery · 2023
    Article
  11. Article
  12. Laparoscopic posterior cruroplasty: a patient tailored approach.Hernia : the journal of hernias and abdominal wall surgery · 2022
    Article
  13. Medium-term safety and efficacy profile of paraesophageal hernia repair with Phasix-STHernia : the journal of hernias and abdominal wall surgery · 2022
    Observational
  14. Article
  15. Review
  16. Article
  17. Observational
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

4 authors at 3 institutions in 1 country.

Davide BonaGeneral Surgery, Istituto Clinico Sant'Ambrogio, Milano, Italy.
Alberto AiolfiGeneral Surgery, Istituto Clinico Sant'Ambrogio, Milano, Italy.
Emanuele AstiDivision of General and Foregut Surgery, Department of Biomedical Sciences for Health, University of Milan, IRCCS Policlinico San Donato, San Donato Milanese (Milano), Italy.
Luigi BonavinaDivision of General and Foregut Surgery, Department of Biomedical Sciences for Health, University of Milan, IRCCS Policlinico San Donato, San Donato Milanese (Milano), Italy. luigi.bonavina@unimi.it.
Istituto Clinico Sant'Ambrogio · ITIRCCS Policlinico San Donato · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Laparoscopic Toupet fundoplication has gained progressive consideration in the management of patients with gastroesophageal reflux disease and hiatus hernia. Previous studies showed equivalent results in terms of reflux control with lower rate of side effects compared to the Nissen fundoplication. However, multiple technical variations may account for the long-lasting reputation of decreased durability and poor long-term reflux control. Inspired by the "critical view" concept, a step-by-step laparoscopic Toupet fundoplication is described and illustrated. During the study period, 2012-2017, 348 consecutive patients underwent laparoscopic Toupet fundoplication according to a standardized procedure. A large hiatus hernia was present in 39% of patients, and 14% had volvulus of the intrathoracic stomach. Sixty-four (18.4%) patients had one or more previously failed antireflux procedures. The median follow-up was 37 months (range 12-61). The Gastroesophageal Reflux Disease Health-Related Quality of Life score significantly improved compared to baseline (p < 0.001), and 77% of patients were off proton-pump inhibitors. The proposed standardization of the Toupet fundoplication based on a "critical-view" concept may help to improve reproducibility, clinical outcomes, and teaching of this procedure.

Indexed as

Follow-Up StudiesFundoplicationGastroesophageal RefluxHernia, HiatalHerniorrhaphyHumansLaparoscopyQuality of LifeReproducibility of ResultsTime FactorsTreatment OutcomeCrural repairGastroesophageal reflux diseaseHiatal herniaLaparoscopyToupet fundoplication

Identifiers

PMID32130670
OpenAlexW3009713834

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.