Evidence map›Paper›PMID 41245917›Full record

ReviewCureus2025

Revisiting Short Gastric Division for Laparoscopic Nissen Fundoplication: A Literature Review.

Mostafa Mahran, Oday Al-Asadi, Almoutuz Aljaafreh, Rofida Sobh

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Mostafa MahranUpper Gastrointestinal Surgery, Homerton University Hospital, London, GBR.
Oday Al-AsadiGeneral Surgery, Homerton, London, GBR.
Almoutuz AljaafrehUpper Gastrointestinal Surgery, King's College Hospital, London, GBR.
Rofida SobhFamily Medicine, Ain Shams University, Cairo, EGY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The debate continues over whether short gastric vessels (SGVs) should be divided during laparoscopic Nissen fundoplication (LNF) to alleviate the wrap tension. This study aimed to narratively compile evidence from laparoscopic-only studies (2005-2025) that compared the effects of dividing versus preserving the SGVs on dysphagia, gas-bloat syndrome, and reflux recurrence. We synthesized randomized trials, meta-analyses, and guidelines published between 2005 and 2025 comparing SGV division versus preservation. Across long-term randomized follow-up and multiple meta-analyses, routine SGV division did not reduce dysphagia or improve reflux outcomes. It was associated with more gas-bloat and slightly longer operative time. In contemporary LNF, using a standardized technique, routine SGV division is unnecessary, and selective division is reserved for cases with clear tension.

Indexed as

anti-reflux surgerydysphagiafundal mobilizationgas‑bloatlaparoscopicnissen fundoplicationreflux recurrenceshort gastric vessels

Identifiers

PMID41245917
PMCPMC12612648

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.