Evidence map›Paper›PMID 37875360›Full record

Trial reportZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences2023

Endoscopic botulinum toxin injection combined with balloon dilatation for treatment of cricopharyngeal achalasia in patient with brainstem stroke.

Chao Liu, Yuan Li, Zhi Tan, Hua Liu, Meiyun Zhou, Jie Li, Junjun Liang, Le Xiao

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 30% 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 syntheses or guidelines pooled it, 1 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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

8 authors at 1 institution in 1 country.

Chao LiuDepartment of Rehabilitation Medicine, First Hospital of Changsha, Changsha 410005. 38191469@qq.com.
Yuan LiDepartment of Rehabilitation Medicine, First Hospital of Changsha, Changsha 410005.
Zhi TanDepartment of Gastroenterology, First Hospital of Changsha, Changsha 410005, China.
Hua LiuDepartment of Rehabilitation Medicine, First Hospital of Changsha, Changsha 410005.
Meiyun ZhouDepartment of Rehabilitation Medicine, First Hospital of Changsha, Changsha 410005.
Jie LiDepartment of Rehabilitation Medicine, First Hospital of Changsha, Changsha 410005.
Junjun LiangDepartment of Rehabilitation Medicine, First Hospital of Changsha, Changsha 410005.
Le XiaoDepartment of Rehabilitation Medicine, First Hospital of Changsha, Changsha 410005. 15874088579@163.com.
The First Hospital of Changsha · CN

Funding

the Clinical Medical Technology Innovation Guidance Project of Hunan Province 2020SK53005the Natural Science Foundation of Hunan Province 2021JJ70057
6 · The paper itself

Abstract

objectivesAt present, there are many reports about the treatment of cricopharyngeal achalasia by injecting botulinum toxin type A (BTX-A) into cricopharyngeal muscle guided by ultrasound, electromyography or CT in China, but there is no report about injecting BTX-A into cricopharyngeal muscle guided by endoscope. This study aims to evaluate the efficacy of endoscopic BTX-A injection combined with balloon dilatation in the treatment of cricopharyngeal achalasia after brainstem stroke, and to provide a better method for the treatment of dysphagia after brainstem stroke.

methodsFrom June to December 2022, 30 patients with cricopharyngeal achalasia due to brainstem stroke were selected from the Department of Rehabilitation Medicine, the First Hospital of Changsha. They were randomly assigned into a control group and a combined group, 15 patients in each group. Patients in both groups were treated with routine rehabilitation therapy, while patients in the control group were treated with balloon dilatation, and patients in the combined group were treated with balloon dilatation and BTX-A injection. Before treatment and after 2 weeks of treatment, the patients were examined by video fluoroscopic swallowing study, Penetration-aspiration Scale (PAS), Dysphagia Outcome Severity Scale (DOSS), and Functional Oral Intake Scale (FOIS) were used to assess the swallowing function.

resultsIn the combined group, 1 patient withdrew from the treatment because of personal reasons. Two weeks after treatment, the scores of DOSS, PAS, and FOIS in both groups were better than those before treatment (all

conclusionsBTX-A injection combined with balloon dilatation is more effective than balloon dilatation alone in improving swallowing function and is worthy of clinical application.

Indexed as

Botulinum Toxins, Type ABrain Stem InfarctionsDeglutition DisordersEsophageal AchalasiaDilatationHumansTreatment OutcomeBotulinum Toxins, Type Abotulinum toxinbrainstem strokecricopharyngeal achalasiadysphagiaendoscope

Identifiers

PMID37875360
PMCPMC10930855
OpenAlexW4387931939

What OpenQuestion holds

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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.