Evidence map›Paper›PMID 34482754›Full record

ReviewAnnals of the Royal College of Surgeons of England2022

Laryngopharyngeal reflux: is laparoscopic fundoplication an effective treatment?

Drl Morice, H A Elhassan, L Myint-Wilks, R E Barnett, A Rasheed, H Collins, A Owen, K Hughes, R Mcleod

Abstract readReview
In one paragraph

Review in Annals of the Royal College of Surgeons of England, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Trial
  2. Effect of Proton Pump Inhibitor on Quality of Life of Patients with Laryngopharyngeal Reflux.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
  3. Article
  4. Article
  5. Efficacy of laparoscopic fundoplication in patients with chronic cough and gastro-oesophageal reflux.Esophagus : official journal of the Japan Esophageal Society · 2023
    Article
  6. 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.

Drl MoriceSwansea Bay University Health Board, UK.
H A ElhassanHomerton University Hospital NHS Foundation Trust, UK.
L Myint-WilksSwansea Bay University Health Board, UK.
R E BarnettCardiff and Vale University Health Board, UK.
A RasheedAneurin Bevan University Health Board, UK.
H CollinsAneurin Bevan University Health Board, UK.
A OwenAneurin Bevan University Health Board, UK.
K HughesSwansea Bay University Health Board, UK.
R McleodAneurin Bevan University Health Board, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLaryngopharyngeal reflux (LPR) is difficult to diagnose and treat owing to uncertainty relating to the underlying pathology. The initial management of LPR includes lifestyle modifications and oral medications. In patients who have failed to respond to proton pump inhibitor (PPI) therapy, anti-reflux surgery is considered; laparoscopic fundoplication is the surgery of choice. The primary aim of this review is to identify whether fundoplication is effective in improving signs and symptoms of LPR. The secondary aim is to identify whether patients who have had a poor response to PPIs are likely to have symptom improvement with surgery. The objective of the study is to establish the effect of laparoscopic fundoplication on the reflux symptom index score (RSI).

methodsPubMed, Embase, Medline and Cochrane databases were used to search according to the PRISMA guidelines. Original articles assessing the efficacy of fundoplication in relieving symptoms of LPR were included. For each study, the efficacy endpoints and safety outcomes were recorded.

findingsNine studies from 844 initial records met the inclusion criteria: one prospective case control study, one retrospective case-control study, four prospective case series and three retrospective case series involving 287 fundoplications. All nine studies found fundoplication to be effective in improving symptoms of LPR (

conclusionCurrent evidence suggests laparoscopic fundoplication is an effective treatment for LPR and should be considered if medical management is unsuccessful.

Indexed as

LaparoscopyLaryngopharyngeal RefluxCase-Control StudiesFundoplicationHumansProton Pump InhibitorsRetrospective StudiesTreatment OutcomeProton Pump InhibitorsLaparoscopic fundoplicationLaryngopharyngeal refluxRefluxSurgery

Identifiers

PMID34482754
PMCPMC10335025

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.