Evidence map›Paper›PMID 32146568›Full record

ArticleObesity surgery2020

Sleeve Gastrectomy and Anterior Fundoplication (D-SLEEVE) Prevents Gastroesophageal Reflux in Symptomatic GERD.

Gianmattia Del Genio, Salvatore Tolone, Claudio Gambardella, Luigi Brusciano, Mariachiara Lanza Volpe, Giorgia Gualtieri, Federica Del Genio, Ludovico Docimo

Erratum issuedAbstract read
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In one paragraph

Article in Obesity surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 2% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

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  19. Editorial: Clinical Updates on Bariatric Surgery.Journal of clinical medicine · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Gianmattia Del GenioCenter of Esophago-gastric and Obesity Surgery (E.G.O.), XI Division and Bariatric Surgery, University Vanvitelli, Naples, Italy. gdg@doctor.com.ORCID http://orcid.org/0000-0001-5603-8970
Salvatore ToloneCenter of Esophago-gastric and Obesity Surgery (E.G.O.), XI Division and Bariatric Surgery, University Vanvitelli, Naples, Italy.
Claudio GambardellaCenter of Esophago-gastric and Obesity Surgery (E.G.O.), XI Division and Bariatric Surgery, University Vanvitelli, Naples, Italy.
Luigi BruscianoCenter of Esophago-gastric and Obesity Surgery (E.G.O.), XI Division and Bariatric Surgery, University Vanvitelli, Naples, Italy.
Mariachiara Lanza VolpeCenter of Esophago-gastric and Obesity Surgery (E.G.O.), XI Division and Bariatric Surgery, University Vanvitelli, Naples, Italy.
Giorgia GualtieriCenter of Esophago-gastric and Obesity Surgery (E.G.O.), XI Division and Bariatric Surgery, University Vanvitelli, Naples, Italy.
Federica Del GenioCenter of Esophago-gastric and Obesity Surgery (E.G.O.), XI Division and Bariatric Surgery, University Vanvitelli, Naples, Italy.
Ludovico DocimoCenter of Esophago-gastric and Obesity Surgery (E.G.O.), XI Division and Bariatric Surgery, University Vanvitelli, Naples, Italy.
University of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA worrying increase of gastroesophageal reflux disease (GERD) and Barrett esophagus has been reported after sleeve gastrectomy (SG). Recent reports on combined fundoplication and SG seem to accomplish initial favorable results. However, no study included manometry or pH monitoring to evaluate the impact of fundoplication in SG on esophageal physiology.

methodIn this study, 32 consecutive bariatric patients with GERD and/or esophagitis had high-resolution impedance manometry (HRiM) and combined 24-h pH and multichannel intraluminal impedance (MII-pH) before and after laparoscopic sleeve gastrectomy associated to anterior fundoplication (D-SLEEVE). The following parameters were calculated at HRiM: lower esophageal sphincter pressure and relaxation, peristalsis, and mean total bolus transit time. The acid and non-acid GER episodes were assessed by MII-pH, symptom index association (SI), and symptom-association probability (SAP) were also analyzed.

resultsAt a median follow-up of 14 months, HRiM showed an increased LES function, and MII-pH showed an excellent control of both acid exposure of the esophagus and number of reflux events. Bariatric outcomes (BMI and EWL%) were also comparable to regular SG (p = NS).

conclusionD-SLEEVE is an effective restrictive procedure, which recreates a functional LES pressure able to control and/or prevent mild GERD at 1-year follow-up.

Indexed as

Gastroesophageal RefluxObesity, MorbidEsophageal pH MonitoringFundoplicationGastrectomyHumansManometryAnterior fundoplicationGERDHRiMMII-pHSleeve gastrectomy

Identifiers

PMID32146568
OpenAlexW3009479724

What OpenQuestion holds

Textmetadata
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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.