Evidence map›Paper›PMID 41660497›Full record

ArticleFrontiers in surgery2026

Laparoscopic Heller myotomy with Dor fundoplication for achalasia: an outcome in a tertiary health center of Nepal.

Kunal Bikram Deo, Parbatraj Regmi, Narendra Pandit, Barurendra Raj Yogi, Bed Prakash Sah, Ulav Budhathoki, Shailesh Adhikary

Abstract read
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Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Kunal Bikram DeoDepartment of Gastrointestinal Surgery, B P Koirala Institute of Health Sciences, Dharan, Nepal.
Parbatraj RegmiDepartment of Surgery, BP Koirala Institute of Health Sciences, Dharan, Nepal.
Narendra PanditDepartment of Gastrointestinal Surgery, B P Koirala Institute of Health Sciences, Dharan, Nepal.
Barurendra Raj YogiDepartment of Gastrointestinal Surgery, B P Koirala Institute of Health Sciences, Dharan, Nepal.
Bed Prakash SahDepartment of Gastrointestinal Surgery, B P Koirala Institute of Health Sciences, Dharan, Nepal.
Ulav BudhathokiDepartment of Gastrointestinal Surgery, B P Koirala Institute of Health Sciences, Dharan, Nepal.
Shailesh AdhikaryDepartment of Gastrointestinal Surgery, B P Koirala Institute of Health Sciences, Dharan, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Laparoscopic Heller Myotomy with Dor fundoplication is the most effective therapeutic option for Achalasia cardia, with fewer complications. We present the outcomes of this procedure with long-term follow-up in patients with Achalasia cardia. Methods: A single institution prospectively maintained data of Laparoscopic Heller Myotomy with Dor fundoplication between January 2014 and January 2024 was reviewed. Eckardt scores at three-time points (preoperative, 3-month, and long-term follow-up) were used to assess treatment efficacy. Results: A total of 16 patients had a median age of 34 years. Megaesophagus was observed in 8 (50%) patients, and 5 patients had sigmoid esophagus. The mean operative time was 162 ± 41 min. The mean myotomy length was 6.1 cm and 2.19 cm, respectively, for the esophagus and the stomach. Following the surgery, there was significant improvement in the Eckardt score from a median preoperative score of 9 (5-12) to a median postoperative score of 2(0-4) in 3 months ( Conclusions: LHM provides immediate and durable symptomatic relief with fewer complications.

Indexed as

achalasia cardiaHeller myotomylaparoscopic surgerylaparoscopyoutcome

Identifiers

PMID41660497
PMCPMC12872931

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