Evidence map›Paper›PMID 33029733›Full record

ArticleSurgical endoscopy2021

Magnetic sphincter augmentation with hiatal hernia repair: long term outcomes.

Colin P Dunn, Jasmine Zhao, Jennifer C Wang, Tanu A Patel, Luke R Putnam, Aleeson Eka, Caitlin C Houghton, Nikolai A Bildzukewicz, John C Lipham

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Magnetic sphincter augmentation: considerations for use in Barrett's esophagus.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2023
    Article
  7. The role of magnetic sphincter augmentation in the gastroesophageal reflux disease treatment pathway: the gastroenterology perspective.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2023
    Article
  8. Article
  9. Article
  10. 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

9 authors.

Colin P DunnThe Division of Upper GI and General Surgery at the University of Southern California, Los Angeles, CA, USA.
Jasmine ZhaoThe Division of Upper GI and General Surgery at the University of Southern California, Los Angeles, CA, USA.
Jennifer C WangThe Division of Upper GI and General Surgery at the University of Southern California, Los Angeles, CA, USA.
Tanu A PatelThe Division of Upper GI and General Surgery at the University of Southern California, Los Angeles, CA, USA.
Luke R PutnamThe Division of Upper GI and General Surgery at the University of Southern California, Los Angeles, CA, USA.
Aleeson EkaThe Division of Upper GI and General Surgery at the University of Southern California, Los Angeles, CA, USA.
Caitlin C HoughtonThe Division of Upper GI and General Surgery at the University of Southern California, Los Angeles, CA, USA.
Nikolai A BildzukewiczThe Division of Upper GI and General Surgery at the University of Southern California, Los Angeles, CA, USA.
John C LiphamThe Division of Upper GI and General Surgery at the University of Southern California, Los Angeles, CA, USA. John.Lipham@med.usc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMagnetic sphincter augmentation (MSA) is a safe and effective treatment for patients with gastroesophageal reflux disease (GERD). MSA was initially indicated for patients with GERD and concomitant hiatal hernias < 3 cm. However, excellent short- and intermediate-term outcomes following MSA and hiatal hernia repair in patients with hiatal hernias ≥ 3 cm have been reported. The purpose of this study is to assess long-term outcomes for this patient population. METHODS AND PROCEDURES: A retrospective review was performed of patients with GERD and hiatal hernias ≥ 3 cm who underwent MSA and hiatal hernia repair. Patients were treated at two tertiary medical centers between May 2009 and December 2016. Follow up included annual video esophagram, upper endoscopy, or both. Outcomes included pre- and post-operative GERD health-related quality of life (GERD-HRQL) scores, length and regression of Barrett's esophagus, resolution of esophagitis, need for endoscopic dilations or implant removal, and clinically significant hiatal hernia recurrence (> 2 cm) on videoesophagram or endoscopy.

resultsSeventy-nine patients (53% female) with a median age of 65.56 (58.42-69.80) years were included. Median follow up was 2.98 (interquartile range 1.90-3.32) years. Median DeMeester scores decreased from 42.45 (29.12-60.73) to 9.10 (3.05-24.30) (p < 0.001). Severity of esophagitis (e.g. LA class C to class B) significantly improved (p < 0.01). Forty percent of patients with Barrett's esophagus experienced regression (p < 0.01). Median GERD-HRQL scores improved from 21 to 2. Five (6.3%) hiatal hernia recurrences occurred, and 1 required re-operation. Age, body mass index, size of the initial hiatal hernia, and sex had no significant effect on whether a patient developed a recurrence.

conclusionsMagnetic sphincter augmentation in conjunction with large hiatal hernia repairs for patients with GERD achieves excellent long-term radiographic and clinical results, and a low overall need for reoperation, without the need for mesh.

Indexed as

Hernia, HiatalLaparoscopyAgedEsophageal Sphincter, LowerFemaleHerniorrhaphyHumansMagnetic PhenomenaMaleNeoplasm Recurrence, LocalQuality of LifeRetrospective StudiesTreatment OutcomeGERDHiatal herniaHiatal hernia recurrenceMagnetic sphincter augmentation

Identifiers

PMID33029733

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.