ArticleJournal of pediatric gastroenterology and nutrition2020
Functional Luminal Imaging Probe Assessment in Postfundoplication Patients Changes Management Beyond Manometry.
Article in Journal of pediatric gastroenterology and nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 14 citations in OpenAlex.
- Secondary peristalsis and esophagogastric junction distensibility in symptomatic post-fundoplication patients.Neurogastroenterology and motility · 2024Article
- Esophageal dilation with EsoFLIP is faster than CRE balloon dilation combined with EndoFLIP in children.Surgical endoscopy · 2023Article
- Gastrointestinal factors associated with risk of bronchiectasis in children.Pediatric pulmonology · 2023Article
- Use of intraoperative functional luminal imaging probe to guide decision making in an open achalasia case: Converting an esophagectomy to a more conservative open Heller myotomy with Dor fundoplication.JTCVS techniques · 2023Article
- Novel Advances in the Evaluation and Treatment of Children With Symptoms of Gastroesophageal Reflux Disease.Frontiers in pediatrics · 2022Review
- Use of the functional luminal imaging probe in pediatrics: A comparison study of patients with achalasia before and after endoscopic dilation and non-achalasia controls.Neurogastroenterology and motility · 2021Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesFundoplication is a commonly performed pediatric surgery but the surgery can result in nonspecific symptoms that merit further evaluation. The goal of this study was to determine the utility of Functional Luminal Imaging Probe (FLIP) compared with high-resolution manometry with impedance (HRIM) in the evaluation of fundoplication symptoms.
methodsWe reviewed the FLIP and HRIM tracings of symptomatic fundoplication patients. We compared FLIP results of fundoplication patients to those of pediatric achalasia and control patients. We also compared the role of FLIP to HRIM in clinical decision-making and clinical outcomes.
resultsEGJ distensibilities of fundoplication patients ranged from 0.6 to 8.2 mm/mmHg. Because of the different pediatric patient sizes (8.9--73.5 kg), balloon size inflations varied but, after adjusting balloon fill volume by weight, there was a linear relationship between inflation and distensibility. When compared with control patients and achalasia patients, distensibilities of fundoplication patients were lower than control patients and higher than achalasia patients (P = 0.0001). Patients who had an EGJ intervention had a mean EGJ distensibility of 2.3 ± 1.1 mm/mmHg compared with 5.1 ± 1.6 mm/mmHg in medically managed patients (P = 0.0001). Patients who had an esophagogastric junction (EGJ) intervention had a mean IRP of 13.9 ± 6.1 mmHg compared with medically managed patients who had a mean IRP of 9.9 ± 3.9 mmHg (P = 0.3).
conclusionsWe show FLIP may provide additional insight into EGJ physiology in symptomatic fundoplication patients and complements HRIM.
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