Evidence map›Paper›PMID 33850798›Full record

ArticleJournal of translational internal medicine2021

Advances in The Diagnosis and Treatment of Achalasia of The Cardia: a Review.

Baozhen Zhang, Yidan Wang, Ye Liao, Jingjing Zhang, Yufan Wu, Tingyue Xiao, Yue Zhang, Yiwen Bao, Hongyu Qiu, Siyu Sun and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of translational internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Epithelial Barrier Function and Altered Cell Signaling Pathways in the Esophageal Epithelium of Achalasia Patients.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
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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

11 authors at 2 institutions in 1 country.

Baozhen ZhangDepartment of Gastroenterology, ShengJing Hospital of China Medical University, Shenyang, Liaoning Province, China.
Yidan WangDepartment of Gastroenterology, ShengJing Hospital of China Medical University, Shenyang, Liaoning Province, China.
Ye LiaoDepartment of Gastroenterology, ShengJing Hospital of China Medical University, Shenyang, Liaoning Province, China.
Jingjing ZhangDepartment of Gastroenterology, ShengJing Hospital of China Medical University, Shenyang, Liaoning Province, China.
Yufan WuDepartment of Gastroenterology, ShengJing Hospital of China Medical University, Shenyang, Liaoning Province, China.
Tingyue XiaoDepartment of Gastroenterology, ShengJing Hospital of China Medical University, Shenyang, Liaoning Province, China.
Yue ZhangDepartment of Gastroenterology, ShengJing Hospital of China Medical University, Shenyang, Liaoning Province, China.
Yiwen BaoDepartment of Gastroenterology, ShengJing Hospital of China Medical University, Shenyang, Liaoning Province, China.
Hongyu QiuDepartment of Gastroenterology, ShengJing Hospital of China Medical University, Shenyang, Liaoning Province, China.
Siyu SunDepartment of Gastroenterology, ShengJing Hospital of China Medical University, Shenyang, Liaoning Province, China.
Jintao GuoDepartment of Gastroenterology, ShengJing Hospital of China Medical University, Shenyang, Liaoning Province, China.
Sheng Jing Hospital · CNChina Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Idiopathic achalasia is an esophageal motor disorder characterized by the loss of the lower esophageal sphincter ganglion, resulting in impaired lower esophageal relaxation and absence of esophageal peristalsis. Patients commonly present with progressive dysphagia accompanied by reflux, heartburn, retrosternal pain, and severe weight loss. Diagnosis is primarily based on the patient's chief complaints, barium esophagography, and the most recent high-resolution manometry. Endoscopic assessment and endoscopic ultrasonography also have significant value with regard to the exclusion of esophageal anatomical lesions, neoplastic diseases, and pseudoachalasia. However, as most patients with achalasia demonstrate a gradual onset, early diagnosis is difficult. Currently, treatment of idiopathic achalasia, including pneumatic dilation, stent placement, and surgical myotomy, is aimed at reducing lower esophageal sphincter pressure and relieving the symptoms of dysphagia. Peroral endoscopic myotomy has gradually become the mainstream treatment because it causes less trauma and has a rapid recovery rate. This article reviews the main methods of diagnosis and treatment of achalasia, with an emphasis on the potential of peroral endoscopic myotomy and the advancements of immunotherapy for achalasia.

Indexed as

achalasiaendoscopyesophageal manometryperoral endoscopic myotomy

Identifiers

PMID33850798
PMCPMC8016349
OpenAlexW3155411589

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.