Evidence map›Paper›PMID 23021166›Full record

ArticleGastrointestinal endoscopy2013

Subjective and objective data on esophageal manometry and impedance pH monitoring 1 year after endoscopic full-thickness plication for the treatment of GERD by using multiple plication implants.

Oliver O Koch, Adolf Kaindlstorfer, Stavros A Antoniou, Georg Spaun, Rudolph Pointner, Lee L Swanstrom

Abstract read
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In one paragraph

Article in Gastrointestinal endoscopy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

20 citing papers in PubMed, 50 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Indian consensus on gastroesophageal reflux disease in adults: A position statement of the Indian Society of Gastroenterology.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2019
    Article
  10. Article
  11. Article
  12. [Surgical and interventional procedures for reflux therapy : Endoscopic or laparoscopic?]Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017
    Review
  13. Review
  14. [Interventional procedures in the treatment of gastroesophageal reflux disease].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2015
    Review
  15. Esophageal motility abnormalities in gastroesophageal reflux disease.World journal of gastrointestinal pharmacology and therapeutics · 2014
    Review
  16. Article
  17. Article
  18. Article
  19. NERD: an umbrella term including heterogeneous subpopulations.Nature reviews. Gastroenterology & hepatology · 2013
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Oliver O KochDepartment of General Surgery, General Hospital Zell am See, Zell am See, Austria.
Adolf Kaindlstorfer
Stavros A Antoniou
Georg Spaun
Rudolph Pointner
Lee L Swanstrom
Tauern Hospital Zell am See · ATOregon Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubjective and especially objective data after endoluminal full-thickness gastroplication are scarce.

objectiveTo evaluate symptoms and reflux activity 12 months after gastroplication by using multichannel intraluminal impedance monitoring.

designOpen-label, prospective, single-center study.

settingTertiary referral hospital in Zell am See, Austria. PATIENTS: Subjects without hiatal hernias with documented GERD and persistent or recurrent symptoms despite treatment with a proton pump inhibitor.

interventionsA total of 36 patients underwent endoscopic full-thickness gastroplication with 1 or more Plicator implants. MAIN OUTCOME MEASUREMENTS: Mean Gastrointestinal Quality of Life Index and reflux-specific symptom scores significantly improved on follow-up (P < .01). Atypical reflux, gas/bloating, and bowel dysfunction-specific symptom scores as well as belching and dysphagia scores improved. Twenty-two patients returned for esophageal manometry and multichannel intraluminal impedance testing 1 year after surgery. DeMeester scores decreased from 20 to 10 (P < .029). The median numbers of total, acid, proximal, upright, and recumbent reflux episodes were all significantly reduced (P < .05). Manometric data were virtually unchanged. The percentage of patients taking proton pump inhibitors on daily basis after the procedure was 11.5%. There was only 1 postprocedure incident (bleeding) that required intervention. Three of 36 patients (8.3%) were considered treatment failures because of persistent symptoms and were assigned to undergo laparoscopic fundoplication. LIMITATIONS: No randomized comparison with a sham procedure or laparoscopic fundoplication; follow-up interval.

conclusionsEndoscopic plication is safe and improves objective and subjective parameters at 1-year follow-up, without side effects seen after laparoscopic fundoplication. Further studies on the clinical merit of this procedure in specific patient populations are warranted.

Indexed as

Endoscopy, GastrointestinalManometryProstheses and ImplantsElectric ImpedanceEsophagusFemaleFundoplicationGastroesophageal RefluxHumansHydrogen-Ion ConcentrationLaparoscopyMaleMiddle AgedProspective StudiesTreatment Outcome

Identifiers

PMID23021166
OpenAlexW2023502711

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.