Evidence map›Paper›PMID 36980444›Full record

ArticleDiagnostics (Basel, Switzerland)2023

Correlation between Lower Esophageal Sphincter Metrics on High-Resolution Manometry and the Clinical Presentation of Patients with Newly Diagnosed Achalasia.

Daniel L Cohen, Eyal Avivi, Anton Bermont, Fahmi Shibli, Narges Azzam, Basem Hijazi, Fadi Abu Baker, Vered Richter, Haim Shirin, Amir Mari

Open access · goldFull text read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

0 citing papers in PubMed, 4 citations in OpenAlex.

No citing paper in PubMed yet.

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

10 authors at 6 institutions in 1 country.

Daniel L CohenThe Gonczarowski Family Institute of Gastroenterology and Liver Diseases, Shamir (Assaf Harofeh) Medical Center, Zerifin 703000, Israel.ORCID 0000-0002-7879-3966
Eyal AviviThe Gonczarowski Family Institute of Gastroenterology and Liver Diseases, Shamir (Assaf Harofeh) Medical Center, Zerifin 703000, Israel.
Anton BermontThe Gonczarowski Family Institute of Gastroenterology and Liver Diseases, Shamir (Assaf Harofeh) Medical Center, Zerifin 703000, Israel.
Fahmi ShibliGastroenterology and Hepatology Institute, HaEmek Medical Center, Afula 1834111, Israel.
Narges AzzamGastroenterology and Endoscopy Unit, Nazareth EMMS Hospital, Nazareth 16100, Israel.
Basem HijaziFaculty of Medicine, Bar Ilan University, Safed 1311502, Israel.
Fadi Abu BakerGastroenterology and Hepatology Institute, Hillel Yaffe Medical Center, Hadera 38100, Israel.
Vered RichterThe Gonczarowski Family Institute of Gastroenterology and Liver Diseases, Shamir (Assaf Harofeh) Medical Center, Zerifin 703000, Israel.
Haim ShirinThe Gonczarowski Family Institute of Gastroenterology and Liver Diseases, Shamir (Assaf Harofeh) Medical Center, Zerifin 703000, Israel.
Amir MariGastroenterology and Endoscopy Unit, Nazareth EMMS Hospital, Nazareth 16100, Israel.ORCID 0000-0002-6828-4738
Assaf Harofeh Medical Center · ILBar-Ilan University · ILEmek Medical Center · ILHillel Yaffe Medical Center · ILNazareth Hospital EMMS · ILTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAchalasia is characterized by aperistalsis with poor relaxation of the lower esophageal sphincter (LES). We aimed to systematically assess whether LES metrics on high-resolution manometry (HRM) correlate with the symptomatic or endoscopic presentation of patients with achalasia.

methodsA retrospective study was performed at two tertiary medical centers. All cases of newly diagnosed, untreated achalasia were reviewed for demographics, symptoms, and endoscopic findings. These were correlated with HRM metrics, including LES basal pressure (LESP), integrated relaxation pressure (IRP), percent LES relaxation, and esophagogastric junction (EGJ) morphology.

results108 achalasia patients were included; 56 (51.9%) were men, with a mean overall age of 55.6 ± 17.9 years old. Achalasia subtypes included 23.1% with Type I, 65.7% Type II, and 11.1% Type III. Mean LESP was 40.9 ± 13.7 mmHg, IRP 26.8 ± 11.5 mmHg, with 36% ± 20% LES relaxation. On univariate analyses, a higher IRP was associated with age < 50 (

conclusionsLES metrics on HRM do not appear to correlate with the clinical or endoscopic presentation of patients with untreated achalasia.

Indexed as

achalasiaendoscopyesophageal motility disordersmanometrysigns and symptoms

Identifiers

PMID36980444
PMCPMC10047697
OpenAlexW4327736681

What OpenQuestion holds

Textfull text, public
LicenceCC BY
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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.