Evidence map›Paper›PMID 35974471›Full record

ArticleClinical endoscopy2022

Safe implementation of transoral incisionless fundoplication as a new technique in a tertiary care center.

Shivanand Bomman, Sofya Malashanka, Adil Ghafoor, David J Sanders, Shayan Irani, Richard A Kozarek, Andrew Ross, Michal Hubka, Rajesh Krishnamoorthi

Open access · goldAbstract read
In one paragraph

Article in Clinical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 32% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Gastroesophageal reflux disease in children: What's new right now?World journal of gastrointestinal endoscopy · 2023
    Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Shivanand BommanCenter for Digestive Health, Virginia Mason Franciscan Health, Seattle, WA, USA.
Sofya MalashankaCenter for Digestive Health, Virginia Mason Franciscan Health, Seattle, WA, USA.
Adil GhafoorCenter for Digestive Health, Virginia Mason Franciscan Health, Seattle, WA, USA.
David J SandersCenter for Digestive Health, Virginia Mason Franciscan Health, Seattle, WA, USA.
Shayan IraniCenter for Digestive Health, Virginia Mason Franciscan Health, Seattle, WA, USA.
Richard A KozarekCenter for Digestive Health, Virginia Mason Franciscan Health, Seattle, WA, USA.
Andrew RossCenter for Digestive Health, Virginia Mason Franciscan Health, Seattle, WA, USA.
Michal HubkaCenter for Digestive Health, Virginia Mason Franciscan Health, Seattle, WA, USA.
Rajesh KrishnamoorthiCenter for Digestive Health, Virginia Mason Franciscan Health, Seattle, WA, USA.
Franciscan Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsTransoral incisionless fundoplication (TIF) is an accepted anatomic treatment for gastroesophageal reflux disease in selected patients. In this report, we analyze our institution's programmatic allocation of resources during the safe implementation of TIF as a new procedure.

methodsA retrospective analysis of all patients who underwent TIF from January 2020 to February 2021 at our institution was performed. The process of initially allocating the operating room (OR) with overnight admission and postoperative esophagram for added safety, and subsequently transitioning TIF to the endoscopy suite (ES) as an outpatient procedure was described. Patient safety and outcomes were evaluated during transition.

resultsThirty patients who underwent TIF were identified. The mean age was 51.2±16.0 years. TIF was performed in an OR in nine patients (30%) and 21 (70%) in the ES. All the OR patients were admitted overnight and had routine EG. In contrast, four (19%) from the ES group required clinically-indicated admission and three (14.2%) required esophagram. The mean procedure duration was significantly lower in the ES group (65.7 min vs. 84 min, p=0.02).

conclusionA stepwise, resource-efficient process was described that allowed safe initiation of TIF as a new technique and its effective transition to a fully outpatient procedure.

Indexed as

Gastroesophageal reflux diseaseHealth resourcesImplementationTransoral incisionless fundoplication

Identifiers

PMID35974471
PMCPMC9539295
OpenAlexW4292295067

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.