Evidence map›Paper›PMID 38322163›Full record

Observational studyIranian journal of medical sciences2024

Clinical Outcome and Recurrence of Open versus Laparoscopic Nissen Fundoplication in the Republic of Kazakhstan during 2010-2021.

Bolatbek Baimakhanov, Shakir Zhurayev, Adil Shokebaev, Nurbol Orynbassar, Nurmakhan Imammyrzayev, Khozybek Kazakhstan, Kuanysh Kanatov, Yevgene Yenin, Gulziya Ismailova

Open access · greenAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Iranian journal of medical sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 at 2 institutions in 1 country.

Bolatbek BaimakhanovSyzganov National Scientific Center of Surgery, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan.
Shakir ZhurayevSyzganov National Scientific Center of Surgery, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan.
Adil ShokebaevDepartment Gastrointestinal Tract and Endocrine Surgery, Syzganov National Scientific Center of Surgery, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan.
Nurbol OrynbassarDepartment of the Gastrointestinal Tract and Endocrine Surgery, Syzganov National Scientific Center of Surgery, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan.
Nurmakhan ImammyrzayevDepartment of the Gastrointestinal Tract and Endocrine Surgery, Syzganov National Scientific Center of Surgery, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan.
Khozybek KazakhstanDepartment of the Gastrointestinal Tract and Endocrine Surgery, Syzganov National Scientific Center of Surgery, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan.
Kuanysh KanatovDepartment of the Gastrointestinal Tract and Endocrine Surgery, Syzganov National Scientific Center of Surgery, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan.
Yevgene YeninDepartment of Pathomorphology, Cytology, Syzganov National Scientific Center of Surgery, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan.
Gulziya IsmailovaDepartment of Clinical Specialties, Higher School of Medicine, Al-Farabi Kazakh National University, Almaty, Kazakhstan.
Kazakh National Medical University · KZAl-Farabi Kazakh National University · KZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Surgical treatment of recurrent gastroesophageal reflux disease (GERD) negatively affects patients' quality of life (QoL). Determination of risk factors is essential when considering a surgical approach. The present study aimed to evaluate short-term and long-term outcomes of primary laparoscopic Nissen fundoplication (LNF) and open Nissen fundoplication (ONF), as well as the risks of laparoscopic redo fundoplication. Methods: A retrospective cohort observational study was conducted from 2010 to 2021 at the National Research Center of Surgery (Almaty, Kazakhstan). Depending on the type of primary GERD surgical correction, 475 patients were stratified into two groups, namely LNF (n=117) and ONF (n=358). The outcomes and associated complications of LNF and ONF surgeries were assessed. The odds ratio of recurrent GERD in terms of risk factors was analyzed as well as post-intervention QoL. Results: Postoperative complications in ONF surgery were 2.7-fold higher than in LNF (P=0.0001). Moreover, intra-operative complications were higher with ONF surgery (7.7%) than with LNF (1.4%) (P=0.002). In cases with persistent clinical manifestations, the rate of redo fundoplication was the same after failed primary LNF and ONF. The risk factors associated with recurrent GERD, leading to redo fundoplication, were obesity (OR=2.16, P=0.473) and male sex (OR=3.0, P=0.272). One-year after LNF, 88.7% of the patients were satisfied with the outcome of the surgery. Conclusion: Recurrent symptoms of GERD and the rate of redo fundoplication were associated with obesity and the male sex. Obesity was the main risk factor, necessitating stringent selection of patients for surgical management of the disease.

Indexed as

Gastroesophageal RefluxLaparoscopyFemaleFundoplicationHumansKazakhstanMaleObesityQuality of LifeRetrospective StudiesEsophagoplastyFundoplicationGastroesophageal refluxGeneral surgeryLaparoscopy

Identifiers

PMID38322163
PMCPMC10839139
OpenAlexW4394740543

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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.