Evidence map›Paper›PMID 24758713›Full record

ArticleDiseases of the esophagus : official journal of the International Society for Diseases of the Esophagus2015

Cameron lesions in patients with hiatal hernias: prevalence, presentation, and treatment outcome.

D M Gray, V Kushnir, G Kalra, A Rosenstock, M A Alsakka, A Patel, G Sayuk, C P Gyawali

Open access · bronzeAbstract read
In one paragraph

Article in Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Article
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  5. Review
  6. Article
  7. Gastric perforation secondary to incarcerated para-esophageal hiatal hernia in a French bulldog.Canadian journal of veterinary research = Revue canadienne de recherche veterinaire · 2023
    Article
  8. Article
  9. Review
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  15. Article
  16. Radiofrequency Ablation of Cameron Lesions.Digestive diseases and sciences · 2017
    Article
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

8 authors at 1 institution in 1 country.

D M GrayDivision of Gastroenterology, Washington University School of Medicine, St. Louis, Missouri, USA.
V KushnirDivision of Gastroenterology, Washington University School of Medicine, St. Louis, Missouri, USA.
G KalraDivision of Gastroenterology, Washington University School of Medicine, St. Louis, Missouri, USA.
A RosenstockDivision of Gastroenterology, Washington University School of Medicine, St. Louis, Missouri, USA.
M A AlsakkaDivision of Gastroenterology, Washington University School of Medicine, St. Louis, Missouri, USA.
A PatelDivision of Gastroenterology, Washington University School of Medicine, St. Louis, Missouri, USA.
G SayukDivision of Gastroenterology, Washington University School of Medicine, St. Louis, Missouri, USA.
C P GyawaliDivision of Gastroenterology, Washington University School of Medicine, St. Louis, Missouri, USA.
Washington University in St. Louis · US

Funding

Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Washington University DDRCC Supplemental Equipment RequestP30DK052574 · NIDDK · WASHINGTON UNIVERSITY · PI Nicholas O. Davidson · 2000 to 2026
$30.8M
CLINICAL/LABORATORY TRAINING ACADEMIC GASTROENTEROLOGYT32DK007130 · NIDDK · WASHINGTON UNIVERSITY · PI MATTHEW AARON CIORBA · 1986 to 2026
$8.3M
Influence of Somatization on Central Pain Responses in Irritable Bowel SyndromeK23DK084113 · NIDDK · WASHINGTON UNIVERSITY · PI SAYUK, GREGORY S · 2010 to 2014
$827k
Pilot Prospective Study of Minor Papilla Endoscopic Sphincterotomy for Pancreas DR21DK084413 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ROMAGNUOLO, JOSEPH · 2010 to 2011
$443k
NCATS NIH HHS UL1 TR000448NIDDK NIH HHS 5P30 DK052574-13NIDDK NIH HHS 5P30 DK05574-12NIDDK NIH HHS K23 DK084113NIDDK NIH HHS K23DK84413-4NIDDK NIH HHS P30 DK052574NIDDK NIH HHS R21 DK084413NIDDK NIH HHS T32 DK007130
6 · The paper itself

Abstract

Cameron lesions, as defined by erosions and ulcerations at the diaphragmatic hiatus, are found in the setting of gastrointestinal (GI) bleeding in patients with a hiatus hernia (HH). The study aim was to determine the epidemiology and clinical manifestations of Cameron lesions. We performed a retrospective cohort study evaluating consecutive patients undergoing upper endoscopy over a 2-year period. Endoscopy reports were systematically reviewed to determine the presence or absence of Cameron lesions and HH. Inpatient and outpatient records were reviewed to determine prevalence, risk factors, and outcome of medical treatment of Cameron lesions. Of 8260 upper endoscopic examinations, 1306 (20.2%) reported an HH. When categorized by size, 65.6% of HH were small (<3 cm), 23.0% moderate (3-4.9 cm), and 11.4% were large (≥5 cm). Of these, 43 patients (mean age 65.2 years, 49% female) had Cameron lesions, with a prevalence of 3.3% in the presence of HH. Prevalence was highest with large HH (12.8%). On univariate analysis, large HH, frequent non-steroidal anti-inflammatory drug (NSAID) use, GI bleeding (both occult and overt), and nadir hemoglobin level were significantly greater with Cameron lesions compared with HH without Cameron lesions (P ≤ 0.03). Large HH size and NSAID use were identified as independent risk factors for Cameron lesions on multivariate logistic regression analysis. Cameron lesions are more prevalent in the setting of large HH and NSAID use, can be associated with GI bleeding, and can respond to medical management.

Indexed as

AgedAnti-Inflammatory Agents, Non-SteroidalEndoscopy, GastrointestinalEsophageal DiseasesFemaleGastrointestinal HemorrhageHernia, HiatalHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisPrevalenceRetrospective StudiesRisk FactorsUlcerAnti-Inflammatory Agents, Non-SteroidalCameron lesionsgastrointestinal bleedinghiatus herniaupper endoscopy

Identifiers

PMID24758713
PMCPMC4208983
OpenAlexW1524536319

What OpenQuestion holds

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Read underepoch 390

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.