Evidence map›Paper›PMID 40251313›Full record

ArticleSurgical endoscopy2025

Effectiveness of anterior gastropexy with mesh reinforcement in reducing the recurrence of giant hiatal hernia.

Naoko Fukushima, Takahiro Masuda, Kazuto Tsuboi, Masato Hoshino, Masami Yuda, Keita Takahashi, Yuki Sakashita, Hideyuki Takeuchi, Nobuo Omura, Fumiaki Yano and 1 more

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline 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
  2. Article
  3. 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

11 authors.

Naoko FukushimaDepartment of Surgery, The Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Minato-Ku, Tokyo, 105-8461, Japan. naoko9037@gmail.com.ORCID http://orcid.org/0000-0002-7656-3198
Takahiro MasudaDepartment of Surgery, The Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Minato-Ku, Tokyo, 105-8461, Japan.
Kazuto TsuboiDepartment of Surgery, The Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Minato-Ku, Tokyo, 105-8461, Japan.
Masato HoshinoDepartment of Surgery, The Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Minato-Ku, Tokyo, 105-8461, Japan.
Masami YudaDepartment of Surgery, The Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Minato-Ku, Tokyo, 105-8461, Japan.
Keita TakahashiDepartment of Surgery, The Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Minato-Ku, Tokyo, 105-8461, Japan.
Yuki SakashitaDepartment of Surgery, The Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Minato-Ku, Tokyo, 105-8461, Japan.
Hideyuki TakeuchiDepartment of Surgery, The Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Minato-Ku, Tokyo, 105-8461, Japan.
Nobuo OmuraDepartment of Surgery, The Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Minato-Ku, Tokyo, 105-8461, Japan.
Fumiaki YanoDepartment of Surgery, The Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Minato-Ku, Tokyo, 105-8461, Japan.
Ken EtoDepartment of Surgery, The Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Minato-Ku, Tokyo, 105-8461, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe number of patients with giant hiatal hernias requiring surgery is increasing. However, there have been some concerns regarding the possible high recurrence rates. Additional gastropexy has been suggested to reduce recurrence rates. This study aimed to examine whether additional gastropexy is effective in patients with giant hiatal hernias.

methodsWe enrolled 77 patients with giant hiatal hernias who underwent laparoscopic hiatal hernia repair between June 2011 and December 2022. The patients were divided into two groups according to the presence or absence of gastropexy, the surgical outcomes and recurrence of hiatal hernia between the groups were compared.

resultsThe gastropexy group included 52 patients (68%). Although the operating time was longer in the gastropexy than in the non- gastropexy group (P < 0.01), there were no differences in the pre- and post- operative complications between the two groups. Surgery with gastropexy significantly improved symptoms, such as heartburn, reflux, chest pain, and vomiting, as well as the pathology of hiatal hernia, cardiac loosening, and esophagitis. The rates of recurrence of hiatal hernia and esophagitis were significantly lower in the gastropexy than in the non- gastropexy group (P < 0.01 and P = 0.04, respectively).

conclusionsLaparoscopic anterior gastropexy is safe and effective for preventing the recurrence of giant hiatal hernias.

Indexed as

GastropexyHernia, HiatalHerniorrhaphyLaparoscopySurgical MeshAdultAgedFemaleHumansMaleMiddle AgedOperative TimePostoperative ComplicationsRecurrenceRetrospective StudiesSecondary PreventionAnterior gastropexyGiant hiatal herniaMeshRecurrenceToupet fundoplication

Identifiers

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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.