Evidence map›Paper›PMID 34782965›Full record

ArticleSurgical endoscopy2022

Comparison of 180° anti-reflux mucosectomy versus 270° anti-reflux mucosectomy for treatment of refractory gastroesophageal reflux disease: a retrospective study.

Xinyi Yang, Jiacheng Tan, Yang Liu, Yadong Feng, Ruihua Shi

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

8 citing papers in PubMed, 16 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Xinyi YangDepartment of Gastroenterology, Zhongda Hospital, School of Medicine, Southeast University, Dingjiaqiao street-87, Nanjing, 210009, Jiangsu, China.
Jiacheng TanDepartment of Gastroenterology, Zhongda Hospital, School of Medicine, Southeast University, Dingjiaqiao street-87, Nanjing, 210009, Jiangsu, China.
Yang LiuDepartment of Gastroenterology, Zhongda Hospital, School of Medicine, Southeast University, Dingjiaqiao street-87, Nanjing, 210009, Jiangsu, China.
Yadong FengDepartment of Gastroenterology, Zhongda Hospital, School of Medicine, Southeast University, Dingjiaqiao street-87, Nanjing, 210009, Jiangsu, China.
Ruihua ShiDepartment of Gastroenterology, Zhongda Hospital, School of Medicine, Southeast University, Dingjiaqiao street-87, Nanjing, 210009, Jiangsu, China. ruihuashi@126.com.ORCID http://orcid.org/0000-0003-4977-8801
Zhongda Hospital Southeast University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnti-reflux mucosectomy (ARMS) is a novel endoscopic treatment for refractory gastroesophageal reflux disease (rGERD). Several studies have validated its safety and effectiveness, but postoperative dysphagia remains in concern. Since the influence of different resection ranges on efficacy and complications of ARMS has rarely been studied, this study aimed to compare outcomes of 180°ARMS and 270°ARMS in treatment of rGERD.

methodsThis study was conducted from August 2017 to September 2020. 39 eligible patients underwent either 180° ARMS or 270° ARMS and followed up at 6 months postoperation. Primary outcome measure was assessed by Gastroesophageal Reflux Disease Questionnaire (GERD-Q). Secondary outcomes included quality of life, PPI use, gastroesophageal flap valve grade, presence of reflux esophagitis, acid exposure time (AET), distal contractile integral (DCI), and integrated relaxation pressure (IRP) measured by high-resolution manometry (HRM) and complication rate. Per-protocol analysis was performed.

resultsAmong 39 patients, 18 underwent 180° ARMS, while 21 underwent 270° ARMS. At postoperative 6 months follow-up period, primary outcome showed no significant difference between two groups (p = 0.34). Similarly, no significant difference was demonstrated between groups regarding most secondary outcomes except for fewer complaints of newly dysphagia in 180° ARMS group. No other serious complications were observed in both groups.

conclusionAlthough 180° ARMS and 270° ARMS could be equally effective for treatment of rGERD, 180° ARMS might be more recommended due to lower incidence of newly post-procedural dysphagia.

Indexed as

Deglutition DisordersEsophagitis, PepticGastroesophageal RefluxHumansManometryQuality of LifeRetrospective StudiesTreatment OutcomeAnti-reflux mucosectomyDysphagiaEndoscopic treatmentRefractory gastroesophageal reflux disease

Identifiers

PMID34782965
PMCPMC9160125
OpenAlexW3213865600

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.