Evidence map›Paper›PMID 40140136›Full record

ArticleObesity surgery2025

Antireflux Surgery in Patients with Moderate Obesity - Fundoplication or Roux-en-Y Gastric Bypass?

Johanna Betzler, Nina Wiegand, Alexandra Kantorez, Alida Finze, Sebastian Schölch, Christoph Reißfelder, Mirko Otto, Susanne Blank

Abstract readComparative Study
In one paragraph

Article in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
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

8 authors.

Johanna BetzlerDepartment of Surgery, University Medical Center, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Nina WiegandDepartment of Surgery, University Medical Center, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Alexandra KantorezDepartment of Surgery, University Medical Center, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Alida FinzeDepartment of Surgery, University Medical Center, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Sebastian SchölchDepartment of Surgery, University Medical Center, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Christoph ReißfelderDepartment of Surgery, University Medical Center, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Mirko OttoDepartment of Surgery, University Medical Center, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Susanne BlankDepartment of Surgery, University Medical Center, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany. susanne.blank@umm.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastroesophageal reflux disease (GERD), often associated with obesity, impairs quality of life and can lead to complications. This study compared Fundoplication and Roux-en-Y Gastric Bypass (RYGB) in patients with WHO (World Health Organization) class I and II obesity and refractory GERD. MATERIAL AND

methodsA single-center, retrospective study analyzed 93 patients (55 Fundoplication, 38 RYGB) with BMI < 40 kg/m

resultsPatients who underwent RYGB had higher preoperative BMI (35.9 vs. 27.5 kg/m

conclusionDespite higher preoperative BMI and comorbidities, patients undergoing RYGB had shorter operative times and hospital stays. The results suggest RYGB may be preferable for patients with refractory GERD and class I and II obesity, but further research on long-term outcomes is needed.

Indexed as

FundoplicationGastric BypassGastroesophageal RefluxObesityObesity, MorbidAdultBody Mass IndexFemaleHumansMaleMiddle AgedOperative TimePostoperative ComplicationsQuality of LifeRetrospective StudiesTreatment OutcomeAntireflux surgeryFundoplicationGERDModerate obesityRYGB

Identifiers

PMID40140136
PMCPMC12065731

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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.