Evidence map›Paper›PMID 31677612›Full record

ArticleJournal of neurogastroenterology and motility2020

Morphology of the Esophageal Hiatus: Is It Different in 3 Types of Hiatus Hernias?

Dushyant Kumar, Ali Zifan, Gary Ghahremani, David C Kunkel, Santiago Horgan, Ravinder K Mittal

Open access · diamondAbstract read
In one paragraph

Article in Journal of neurogastroenterology and motility, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
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  8. Review
  9. Observational
  10. Find Out the Differences by Types of Hiatal Hernia!Journal of neurogastroenterology and motility · 2020
    Article
  11. 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

6 authors at 1 institution in 1 country.

Dushyant KumarDepartments of Gastroenterology, University of California San Diego, La Jolla, CA, USA.
Ali ZifanDepartments of Gastroenterology, University of California San Diego, La Jolla, CA, USA.
Gary GhahremaniDepartments of Radiology, University of California San Diego, La Jolla, CA, USA.
David C KunkelDepartments of Gastroenterology, University of California San Diego, La Jolla, CA, USA.
Santiago HorganDepartments of Surgery, University of California San Diego, La Jolla, CA, USA.
Ravinder K MittalDepartments of Gastroenterology, University of California San Diego, La Jolla, CA, USA.
University of California, San Diego · US

Funding

Genesis of Esophageal Pain: Longitudinal Muscle Spasm and Wall IschemiaR01DK060733 · NIDDK · VETERANS MEDICAL RESEARCH FDN/SAN DIEGO · PI MITTAL, RAVINDER K. · 2002 to 2016
$3.9M
NIDDK NIH HHS R01 DK060733
6 · The paper itself

Abstract

BACKGROUND/

aimsThe esophageal hiatus is formed by the right crus of the diaphragm in the majority of subjects. Contraction of the hiatus exerts a sphincter-like action on the lower esophageal sphincter (LES). The aim is to study the hiatal anatomy (using CT scan imaging) and function (using high-resolution manometry [HRM]), and esophageal motor function in patients with sliding and paraesophageal hiatal hernia.

methodsWe assessed normal subjects (n = 20), patients with sliding type 1 hernia (n = 18), paraesophageal type 2 hernia (n = 19), and mixed type 3 hernia (n = 19). Hernia diagnosis was confirmed on the upper gastrointestinal series. The hiatal morphology was constructed from the CT scan images. The LES pressure and relaxation, percent peristalsis, bolus pressure, and hiatal squeeze pressure were assessed by HRM.

resultsThe CT images revealed that the esophageal hiatus is formed by the right crus of the diaphragm in all normal subjects and 86% of hernia patients. The hiatus is elliptical in shape with a surface area of 1037 mm

conclusionsUsing a novel approach, we provide details of the esophageal hiatus in patients with various kinds of hiatal hernia. Impaired LES relaxation in paraesophageal hernia may play a role in its pathophysiology and genesis of symptoms.

Indexed as

Esophageal peristalsisherniaHiatalLower esophageal sphincterManometryTomography X-ray computed

Identifiers

PMID31677612
PMCPMC6955188
OpenAlexW2985817785

What OpenQuestion holds

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LicenceCC BY-NC
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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.