Evidence map›Paper›PMID 36562858›Full record

ArticleEsophagus : official journal of the Japan Esophageal Society2023

The pathological conditions and surgical outcomes depending on the degree of hernia in the intra-thoracic stomach.

Kazuto Tsuboi, Masato Hoshino, Nobuo Omura, Se-Ryung Yamamoto, Shunsuke Akimoto, Takahiro Masuda, Yuki Sakashita, Naoko Fukushima, Hideyuki Takeuchi, Fumiaki Yano and 1 more

Abstract readComparative Study
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In one paragraph

Article in Esophagus : official journal of the Japan Esophageal Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 48% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

11 authors at 1 institution in 1 country.

Kazuto TsuboiDepartment of Surgery, Fuji City General Hospital, 50, Takashima-Cho, Fuji, Shizuoka, 417-8567, Japan. kazuto@jikei.ac.jp.ORCID 0000-0002-8126-431X
Masato HoshinoDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Nobuo OmuraDepartment of Surgery, Nishisaitama-Chuo National Hospital, Saitama, Japan.
Se-Ryung YamamotoDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Shunsuke AkimotoDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Takahiro MasudaDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Yuki SakashitaDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Naoko FukushimaDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Hideyuki TakeuchiDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Fumiaki YanoDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Ken EtoDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Jikei University School of Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, the number of patients requiring surgery for intra-thoracic stomach (ITS) has been increasing due to the effects of obesity and gibbus due to aging. The aim of this study is to assess the effects of the degree of hernia on the pathological conditions and surgical outcomes in ITS patients.

methodsITS was defined as cases in which over 50% of the stomach had deviated into the mediastinum by esophagogastric fluoroscopy and/or computed tomography, with 65 patients who underwent laparoscopic surgery as the initial surgery included. We compared the pathological conditions and surgical outcomes by dividing the subjects into 3 groups: Group A: 50%- < 75%; Group B: 75%- < 100%; and Group C: 100% (upside-down stomach), depending on the degree of deviation into the mediastinum of the stomach.

resultsThe breakdown of patients was 33 in Group A, 21 in Group B, and 11 in Group C. Regarding the preoperative pathological conditions, Group C had a high body mass index (BMI) and a low score for factor V according to upper gastrointestinal endoscopy (p = 0.0109, p = 0.0062, respectively). While the surgical results indicated that the operation time was extended depending on the degree of hernia (p = 0.0051), there was no marked difference in other surgical outcomes or the postoperative course among the three groups, with a high degree of satisfaction.

conclusionsIn the case of ITS, although the operation time was extended depending on the degree of the hernia, the surgical outcomes were the same, and overall good results were obtained.

Indexed as

Hernia, HiatalLaparoscopyHumansObesityStomachTreatment OutcomeGiant hiatal herniaIntra-thoracic stomachPathophysiologySurgical outcome

Identifiers

PMID36562858
OpenAlexW4312113652

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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.