Evidence map›Paper›PMID 37814168›Full record

ArticleSurgical endoscopy2024

Using impedance planimetry to define the end of a peroral endoscopic myotomy.

Monica Polcz, Dau Ku, Gregory T Scarola, Paul D Colavita

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2024. 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
2.2field-weighted citation impact, top 12% 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.

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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

4 authors at 1 institution in 1 country.

Monica PolczDepartment of General Surgery, Atrium Health, Carolinas Medical Center, 1025 Morehead Medical Dr #300, Charlotte, NC, 28204, USA.ORCID 0000-0001-8744-5982
Dau KuDepartment of General Surgery, Atrium Health, Carolinas Medical Center, 1025 Morehead Medical Dr #300, Charlotte, NC, 28204, USA.
Gregory T ScarolaDepartment of General Surgery, Atrium Health, Carolinas Medical Center, 1025 Morehead Medical Dr #300, Charlotte, NC, 28204, USA.
Paul D ColavitaDepartment of General Surgery, Atrium Health, Carolinas Medical Center, 1025 Morehead Medical Dr #300, Charlotte, NC, 28204, USA. Paul.D.Colavita@atriumhealth.org.
Carolinas Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPeroral endoscopic myotomy (POEM) is a minimally invasive endoscopic option for management of achalasia. Adequate distal myotomy is necessary for relief of symptoms, but when too long may also increase risk of reflux. The objective of this study is to evaluate clinical outcomes after POEM and final length of gastric myotomy using impedance planimetry (EndoFLIP).

methodsA retrospective review of 34 consecutive patients undergoing POEM with EndoFLIP were included. EndoFLIP measurements, including esophagogastric junction distensibility index (DI), minimum diameter (D

resultsFinal length of gastric myotomy measured 1 cm in 1 (2.9%), 1.5 cm in 11 (32.4%), 2.0 cm in 19 (55.9%), and 2.5 cm in 3 (8.8%) patients. Mean preoperative ES was 6.6 ± 2.2. All patients achieved ES < 3 postoperatively, which was maintained in 88.5% of patients at a median of 7.5 months of follow-up. Gastric myotomy length and post-myotomy EndoFLIP values were not associated with postoperative Eckardt scores or GERD. DISCUSSION: Early and late symptom relief was achieved in 100 and 88.5% of patients, respectively, at a gastric myotomy length of 1-2.5 cm. Using EndoFLIP to define a completed myotomy at DI of 3.4 mm

Indexed as

Esophageal AchalasiaGastroesophageal RefluxMyotomyNatural Orifice Endoscopic SurgeryElectric ImpedanceEsophageal Sphincter, LowerEsophagogastric JunctionEsophagoscopyHumansTreatment OutcomeEndoFLIPGastric myotomyImpedance planimetryMyotomyPeroral endoscopic myotomyPOEM

Identifiers

PMID37814168
OpenAlexW4387448962

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.