Evidence map›Paper›PMID 24987453›Full record

ArticleAnnals of surgical innovation and research2014

A preliminary investigation of anti-reflux intervention for gastroesophageal reflux related childhood-to-adult persistent asthma.

Zhi Wei Hu, Zhong Gao Wang, Yu Zhang, Ji Min Wu, Wei Tao Liang, Yue Yang, Shu Rui Tian, Ai E Wang

Abstract read
In one paragraph

Article in Annals of surgical innovation and research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

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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

2 citing papers in PubMed.

  1. Article
  2. Observational
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.

Zhi Wei HuCenter for GERD, The Second Artillery General Hospital PLA, Beijing Normal University, No. 16 Xinwai Street, Xicheng district, Beijing, China.
Zhong Gao WangCenter for GERD, The Second Artillery General Hospital PLA, Beijing Normal University, No. 16 Xinwai Street, Xicheng district, Beijing, China ; Xuanwu Hospital, Capital Medical University, Beijing, China.
Yu ZhangCenter for GERD, The Second Artillery General Hospital PLA, Beijing Normal University, No. 16 Xinwai Street, Xicheng district, Beijing, China.
Ji Min WuCenter for GERD, The Second Artillery General Hospital PLA, Beijing Normal University, No. 16 Xinwai Street, Xicheng district, Beijing, China.
Wei Tao LiangXuanwu Hospital, Capital Medical University, Beijing, China.
Yue YangCenter for GERD, The Second Artillery General Hospital PLA, Beijing Normal University, No. 16 Xinwai Street, Xicheng district, Beijing, China.
Shu Rui TianCenter for GERD, The Second Artillery General Hospital PLA, Beijing Normal University, No. 16 Xinwai Street, Xicheng district, Beijing, China.
Ai E WangDepartment of Respiratory Medicine, Artillery General Hospital, Beijing Normal University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildhood-to-adult persistent asthma is usually considered to be an atopic disease. However gastroesophageal reflux may also play an important role in this phenotype of asthma, especially when it is refractory to pulmonary medicine.

methodsFifty-seven consecutive GERD patients who had decades of childhood-to-adult persistent asthmatic symptoms refractory to pulmonary medication were enrolled. GERD was assessed by a symptom questionnaire, endoscopy, reflux monitoring, and manometry, and treated by Stretta radiofrequency (SRF) or laparoscopic Nissen fundoplication (LNF). The outcomes were followed up with a questionnaire for an average of 3.3 ± 1.1 years.

resultsUpper esophageal sphincter hypotonia, lower esophageal sphincter (LES) hypotonia, shortened LES, and esophageal body dyskinesia were demonstrated by esophagus manometry in 50.9%, 43.9%, 35.1%, and 45.6% of the patients, respectively. The symptom scores for heartburn, regurgitation, coughing, wheezing, and chest tightness significantly decreased from 5.8 ± 2.0, 5.6 ± 2.0, 7.3 ± 1.6, 8.4 ± 1.2, and 8.1 ± 1.5, to 1.2 ± 1.8, 1.1 ± 1.6, 2.8 ± 2.5, 3.8 ± 2.7, and 3.9 ± 2.7, respectively, after anti-reflux treatment (P < 0.001).

conclusionsEsophagus dysfunction is high in childhood-to-adult persistent asthmatic patients with GERD. SRF and LNF are both effective for esophagus symptoms as well as persistent asthmatic symptoms for these patients. GER may relate with asthmatic symptoms in some patients. Evaluating asthmatic patients for possible treatment of the underlying cause, such as GERD, may improve symptoms and prevent disease persistence.

Indexed as

AsthmaGastroesophageal refluxLaparoscopic nissen fundoplicationStretta radiofrequency

Identifiers

PMID24987453
PMCPMC4077581

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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.