Evidence map›Paper›PMID 28651308›Full record

ArticleGut and liver2017

Comparison of the Outcomes of Peroral Endoscopic Myotomy for Achalasia According to Manometric Subtype.

Won Hee Kim, Joo Young Cho, Weon Jin Ko, Sung Pyo Hong, Ki Baik Hahm, Jun-Hyung Cho, Tae Hee Lee, Su Jin Hong

Abstract readEvaluation StudyMulticenter Study
In one paragraph

Article in Gut and liver, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
–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

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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. ACG Clinical Guidelines: Diagnosis and Management of Achalasia.The American journal of gastroenterology · 2020
    Guideline
  3. Pooled it
  4. Review
  5. High-Resolution Manometry in Treated Achalasia: Scoping Review and Novel Nomenclature.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026
    Article
  6. Review
  7. Article
  8. Review
  9. Third-space endoscopy: the final frontier.Gastroenterology report · 2023
    Review
  10. Article
  11. Article
  12. Recent advances in third space or intramural endoscopy.World journal of gastrointestinal endoscopy · 2020
    Review
  13. Article
  14. Article
  15. Article
  16. Esophageal POEM: the new standard of care.Translational gastroenterology and hepatology · 2020
    Review
  17. Esophageal Third Space Endoscopy: Recent Advances.Current treatment options in gastroenterology · 2019
    Review
  18. Article
  19. 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

8 authors.

Won Hee KimDigestive Disease Center, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Joo Young ChoDigestive Disease Center, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Weon Jin KoDigestive Disease Center, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Sung Pyo HongDigestive Disease Center, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Ki Baik HahmDigestive Disease Center, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Jun-Hyung ChoDigestive Disease Center, Soonchunhyang University Hospital, Seoul, Korea.
Tae Hee LeeDigestive Disease Center, Soonchunhyang University Hospital, Seoul, Korea.
Su Jin HongDigestive Disease Center, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsWe evaluated whether manometric subtype is associated with treatment outcome in patients with achalasia treated by peroral endoscopic myotomy (POEM).

methodsHigh-resolution manometry data and Eckardt scores were collected from 83 cases at two tertiary referral centers where POEM is performed. Manometric tracings were classified according to the three Chicago subtypes.

resultsAmong the 83 cases, 48 type I, 24 type II, and 11 type III achalasia cases were identified. No difference was found in pre-POEM Eckardt score, basal lower esophageal sphincter (LES) pressure, or integrated relaxation pressure (IRP) among the type I, type II, and type III groups. All three patient groups showed a significant improvement in post-POEM Eckardt score (6.1±2.1 to 1.5±1.5, p=0.001; 6.8±2.2 to 1.2±0.9, p=0.001; 6.6±2.0 to 1.6±1.4, p=0.011), LES pressure (26.1±13.8 to 15.4±6.8, p=0.018; 32.3±19.0 to 19.2±10.4, p=0.003; 36.8±19.2 to 17.5±9.7, p=0.041), and 4s IRP (21.5±11.7 to 12.0±8.7, p=0.007; 24.5±14.8 to 12.0±7.6, p=0.002; 24.0±15.7 to 11.8±7.1, p=0.019) at a median follow-up of 16 months.

conclusionsPOEM resulted in a good clinical outcome for all manometric subtypes.

Indexed as

AdolescentAdultAgedChildEsophageal AchalasiaEsophagoscopyEsophagusFemaleHumansMaleManometryMiddle AgedPressurePyloromyotomyRetrospective StudiesTreatment OutcomeEsophageal achalasiaHigh resolution manometryPeroral endoscopic myotomyTreatment outcome

Identifiers

PMID28651308
PMCPMC5593326

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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.