Evidence map›Paper›PMID 27668224›Full record

ArticleAnnals of translational medicine2016

Bronchial reacutization and gastroesophageal reflux: is there a potential clinical correlation?

Carlo Pomari, Luisa Mauroner, Simona Paiano, Luca Rosario Assante, Luca Bertolaccini, Giacomo Ruffo, Paride Mainardi, Paolo Bocus, Andrea Geccherle, Sergio Ivan Albanese and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of translational medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Low back pain and gastroesophageal reflux in patients with COPD: the disease in the breath.International journal of chronic obstructive pulmonary disease · 2018
    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

11 authors at 1 institution in 1 country.

Carlo PomariThoracic Endoscopy Unit, Sacro Cuore Don Calabria Hospital - Cancer Care Center, Negrar Verona, Italy.
Luisa MauronerLaboratory Unit, Sacro Cuore Don Calabria Hospital - Cancer Care Center, Negrar Verona, Italy.
Simona PaianoThoracic Endoscopy Unit, Sacro Cuore Don Calabria Hospital - Cancer Care Center, Negrar Verona, Italy.
Luca Rosario AssanteThoracic Endoscopy Unit, Sacro Cuore Don Calabria Hospital - Cancer Care Center, Negrar Verona, Italy.
Luca BertolacciniThoracic Surgery Unit, Sacro Cuore Don Calabria Hospital - Cancer Care Center, Negrar Verona, Italy.
Giacomo RuffoDivision of General Surgery, Sacro Cuore Don Calabria Hospital - Cancer Care Center, Negrar Verona, Italy.
Paride MainardiRadiological Department, Sacro Cuore Don Calabria Hospital - Cancer Care Center, Negrar Verona, Italy.
Paolo BocusDigestive Endoscopy Unit, Sacro Cuore Don Calabria Hospital - Cancer Care Center, Negrar Verona, Italy.
Andrea GeccherleIntestinal Bowel Disease Unit, Sacro Cuore Don Calabria Hospital - Cancer Care Center, Negrar Verona, Italy.
Sergio Ivan AlbaneseOtolaryngology-Head and Neck Surgery, Sacro Cuore Don Calabria Hospital - Cancer Care Center, Negrar Verona, Italy.
Stefano CiaffoniLaboratory Unit, Sacro Cuore Don Calabria Hospital - Cancer Care Center, Negrar Verona, Italy.
Ospedale Sacro Cuore Don Calabria · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPepsin plays a role in gastroesophageal reflux (GER). Aims of this study were to verify if pepsin could be the cause of frequent bronchial exacerbations and to check if the persistence of chronic respiratory symptoms were correlated with pre-existing respiratory diseases.

methodsFrom January to May 2016, 42 patients underwent a diagnostic bronchoscopy. All patients had a history of at least one bronchial exacerbation during the previous year. Bronchial lavage fluid specimens were obtained. A semiquantitative assessment of pepsin in the samples was carried out based on the intensity of the test sample.

resultsPepsin was present in 37 patients (88%), but in patients with bronchial asthma and chronic obstructive pulmonary disease (COPD), the finding of pepsin in the bronchoalveolar fluid was 100%. There was a strong positive statistical correlation between pepsin detection and radiological signs of GER (ρ=0.662), and between pepsin detection and diagnosis (ρ=0.682). No correlation was found between the bacteriology and the presence of pepsin in the airways (ρ=0.006).

conclusionsThe presence of pepsin in the airways shows the occurrence of reflux. The persistence of respiratory symptoms by at least 2 months suggest an endoscopic bronchial examination. This straightforward test confirms the cause possible irritation of the airways and may prevent further diagnostic tests, such as an EGD or pH monitoring esophageal.

Indexed as

Bronchial reacutizationbronchoscopygastroesophageal reflux (GER)pepsin

Identifiers

PMID27668224
PMCPMC5009036
OpenAlexW2508184982

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.