Evidence map›Paper›PMID 32864443›Full record

ArticleLaryngoscope investigative otolaryngology2020

Pressure abnormalities in patients with Zenker's diverticulum using pharyngeal high-resolution manometry.

Sarah P Rosen, Corinne A Jones, Matthew R Hoffman, Molly A Knigge, Timothy M McCulloch

Open access · goldAbstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 9% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Sarah P RosenDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery University of Wisconsin-Madison Madison Wisconsin USA.ORCID https://orcid.org/0000-0002-5284-0648
Corinne A JonesDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery University of Wisconsin-Madison Madison Wisconsin USA.ORCID https://orcid.org/0000-0001-8719-3068
Matthew R HoffmanDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery University of Wisconsin-Madison Madison Wisconsin USA.
Molly A KniggeDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery University of Wisconsin-Madison Madison Wisconsin USA.
Timothy M McCullochDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery University of Wisconsin-Madison Madison Wisconsin USA.ORCID https://orcid.org/0000-0002-4678-9161
University of Wisconsin–Madison · US

Funding

NEUROSCIENCE TRAINING PROGRAMT32GM007507 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI HALLORAN, MARY C · 1985 to 2017
$9.3M
University of Wisconsin Voice Research Training Program (T32)T32DC009401 · NIDCD · UNIVERSITY OF WISCONSIN-MADISON · PI Susan Lynn Thibeault · 2009 to 2026
$6.3M
High Resolution Manometry: A Novel Pattern Recognition Method for DysphagiaR33DC011130 · NIDCD · UNIVERSITY OF WISCONSIN-MADISON · PI MCCULLOCH, TIMOTHY M · 2013 to 2015
$1.6M
NIDCD NIH HHS R33 DC011130NIDCD NIH HHS T32 DC009401NIGMS NIH HHS T32 GM007507
6 · The paper itself

Abstract

objectivesZenker's diverticulum is associated with reduced cricopharyngeal compliance and abnormal intrabolus pressure. However, it is unclear how the pharynx compensates for these deficits. Developments in manometric technology have improved our ability to capture pharyngeal pressure events. This study aims to describe the pharyngeal-upper esophageal sphincter (UES) pressure profile during swallowing in patients with Zenker's diverticulum.

methodsHigh-resolution manometry was performed on 11 patients with symptomatic Zenker's diverticulum and 11 age- and sex-matched healthy controls during 10 mL liquid swallowing tasks. Pharyngeal and UES pressure magnitudes, durations, and integrals were compared between patients and controls using independent

resultsCompared with healthy controls, patients with Zenker's diverticulum exhibited pressure abnormalities in the UES region. While baseline and pre-opening maximum pressures were not different, residual pressures were elevated (

conclusionThis study used high-resolution manometry to characterize pharyngeal pressure dynamics in patients with Zenker's diverticulum. The changes occurring at the cricopharyngeus appear to result in persistent UES pressurization during UES opening, rather than high tonic resting pressure. Pharyngeal-UES pressure gradients, critical to bolus passage, were also preserved in this patient population. LEVEL OF EVIDENCE: 3b.

Indexed as

manometryupper esophageal sphincterZenker's diverticulum

Identifiers

PMID32864443
PMCPMC7444802
OpenAlexW3047323054

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.