Evidence map›Paper›PMID 27426485›Full record

ArticleJournal of neurogastroenterology and motility2017

Esophagogastric Junction Contractility Integral Reflect the Anti-reflux Barrier Dysfunction in Patients with Gastroesophageal Reflux Disease.

Chenxi Xie, Jinhui Wang, Yuwen Li, Niandi Tan, Yi Cui, Minhu Chen, Yinglian Xiao

Open access · diamondAbstract read
In one paragraph

Article in Journal of neurogastroenterology and motility, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
2.5field-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.

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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Reduced esophagogastric junction contractile integral in patients with ineffective esophageal motility.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Article
  3. Article
  4. Review
  5. Demographic and Manometric Variables Can Independently Predict Gastroesophageal Reflux Disease: The AGES-D Score.The Korean journal of helicobacter and upper gastrointestinal research · 2025
    Article
  6. Associations of Metabolically Healthy Obesity with Gastroesophageal Reflux Disease and Ineffective Esophageal Motility.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Manometric esophagogastric junction barrier metrics as predictors of gastroesophageal reflux.Esophagus : official journal of the Japan Esophageal Society · 2024
    Article
  11. Normative esophagogastric junction contractile integral for healthy Indian volunteers using water perfusion manometry system.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
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  18. Article
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  20. 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 2 institutions in 1 country.

Chenxi XieDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Jinhui WangDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Yuwen LiDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Niandi TanDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Yi CuiDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Minhu ChenDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Yinglian XiaoDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
The First Affiliated Hospital, Sun Yat-sen University · CNSun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsAnti-reflux barrier dysfunction is one of the primary mechanisms in gastroesophageal reflux disease (GERD) pathogenesis. The esophagogastric junction contractile integral (EGJ-CI) is a new metric adopted to evaluate the EGJ contractility, which implies the antireflux barrier function. The aim of the current study was to validate this new metric in patients with GERD and its correlation with the esophageal acid exposure, as well as the efficacy of proton pump inhibitor treatment.

methodsNinety-eight patients with GERD and 21 healthy controls were included in the study. Upper endoscopy, high-resolution manometry (HRM) and 24-hour multichannel intraluminal impedance-pH monitoring were performed in all patients. Three respiration cycles were chosen at the initial HRM resting frame and the value computed with distal contractile integral tool was then divided by the duration of the cycles to yield EGJ-CI. All the patients were treated with esomeprazole 20 mg twice-daily for 8 weeks.

resultsEGJ-CI was lower in the patients with GERD than that of the controls (

conclusionsEGJ-CI reflected the dysfunction of the anti-reflux barrier in patients with GERD, but it had little impact on the esomeprazole response.

Indexed as

Esophagogastric junctionGastroesophageal reflux diseaseHernia, hiatalManometryProton pump inhibitors

Identifiers

PMID27426485
PMCPMC5216631
OpenAlexW2488389490

What OpenQuestion holds

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LicenceCC BY-NC
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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.