Evidence map›Paper›PMID 37702878›Full record

ArticleSurgical endoscopy2023

The robot can break bars with the best of them: a novel approach to treating cricopharyngeal bars with myotomy.

Jesse K Kelley, Austin Vanwyk, Gregory Dane Fritz, Luke Sanford, Giuseppe M Zambito, Amy L Banks-Venegoni

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2023. 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
0.9field-weighted citation impact, top 22% 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, 2 citations in OpenAlex.

  1. Article
  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

6 authors at 4 institutions in 1 country.

Jesse K KelleyMichigan State University/Corewell Health General Surgery Residency, Grand Rapids, MI, USA. Jesse.Kelley@corewellhealth.org.ORCID http://orcid.org/0000-0002-3199-9692
Austin VanwykMichigan State University College of Human Medicine, Grand Rapids, MI, USA.
Gregory Dane FritzMichigan State University/Corewell Health General Surgery Residency, Grand Rapids, MI, USA.
Luke SanfordCorewell Health Department of General Surgery, Grand Rapids, MI, USA.
Giuseppe M ZambitoCorewell Health Department of General Surgery, Grand Rapids, MI, USA.
Amy L Banks-VenegoniCorewell Health Department of General Surgery, Grand Rapids, MI, USA.
Corewell HealthGrand Rapids Community College · USHoneywell (United States) · USMichigan State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFailure of the cricopharyngeus to relax results in oropharyngeal dysphagia, which over time results in hypertrophy and increased risk for aspiration. Open myotomy is one definitive treatment option, however there are several drawbacks attributable to the long neck incision, ± drain placement, and invasiveness of the procedure. We aim to share our experience using the DaVinci robotic platform to perform a minimally invasive cricopharyngeal myotomy, which has never been described before in the literature.

methodsAll robotic cricopharyngeal myotomies performed in adult patients by a single surgeon from 2021 to 2022 were retrospectively reviewed. No patients were excluded. Outcomes of interest included length of procedure, time to diet resumption, hospital length of stay, complications, symptom improvement at follow-up, and symptom recurrence.

resultsEight robotic cricopharyngeal myotomies were performed. The median age was 65 years old (62-91) and mostly female (n = 5, 56%) with a median BMI of 28.9 kg/m

conclusionOur experience with the novel technique of minimally invasive robotic cricopharyngeal myotomy for cricopharyngeal bars with cervical dysphagia is safe, efficacious, less invasive, and cost saving, with excellent patient outcomes.

Indexed as

Deglutition DisordersEsophageal DiseasesMyotomyRoboticsAdultAgedFemaleHumansMaleRetrospective StudiesCricopharyngeal myotomyDysphagiaRobotic surgeryZenker

Identifiers

PMID37702878
OpenAlexW4386705035

What OpenQuestion holds

Textmetadata
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.