Evidence map›Paper›PMID 39080063›Full record

GuidelineSurgical endoscopy2024

SAGES guidelines for the surgical treatment of hiatal hernias.

Shaun Daly, Sunjay S Kumar, Amelia T Collings, Nader M Hanna, Yagnik K Pandya, James Kurtz, Keshav Kooragayala, Meghan W Barber, Mykola Paranyak, Marina Kurian and 4 more

Abstract readPractice Guideline
PubMed Publisher
In one paragraph

Guideline in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 5 pooled it
–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

40 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Efficacy and safety of mesh reinforced cruroplasty with Phasix™ ST vs. Bio-AHernia : the journal of hernias and abdominal wall surgery · 2026
    Pooled it
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  9. Review
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  12. Gastropexy may reduce symptomatic recurrence in paraesophageal hernia repair: a Scandinavian retrospective multicenter study.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2026
    Observational
  13. Article
  14. Diagnostic value of real-time dynamic gastric contrast ultrasound for hiatal hernia.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Article
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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

14 authors.

Shaun DalyDepartment of Surgery, University of California, Irvine, CA, USA. ShaunMIS@yahoo.com.
Sunjay S KumarDepartment of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Amelia T CollingsDepartment of Surgery, Hiram C. Polk, Jr., University of Louisville, Louisville, KY, USA.
Nader M HannaDepartment of Surgery, Queen's University, Kingston, ON, Canada.
Yagnik K PandyaDepartment of Surgery, MetroWest Medical Center, Framingham, MA, USA.
James KurtzDepartment of Surgery, Providence Portland Medical Center, Portland, OR, USA.
Keshav KooragayalaDepartment of Surgery, Cooper University Hospital, Camden, NJ, USA.
Meghan W BarberDepartment of Surgery, University of Toledo College of Medicine, Toledo, OH, USA.
Mykola ParanyakDepartment of General Surgery, Danylo Halytsky Lviv National Medical University, Lviv Oblast, Ukraine.
Marina KurianDepartment of Surgery, NYU Langone Health, New York, NY, USA.
Jeffrey ChiuDepartment of Surgery, AdventHealth, Orlando, FL, USA.
Mohammed T AnsariSchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Bethany J SlaterDepartment of Surgery, University of Chicago, Chicago, IL, USA.
Geoffrey P KohnDepartment of Surgery, Monash University, Eastern Health Clinical School, Melbourne, VIC, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHiatal hernia (HH) is a common condition. A multidisciplinary expert panel was convened to develop evidence-based recommendations to support clinicians, patients, and others in decisions regarding the treatment of HH.

methodsSystematic reviews were conducted for four key questions regarding the treatment of HH in adults: surgical treatment of asymptomatic HH versus surveillance; use of mesh versus no mesh; performing a fundoplication versus no fundoplication; and Roux-en-Y gastric bypass (RYGB) versus redo fundoplication for recurrent HH. Evidence-based recommendations were formulated using the Grading of Recommendations, Assessment, Development, and Evaluations methodology by subject experts. When the evidence was insufficient to base recommendations on, expert opinion was utilized instead. Recommendations for future research were also proposed.

resultsThe panel provided one conditional recommendation and two expert opinions for adults with HH. The panel suggested routinely performing a fundoplication in the repair of HH, though this was based on low certainty evidence. There was insufficient evidence to make evidence-based recommendations regarding surgical repair of asymptomatic HH or conversion to RYGB in recurrent HH, and therefore, only expert opinions were offered. The panel suggested that select asymptomatic patients may be offered surgical repair, with criteria outlined. Similarly, it suggested that conversion to RYGB for management of recurrent HH may be appropriate in certain patients and again described criteria. The evidence for the routine use of mesh in HH repair was equivocal and the panel deferred making a recommendation.

conclusionsThese recommendations should provide guidance regarding surgical decision-making in the treatment of HH and highlight the importance of shared decision-making and consideration of patient values to optimize outcomes. Pursuing the identified research needs will improve the evidence base and may allow for stronger recommendations in future evidence-based guidelines for the treatment of HH.

Indexed as

FundoplicationHernia, HiatalHerniorrhaphyEvidence-Based MedicineGastric BypassHumansRecurrenceSurgical MeshSystematic Reviews as TopicFundoplicationHiatal herniaMeshRecurrent hiatal herniaRedo fundoplicationRoux-en-Y gastric bypass

Identifiers

PMID39080063

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.