Cochrane · systematic review · CD013386
Fundoplication in laparoscopic Heller's cardiomyotomy for achalasia
Midya, S, Ghosh, D, Mahmalat, MW · Cochrane Database of Systematic Reviews · 2022 · 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
7
No studies
1
Included studies
NR
No studies 1 · 12.5%Ungraded 0 · 0%Very low 1 · 12.5%Low 4 · 50%Moderate 1 · 12.5%High 1 · 12.5%
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
LHC + Dor compared to LHC without fundoplication for achalasia
Population: adult patients (> 18 years) with achalasia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Postoperative pathological acid reflux LHC + Dor vs LHC without fundoplication | RR 0.37 [0.07, 1.89] | 2 studies · 97 participants | Very low Downgraded: inconsistency, indirectness |
Severe postoperative dysphagia LHC + Dor vs LHC without fundoplication | RR 3 [0.34, 26.33] | 3 studies · 143 participants | Low Downgraded: imprecision, indirectness |
LHC + Dor compared to LHC + Toupet for achalasia
Population: adult patients (> 18 years) with achalasia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Postoperative pathological acid reflux LHC + Dor vs LHC + Toupet | RR 0.75 [0.23, 2.43] | 3 studies · 105 participants | Low Downgraded: imprecision, inconsistency |
Severe postoperative dysphagia LHC + Dor vs LHC + Toupet | RR 0.78 [0.19, 3.15] | 3 studies · 123 participants | Low Downgraded: imprecision, indirectness |
LHC + Dor compared to LHC + Nissen for achalasia
Population: adult patients (> 18 years) with achalasia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Postoperative pathological acid reflux LHC + Dor vs LHC + Nissen | RR 4.72 [0.23, 96.59] | 1 study · 138 participants | Low Downgraded: imprecision |
Severe postoperative dysphagia LHC + Dor vs LHC + Nissen | RR 0.19 [0.04, 0.83] | 1 study · 138 participants | High |
LHC + Dor compared to LHC + angle of His accentuation for achalasia
Population: adult patients (> 18 years) with achalasia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Postoperative pathological acid reflux LHC + Dor vs LHC + angle of His accentuation | no estimate extracted | NR | No studies |
Severe postoperative dysphagia LHC + Dor vs LHC + angle of His accentuation | RR 1.56 [0.27, 8.95] | 1 study · 110 participants | Moderate Downgraded: imprecision |