Evidence map›Paper›PMID 24151377›Full record

ReviewWorld journal of gastroenterology2013

Proton pump inhibitor resistance, the real challenge in gastro-esophageal reflux disease.

Michele Cicala, Sara Emerenziani, Michele Pier Luca Guarino, Mentore Ribolsi

2 registry-linked trialsOpen access · hybridAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 6% 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.

NCT03282084 withdrawnnot on this mapstarted 2017, after this paper: background citation

A Prospective, Observational Study of the PPI Non-responder

TypeobservationalSponsorDartmouth-Hitchcock Medical CenterRan2017 to 2018Enrolled0ConditionsGastro Esophageal Reflux Disease PPI Non-RespondersArmsEGD with biopsy, EGD and impedance-pH study on PPI
NCT03357809 nasuspendednot on this mapstarted 2017, after this paper: background citation

Monocentric Study Evaluating the Efficiency and Safety of Anti-reflux Mucosectomy ARMS for the Gastro-Esophageal Reflux Disease

TypeinterventionalSponsorHospital St. Joseph, Marseille, FranceRan2017 to 2023Enrolled15ConditionsGERD, Gastro Esophageal RefluxArmsEndoscopic mucosal resection
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.

  1. Pooled it
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  16. Complex Gastroesophageal Reflux Disease.Gastro hep advances · 2022
    Review
  17. Upregulation of acid sensing ion channels is associated with esophageal hypersensitivity in GERD.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2022
    Article
  18. Article
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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.

Michele CicalaMichele Cicala, Sara Emerenziani, Michele Pier Luca Guarino, Mentore Ribolsi, Unit of Digestive Disease, Campus Bio Medico University of Rome, 00128 Rome, Italy.
Sara Emerenziani
Michele Pier Luca Guarino
Mentore Ribolsi
Università Campus Bio-Medico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastro-esophageal reflux disease (GERD) is one of the most prevalent chronic diseases. Although proton pump inhibitors (PPIs) represent the mainstay of treatment both for healing erosive esophagitis and for symptom relief, several studies have shown that up to 40% of GERD patients reported either partial or complete lack of response of their symptoms to a standard PPI dose once daily. Several mechanisms have been proposed as involved in PPIs resistance, including ineffective control of gastric acid secretion, esophageal hypersensitivity, ultrastructural and functional changes in the esophageal epithelium. The diagnostic evaluation of a refractory GERD patients should include an accurate clinical evaluation, upper endoscopy, esophageal manometry and ambulatory pH-impedance monitoring, which allows to discriminate non-erosive reflux disease patients from those presenting esophageal hypersensitivity or functional heartburn. Treatment has been primarily based on doubling the PPI dose or switching to another PPI. Patients with proven disease, not responding to PPI twice daily, are eligible for anti-reflux surgery.

Indexed as

Drug ResistanceDose-Response Relationship, DrugDrug SubstitutionGastroesophageal RefluxHumansPatient SelectionPredictive Value of TestsProton Pump InhibitorsTreatment FailureProton Pump InhibitorsAmbulatory pH-impedance monitoringEsophageal hypersensitivityGastro-esophageal reflux diseaseGastro-esophageal reflux disease treatmentProton pump inhibitor

Identifiers

PMID24151377
PMCPMC3801364
OpenAlexW2092148076

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.