Evidence map›Paper›PMID 34279710›Full record

ArticleSurgical endoscopy2021

SAGES guidelines for the surgical treatment of gastroesophageal reflux (GERD).

Bethany J Slater, Rebecca C Dirks, Sophia K McKinley, Mohammed T Ansari, Geoffrey P Kohn, Nirav Thosani, Bashar Qumseya, Sarah Billmeier, Shaun Daly, Catherine Crawford and 9 more

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 67 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 5 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

67 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  3. International Society for Diseases of the Esophagus consensus on management of the failed fundoplication.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2024
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7 more citing papers are in PubMed but not listed here.

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

19 authors.

Bethany J SlaterDepartment of Surgery, University of Chicago Medicine, 5841 S. Maryland Avenue, MC 4062, Chicago, IL, 606037, USA. bjslater1@gmail.com.
Rebecca C DirksDepartment of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
Sophia K McKinleyDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA.
Mohammed T AnsariSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada.
Geoffrey P KohnDepartment of Surgery, Monash University, Eastern Health Clinical School, Melbourne, VIC, Australia.
Nirav ThosaniCenter for Interventional Gastroenterology at UTHealth (iGUT), McGovern Medical School, UTHealth, Houston, TX, USA.
Bashar QumseyaDivision of Gastroenterology, Hepatology, and Nutrition, University of Florida, Gainesville, Fl, USA.
Sarah BillmeierDepartment of Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA.
Shaun DalyDepartment of Surgery, University of California Irvine, Irvine, USA.
Catherine CrawfordDepartment of Surgery, Cambridge Health Alliance, Cambridge Massachusetts and Milford Regional Medical Center, Milford, MA, USA.
Anne P EhlersDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Celeste HollandsDepartment of Surgery, Texas Tech University Health Sciences Center, Texas, USA.
Francesco PalazzoDepartment of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Noe RodriguezDepartment of Surgery, Florida Atlantic University, Florida, USA.
Arianne TrainDepartment of Surgery, Winn Army Community Hospital, Fort Stewart, GA, USA.
Eelco WassenaarDepartment of Surgery, Gelre Hospitals, Zutphen, Netherlands.
Danielle WalshDepartment of Surgery, East Carolina University, Greenville, NC, USA.
Aurora D PryorDepartment of Surgery, Stony Brook University, Stony Brook, NY, USA.
Dimitrios StefanidisDepartment of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastroesophageal Reflux Disease (GERD) is an extremely common condition with several medical and surgical treatment options. A multidisciplinary expert panel was convened to develop evidence-based recommendations to support clinicians, patients, and others in decisions regarding the treatment of GERD with an emphasis on evaluating different surgical techniques.

methodsLiterature reviews were conducted for 4 key questions regarding the surgical treatment of GERD in both adults and children: surgical vs. medical treatment, robotic vs. laparoscopic fundoplication, partial vs. complete fundoplication, and division vs. preservation of short gastric vessels in adults or maximal versus minimal dissection in pediatric patients. Evidence-based recommendations were formulated using the GRADE methodology by subject experts. Recommendations for future research were also proposed.

resultsThe panel provided seven recommendations for adults and children with GERD. All recommendations were conditional due to very low, low, or moderate certainty of evidence. The panel conditionally recommended surgical treatment over medical management for adults with chronic or chronic refractory GERD. There was insufficient evidence for the panel to make a recommendation regarding surgical versus medical treatment in children. The panel suggested that once the decision to pursue surgical therapy is made, adults and children with GERD may be treated with either a robotic or a laparoscopic approach, and either partial or complete fundoplication based on surgeon-patient shared decision-making and patient values. In adults, the panel suggested either division or non-division of the short gastric vessels is appropriate, and that children should undergo minimal dissection during fundoplication.

conclusionsThese recommendations should provide guidance with regard to surgical decision-making in the treatment of GERD and highlight the importance of shared decision-making and patient values to optimize patient outcomes. Pursuing the identified research needs may improve future versions of guidelines for the treatment of GERD.

Indexed as

EsophagoplastyGastroesophageal RefluxLaparoscopyAdultChildFundoplicationHumansTreatment OutcomeAntireflux surgeryFundoplicationGastroesophageal refluxGERDPartial fundoplicationProton pump inhibitor

Identifiers

PMID34279710

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.