Evidence map›Paper›PMID 41880416›Full record

SynthesisArquivos de gastroenterologia2026

EFFECTIVENESS OF LIGAMENTUM TERES CARDIOPEXY FOR GERD RESOLUTION AFTER SLEEVE GASTRECTOMY: A META-ANALYSIS AND SYSTEMATIC REVIEW.

Pedro Bicudo Bregion, Victor Kenzo Ivano, Luca Maunsell Pereira, Isadora Chrispim, Everton Cazzo, Anna Carolina Batista Dantas

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Arquivos de gastroenterologia, 2026. 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

6 authors.

Pedro Bicudo BregionUniversidade Estadual de Campinas (UNICAMP), Faculdade de Ciências Médicas, Estudante de Graduação, Campinas, SP, Brasil.ORCID http://orcid.org/0009-0003-9013-2583
Victor Kenzo IvanoUniversidade Estadual de Campinas (UNICAMP), Pesquisador Colaborador, Departamento de Cirurgia, Campinas, SP, Brasil.ORCID http://orcid.org/0000-0003-0160-2372
Luca Maunsell PereiraUniversidade Estadual de Campinas (UNICAMP), Faculdade de Ciências Médicas, Estudante de Graduação, Campinas, SP, Brasil.ORCID http://orcid.org/0009-0007-8878-9235
Isadora ChrispimUniversidade Estadual de Campinas (UNICAMP), Faculdade de Ciências Médicas, Estudante de Graduação, Campinas, SP, Brasil.ORCID http://orcid.org/0009-0001-9170-4235
Everton CazzoUniversidade Estadual de Campinas (UNICAMP), Professor Associado, Departamento de Cirurgia, Campinas, SP, Brasil.ORCID http://orcid.org/0000-0002-5804-1580
Anna Carolina Batista DantasHospital Universitário Onofre Lopes, Departamento de Cirurgia, Professor Assistente, Petrópolis, Natal, RN, Brasil.ORCID http://orcid.org/0000-0001-9505-6784

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastroesophageal Reflux Disease (GERD) is the most common long-term complication after Sleeve Gastrectomy (SG). Ligamentum teres cardiopexy (LTC) has been proposed as a revisional alternative to treat GERD symptoms.

objectiveTo evaluate, through a systematic review and meta-analysis, the safety and effectiveness of LTC in the remission of GERD symptoms and in reducing the use of anti-reflux medications in patients who previously underwent SG.

methodsWe conducted a systematic review and meta-analysis to evaluate LTC's safety and its impact on GERD after SG. We systematically searched PubMed, EMBASE, and Cochrane Central for studies assessing LTC in patients who underwent SG up to april 2025. The primary outcomes included remission of GERD symptoms and prevalence of GERD medications after surgery. Secondary outcomes were length of stay and adverse effects. Observational studies were included. A random-effects model analysis for GERD remission and prevalence of GERD medications were performed. Study weights were calculated using the inverse variance method, with statistical analyses conducted in R version 4.4.0.

resultsFour studies including 193 patients were analyzed. Overall, remission of GERD symptoms among patients undergoing revisional LTC alone, the remission rate was 75.50% (95%CI 59.55-86.57; I²=41.4%). Additionally, 33.42% of patients (95%CI 19.74-50.60; I²=44.7%) needed to use GERD-related medication postoperatively.

conclusionLTC shows potential as a surgical option for managing GERD after SG, particularly in revisional cases as an alternative to Roux-en-Y gastric bypass.

Indexed as

GastrectomyGastroesophageal RefluxPostoperative ComplicationsHumansReoperationTreatment Outcome

Identifiers

PMID41880416
PMCPMC13012765

What OpenQuestion holds

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Registered trials

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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.