Evidence map›Paper›PMID 25834329›Full record

ArticleWorld journal of gastroenterology2015

Scintigraphy in laryngopharyngeal and gastroesophageal reflux disease: a definitive diagnostic test?

Gregory L Falk, John Beattie, Alvin Ing, S E Falk, Michael Magee, Leticia Burton, Hans Van der Wall

Registry-linked trialOpen access · hybridAbstract readClinical Study
In one paragraph

Article in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05303298 (Evaluating Gastro-oesophageal Reflux After Palliative Stenting for Malignant Distal Oesophageal Obstruction Using Anti-Reflux Stents), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.6field-weighted citation impact, top 11% 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.

NCT05303298 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Evaluating Gastro-oesophageal Reflux After Palliative Stenting for Malignant Distal Oesophageal Obstruction Using Anti-Reflux Stents: a Randomised Controlled Trial

TypeinterventionalSponsorUniversity of Cape TownRan2022 to 2025Enrolled72ConditionsEsophageal Cancer, Reflux, GastroesophagealArmsAnti-reflux oesophageal stent, Conventional oesophageal stent
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. A new diagnostic paradigm for laryngopharyngeal reflux disease: correlation of impedance-pH monitoring and digital reflux scintigraphy results.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021
    Article
  8. Article
  9. Article
  10. Article
  11. [Intraoperative Aspiration].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2020
    Review
  12. Article
  13. Article
  14. Findings from a novel scintigraphic gastroesophageal reflux study in asymptomatic volunteers.American journal of nuclear medicine and molecular imaging · 2020
    Article
  15. Article
  16. Article
  17. Fundoplication for laryngopharyngeal reflux despite preoperative dysphagia.Annals of the Royal College of Surgeons of England · 2017
    Article
  18. Review
  19. Article
  20. A One Health review of aerodigestive disease in dogs.Journal of veterinary internal medicine
    Review
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

7 authors at 1 institution in 2 countries.

Gregory L FalkGregory L Falk, Sydney Heartburn Clinic, Gastroenterology, Concord Hospital, Sydney, NSW 2138, Australia.
John BeattieGregory L Falk, Sydney Heartburn Clinic, Gastroenterology, Concord Hospital, Sydney, NSW 2138, Australia.
Alvin IngGregory L Falk, Sydney Heartburn Clinic, Gastroenterology, Concord Hospital, Sydney, NSW 2138, Australia.
S E FalkGregory L Falk, Sydney Heartburn Clinic, Gastroenterology, Concord Hospital, Sydney, NSW 2138, Australia.
Michael MageeGregory L Falk, Sydney Heartburn Clinic, Gastroenterology, Concord Hospital, Sydney, NSW 2138, Australia.
Leticia BurtonGregory L Falk, Sydney Heartburn Clinic, Gastroenterology, Concord Hospital, Sydney, NSW 2138, Australia.
Hans Van der WallGregory L Falk, Sydney Heartburn Clinic, Gastroenterology, Concord Hospital, Sydney, NSW 2138, Australia.
Concord Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate the utility of scintigraphic studies in predicting response to laparoscopic fundoplication (LF) for chronic laryngopharyngeal reflux symptoms.

methodsPatients with upper aero-digestive symptoms that remained undiagnosed after a period of 2 mo were studied with conventional pH and manometric studies. Patients mainly complained of cough, sore throat, dysphonia and globus. These patients were imaged after ingestion of 99m-technetium diethylene triamine pentaacetic acid. Studies were quantified with time activity curves over the pharynx, upper and lower oesophagus and background. Late studies of the lungs were obtained for aspiration. Patients underwent LF with post-operative review at 3 mo after surgery.

resultsThirty four patients (20 F, 14 M) with an average age of 57 years and average duration of symptoms of 4.8 years were studied. Twenty four hour pH and manometry studies were abnormal in all patients. On scintigraphy, 27/34 patients demonstrated pharyngeal contamination and a rising or flat pharyngeal curve. Lung aspiration was evident in 50% of patients. There was evidence of pulmonary aspiration in 17 of 34 patients in the delayed study (50%). Pharyngeal contamination was found in 27 patients. All patients with aspiration showed pharyngeal contamination. In the 17 patients with aspiration, graphical time activity curve showed rising activity in the pharynx in 9 patients and a flat curve in 8 patients. In those 17 patients without pulmonary aspiration, 29% (5 patients) had either a rising or flat pharyngeal graph. A rising or flat curve predicted aspiration with a positive predictive value of 77% and a negative predictive value of 100%. Over 90% of patients reported a satisfactory symptomatic response to LF with an acceptable side-effect profile.

conclusionScintigraphic reflux studies offer a good screening tool for pharyngeal contamination and aspiration in patients with gastroesophageal reflux disease.

Indexed as

AdultAgedCluster AnalysisEsophageal pH MonitoringFemaleFundoplicationGastroesophageal RefluxHumansLaparoscopyLaryngopharyngeal RefluxMaleManometryMiddle AgedPredictive Value of TestsProspective StudiesRadionuclide ImagingRadiopharmaceuticalsTechnetium Tc 99m PentetateCoughGastroesophageal reflux diseaseLaryngopharyngeal refluxLung aspirationOesophageal manometrypH studiesScintigraphy

Identifiers

PMID25834329
PMCPMC4375586
OpenAlexW2086826807

What OpenQuestion holds

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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.