Cochrane · systematic review · CD003243
Laparoscopic fundoplication surgery versus medical management for gastro‐oesophageal reflux disease (GORD) in adults
Garg, SK, Gurusamy, KS · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library
GutAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
8
current version
GRADE rated
4
No studies
4
Included studies
NR
No studies 4 · 50%Ungraded 0 · 0%Very low 4 · 50%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Laparoscopic fundoplication versus medical management for gastro‐oesophageal reflux disease (GORD) in adults
Population: Patients with gastro‐oesophageal reflux disease (GORD) in adults
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
(< 1 year) Laparoscopic fundoplication vs medical management | no estimate extracted | 3 studies · 605 participants | Very low Downgraded: risk of bias, inconsistency |
(1 to 5 years) Laparoscopic fundoplication vs medical management | no estimate extracted | 2 studies · 323 participants | Very low Downgraded: risk of bias, inconsistency |
Adverse events Laparoscopic fundoplication vs medical management | no estimate extracted | NR | No studies |
Serious adverse events Laparoscopic fundoplication vs medical management | RR 1.46 [1.01, 2.11] | 2 studies · 637 participants | Very low Downgraded: risk of bias |
Dysphagia Laparoscopic fundoplication vs medical management | no estimate extracted | NR | No studies |
(5 years or more) Laparoscopic fundoplication vs medical management | RR 0.9 [0.57, 1.42] | 1 study · 228 participants | Very low Downgraded: risk of bias |
Heartburn Laparoscopic fundoplication vs medical management | no estimate extracted | NR | No studies |
Reflux Laparoscopic fundoplication vs medical management | no estimate extracted | NR | No studies |