Evidence map›Paper›PMID 40205116›Full record

ArticleObesity surgery2025

Outcomes of Concomitant Laparoscopic Sleeve Gastrectomy and Hiatal Hernia Repair on Gastroesophageal Reflux Disease in Patients with Severe Obesity: A Propensity Score-Matched Analysis.

Ayman El Nakeeb, Hassan Aldossary, Ahmed Zaid, Aly E Rashad, Mohamed Balata, Mohamed Abdulrazek, Dafer Alshehri, Hosam Mohamad Hamza, Reem Elsheemy, Mohammed M Mohammed and 2 more

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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 5 papers.

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

5 citing papers in PubMed.

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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

12 authors.

Ayman El NakeebMansoura University, Al Mansurah, Egypt. elnakeebayman@yahoo.com.
Hassan AldossaryKingdom of Saudi Arabia, Wadi Al Dawasir Armed Forces Hospital, Wadi Al Dawaser, Saudi Arabia.
Ahmed ZaidKingdom of Saudi Arabia, Wadi Al Dawasir Armed Forces Hospital, Wadi Al Dawaser, Saudi Arabia.
Aly E RashadMansoura University, Al Mansurah, Egypt.
Mohamed BalataMansoura University, Al Mansurah, Egypt.
Mohamed AbdulrazekMansoura University, Al Mansurah, Egypt.
Dafer AlshehriHayat National Hospitals Kingdom of Saudi Arabia, Khameis Mushayt, Saudi Arabia.
Hosam Mohamad HamzaMinia University Hospital, Minya, Egypt.
Reem ElsheemyHayat National Hospitals Kingdom of Saudi Arabia, Khameis Mushayt, Saudi Arabia.
Mohammed M MohammedHayat National Hospitals Kingdom of Saudi Arabia, Khameis Mushayt, Saudi Arabia.
Kareem AlnakeebMansoura University, Al Mansurah, Egypt.
Mohamed AttiaMansoura University, Al Mansurah, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHiatal hernia (HH) is frequent in patients with obesity who have undergone bariatric surgery, but there is controversy about HH repair (HHR) during bariatric surgery. This study aimed to analyze the safety and efficacy of concomitant laparoscopic sleeve gastrectomy (LSG) and HHR in patients with severe obesity.

methodsA propensity score-matched analysis was conducted for patients who underwent LSG. Preoperative barium meal, upper endoscopy, and intraoperative findings were used to diagnose HH. The GERD health-related quality of life (GERD-HRQL) questionnaire was used to diagnose gastroesophageal reflux disease (GERD). Patients were divided into two groups: one underwent concomitant LSG with HHR and the other underwent LSG only. HHR was performed by cruroplasty and reconstruction of the phrenoesophageal ligament (PEL). Gastropexy was performed by fixing the gastric tube to the omentum and peripancreatic fascia. Outcomes included blood loss, operative time, postoperative complications, GERD, and percent excess weight loss.

resultsOf the 406 patients included in the study, 203 patients with HH underwent LSG with HHR, while 203 underwent LSG alone. There was significantly longer operative time in the LSG with HHR group, but no statistical difference between the groups regarding postoperative complications, except postoperative GERD. De novo GERD symptoms developed significantly in the LSG only group. These results indicate that concomitant LSG with HHR leads to improvement of GERD and decreases the rate of de novo GERD symptoms.

conclusionsHH should be repaired by cruroplasty and reconstruction of the PEM during LSG. HHR helps to improve postoperative GERD symptoms.

Indexed as

GastrectomyGastroesophageal RefluxHernia, HiatalHerniorrhaphyLaparoscopyObesity, MorbidAdultFemaleHumansMaleMiddle AgedOperative TimePostoperative ComplicationsPropensity ScoreQuality of LifeRetrospective StudiesCruroplastyGastroesophageal refluxHiatal herniaLaparoscopic sleeve gastrectomySevere obesity

Identifiers

PMID40205116

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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.