Evidence map›Paper›PMID 33470373›Full record

ArticleArquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery2021

ENDOSCOPIC EVALUATION OF POST-FUNDOPLICATION ANATOMY AND CORRELATION WITH SYMPTOMATOLOGY.

Bruno Costa Martins, Clarissa Santos Souza, Jennifer Nakamura Ruas, Carlos Kiyoshi Furuya, Sonia Nadia Fylyk, Christiano Makoto Sakai, Edson Ide

Open access · diamondAbstract read
In one paragraph

Article in Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 33% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Variability in endoscopic assessment of Nissen fundoplication wrap integrity and hiatus herniation.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2022
    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 1 institution in 1 country.

Bruno Costa MartinsEndoscopy Unit, Oswaldo Cruz German Hospital, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-0282-0753
Clarissa Santos SouzaEndoscopy Unit, Oswaldo Cruz German Hospital, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-9635-9071
Jennifer Nakamura RuasEndoscopy Unit, Oswaldo Cruz German Hospital, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-8095-6648
Carlos Kiyoshi FuruyaEndoscopy Unit, Oswaldo Cruz German Hospital, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-6512-5029
Sonia Nadia FylykEndoscopy Unit, Oswaldo Cruz German Hospital, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-2226-8660
Christiano Makoto SakaiEndoscopy Unit, Oswaldo Cruz German Hospital, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-2883-662X
Edson IdeEndoscopy Unit, Oswaldo Cruz German Hospital, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-4533-6117
Hospital Alemão Oswaldo Cruz · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoscopic aspect of fundoplication anatomy: Normal aspect of Nissen fundoplication. Upper digestive endoscopy is important for the evaluation of patients submitted to fundoplication, especially to elucidate postoperative symptoms. However, endoscopic assessment of fundoplication anatomy and its complications is poorly standardized among endoscopists, which leads to inadequate agreement.

aimTo assess the frequency of postoperative abnormalities of fundoplication anatomy using a modified endoscopic classification and to correlate endoscopic findings with clinical symptoms.

methodThis is a prospective observational study, conducted at a single center. Patients were submitted to a questionnaire for data collection. Endoscopic assessment of fundoplication was performed according to the classification in study, which considered four anatomical parameters including the gastroesophageal junction position in frontal view (above or at the level of the pressure zone); valve position at retroflex view (intra-abdominal or migrated); valve conformation (total, partial, disrupted or twisted) and paraesophageal hernia (present or absent).

resultsOne hundred patients submitted to fundoplication were evaluated, 51% male (mean age: 55.6 years). Forty-three percent reported postoperative symptoms. Endoscopic abnormalities of fundoplication anatomy were reported in 46% of patients. Gastroesophageal junction above the pressure zone (slipped fundoplication), and migrated fundoplication, were significantly correlated with the occurrence of postoperative symptoms. There was no correlation between symptoms and conformation of the fundoplication (total, partial or twisted).

conclusionThis modified endoscopic classification proposal of fundoplication anatomy is reproducible and seems to correlate with symptomatology. The most frequent abnormalities observed were slipped and migrated fundoplication, and both correlated with the presence of symptoms.

Indexed as

LaparoscopyEndoscopy, Digestive SystemFemaleFundoplicationGastroesophageal RefluxHernia, HiatalHumansMaleMiddle AgedPostoperative ComplicationsProspective StudiesTreatment Outcome

Identifiers

PMID33470373
PMCPMC7812682
OpenAlexW3125558841

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.