Evidence map›Paper›PMID 40922919›Full record

ArticleAnnals of gastroenterological surgery2025

Relationship Between Kyphosis and Postoperative Gastroesophageal Reflux After Proximal Gastrectomy.

Takaomi Ozawa, Suguru Maruyama, Katsutoshi Shoda, Yoshihiko Kawaguchi, Ryo Saito, Kensuke Shiraishi, Shinji Furuya, Hidetake Amemiya, Hiromichi Kawaida, Daisuke Ichikawa

Abstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2025. 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
–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

1 citing paper in PubMed.

  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

10 authors.

Takaomi OzawaFirst Department of Surgery, Faculty of Medicine University of Yamanashi Chuo Yamanashi Japan.ORCID https://orcid.org/0009-0005-5609-0062
Suguru MaruyamaFirst Department of Surgery, Faculty of Medicine University of Yamanashi Chuo Yamanashi Japan.
Katsutoshi ShodaFirst Department of Surgery, Faculty of Medicine University of Yamanashi Chuo Yamanashi Japan.
Yoshihiko KawaguchiFirst Department of Surgery, Faculty of Medicine University of Yamanashi Chuo Yamanashi Japan.
Ryo SaitoFirst Department of Surgery, Faculty of Medicine University of Yamanashi Chuo Yamanashi Japan.ORCID https://orcid.org/0000-0003-3125-4671
Kensuke ShiraishiFirst Department of Surgery, Faculty of Medicine University of Yamanashi Chuo Yamanashi Japan.
Shinji FuruyaFirst Department of Surgery, Faculty of Medicine University of Yamanashi Chuo Yamanashi Japan.ORCID https://orcid.org/0000-0002-6766-3779
Hidetake AmemiyaFirst Department of Surgery, Faculty of Medicine University of Yamanashi Chuo Yamanashi Japan.
Hiromichi KawaidaFirst Department of Surgery, Faculty of Medicine University of Yamanashi Chuo Yamanashi Japan.
Daisuke IchikawaFirst Department of Surgery, Faculty of Medicine University of Yamanashi Chuo Yamanashi Japan.ORCID https://orcid.org/0000-0003-0093-2206

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: The prevalence of kyphosis is increasing with increasing life expectancy. One of the most notable gastrointestinal complications is gastroesophageal reflux disease (GERD) in patients with kyphosis. In this study, we investigated the association between kyphosis and the incidence of postoperative GERD in patients who underwent proximal gastrectomy (PG), a procedure with a particularly high risk of GERD. Methods: In total, 54 consecutive patients who underwent PG between 2009 and 2023 met the inclusion criteria. The thoracic/lumbar angle ratio (T/L ratio) derived from sagittal computed tomography was performed to preoperatively assess kyphosis, defined as a T/L ratio ≥ 1.25. Results: Fifteen patients (27.8%) had kyphosis. Overall, postoperative GERD occurred in seven patients (13.0%). Preoperative albumin levels were significantly lower in the Kyphosis group than in the Normal group ( Conclusion: Kyphosis was significantly associated with the occurrence of postoperative GERD in patients who underwent PG. Alternative preventive measures may be considered when patients with kyphosis undergo PG.

Indexed as

gastroesophageal reflux diseasekyphosisproximal gastrectomy

Identifiers

PMID40922919
PMCPMC12414589

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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.