Evidence map›Paper›PMID 20541755›Full record

ArticleGastrointestinal endoscopy2010

Esophagogastric junction distensibility assessed with an endoscopic functional luminal imaging probe (EndoFLIP).

Monika A Kwiatek, John E Pandolfino, Ikuo Hirano, Peter J Kahrilas

Open access · greenAbstract readComparative Study
In one paragraph

Article in Gastrointestinal endoscopy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 123 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
123citing papers in PubMed, 4 pooled it
8.8field-weighted citation impact, top 2% of its field
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

123 citing papers in PubMed, 4 syntheses or guidelines pooled it, 249 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. ACG Clinical Guidelines: Clinical Use of Esophageal Physiologic Testing.The American journal of gastroenterology · 2020
    Guideline
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Utilization trends for esophageal motility testing in the United States.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2026
    Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Functional Lumen Imaging Probe Panometry.Gastrointestinal endoscopy clinics of North America · 2025
    Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article

63 more citing papers are in PubMed but not listed here.

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 at 1 institution in 1 country.

Monika A KwiatekDepartment of Medicine, Northwestern University, Feinberg School of Medicine, Chicago, Illinois 60611-2951, USA.
John E Pandolfino
Ikuo Hirano
Peter J Kahrilas
Northwestern University · US

Funding

THE ESOPHAGOGASTRIC JUNCTION IN HEALTH AND DISEASER01DK056033 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI KAHRILAS, PETER JAMES · 2001 to 2015
$4.1M
The mechanics of symptom generation in dysphagiaR01DK079902 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI PANDOLFINO, JOHN E · 2009 to 2017
$2.9M
VOLITIONAL, BOLUS, AND AGE EFFECTS ON SWALLOWINGR01DC000646 · NIDCD · NORTHWESTERN UNIVERSITY · PI KAHRILAS, PETER J. · 1990 to 2000
$188k
NIDCD NIH HHS R01 DC00646NIDDK NIH HHS R01 DK056033NIDDK NIH HHS R01 DK079902
6 · The paper itself

Abstract

backgroundIncreased esophagogastric junction (EGJ) compliance is a key abnormality in GERD leading to increased volumes of reflux. To date, EGJ distensibility has been measured only with investigational barostat-based prototype devices.

objectivesThe aim of the study was to test the endoscopic functional luminal imaging probe (EndoFLIP), a new commercially available technology designed to measure intraluminal distensibility, by assessing the EGJ of GERD patients and controls.

designProspective case-control series.

settingTertiary referral center. SUBJECTS: Twenty GERD patients and 20 controls studied during a routine esophagogastroduodenoscopy.

methodsThe EndoFLIP was passed through the endoscopic instrumentation channel and positioned across the EGJ. The EndoFLIP uses impedance planimetry to measure 16 cross-sectional areas (CSA) along with the corresponding intrabag pressure within a 4.6-cm cylindrical segment of a fluid-filled bag. MAIN OUTCOME MEASUREMENT: EGJ distensibility was assessed with 10- to 40-mL volume-controlled distentions.

resultsIn both groups, the least distensible locus at the EGJ was usually at the hiatus. As a group, GERD patients exhibited two- to threefold increased EGJ distensibility compared with controls, particularly at 20- to 30-mL distention volumes, values quantitatively similar to previous measurements with barostat-based devices. The endoscopic estimation of EGJ distensibility, the flap valve grade, correlated poorly with EndoFLIP measurements. LIMITATIONS: Heterogeneity of GERD patients.

conclusionsMeasurement of EGJ distensibility with EndoFLIP is feasible during clinical endoscopy. Stratifying GERD patients according to this physiological parameter may facilitate the identification of patient subgroups responsive or unresponsive to medical or surgical treatments.

Indexed as

AdolescentAdultAgedCase-Control StudiesDilatationElasticityEndoscopy, GastrointestinalEndosonographyEquipment DesignEsophagogastric JunctionFemaleFollow-Up StudiesGastroesophageal RefluxHumansMaleMiddle Aged

Identifiers

PMID20541755
PMCPMC3019759
OpenAlexW2045323265

What OpenQuestion holds

Textmetadata
LicenceTDM
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.