Evidence map›Paper›PMID 33427911›Full record

ArticleSurgical endoscopy2022

Real-time intraoperative functioning lumen imaging probe during endoscopic per-oral pyloromyotomy (pop).

Alisan Fathalizadeh, Michael Klingler, Joshua Landreneau, Matthew Allemang, John Rodriguez, Jeffrey Ponsky, Kevin El-Hayek

Open access · hybridAbstract read
In one paragraph

Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

2 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. 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

7 authors at 3 institutions in 1 country.

Alisan FathalizadehDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA. fathala@ccf.org.
Michael KlinglerDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Joshua LandreneauDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Matthew AllemangDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
John RodriguezDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Jeffrey PonskyDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Kevin El-HayekDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Cleveland Clinic · USCase Western Reserve University · USUniversity School · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoscopic per-oral pyloromyotomy (POP) has emerged as a safe and effective first line option in medically refractory gastroparesis. Determining the appropriate extent of the pyloromyotomy continues to present a challenge as there are no standardized tools for measuring changes in pyloric distensibility during the procedure. The objective of this study was to evaluate the utility of using impedance planimetry with endoscopic functional luminal imaging probe (FLIP) to measure changes in pyloric distensibility after POP, and to compare these changes with improvement in symptoms and objective gastric emptying.

methodsPatients with medically refractory gastroparesis underwent POP with FLIP measurements of the pylorus (EndoFLIP®, Medtronic, Fridley MN). FLIP measurements, as well as changes in symptoms measured by the validated gastroparesis cardinal symptom index (GCSI) and scintigraphic gastric emptying studies (GES), were evaluated before and after POP.

resultsA total of 14 patients underwent measurement with FLIP during POP, 12 of whom had pre- and post-POP measurements. Mean pyloric diameter increased by 1.4 mm, from 13.9 mm to 15.3 mm (p = 0.0012). Mean distensibility index increased from 6.2 mm

conclusionsFLIP is a safe and feasible tool to provide objective measurements during POP. Larger cohorts with longer follow-up are required to determine if measured improvements in pyloric diameter and distensibility are predictive of sustained improvements in GCSI and GES.

Indexed as

GastroparesisPyloromyotomyGastric EmptyingHumansPylorusTreatment OutcomeFLIPFunctional lumen imaging probeGastroparesisG-POEMPOPPyloromyotomy

Identifiers

PMID33427911
PMCPMC8741673
OpenAlexW3119177970

What OpenQuestion holds

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Registered trials

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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.