Evidence map›Paper›PMID 38982872›Full record

ArticleThe Laryngoscope2025

Safety of a Novel Upper Esophageal Sphincter Balloon Dilator.

Grace M Wandell, Janeth Garcia Swartwood, Ashar Singh Brar, Gregory N Postma, Peter C Belafsky

Abstract read
In one paragraph

Article in The Laryngoscope, 2025. 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
–field-weighted citation impact
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.

  1. Article
  2. Article
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

5 authors.

Grace M WandellDepartment of Otolaryngology - Head and Neck Surgery, University of California, Davis, Sacramento, California, USA.ORCID 0000-0002-9799-742X
Janeth Garcia SwartwoodDepartment of Otolaryngology - Head and Neck Surgery, University of California, Davis, Sacramento, California, USA.
Ashar Singh BrarDepartment of Otolaryngology - Head and Neck Surgery, University of California, Davis, Sacramento, California, USA.
Gregory N PostmaDepartment of Otolaryngology - Head and Neck Surgery, Medical College of Georgia at Augusta University, Augusta, Georgia, USA.ORCID 0009-0002-8312-449X
Peter C BelafskyDepartment of Otolaryngology - Head and Neck Surgery, University of California, Davis, Sacramento, California, USA.ORCID 0009-0004-3321-9794

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe shape of esophageal dilators has not changed in over 350 years. Clinical and animal research suggests that the upper esophageal sphincter (UES) is not round but approximates a kidney shape and that cylindrical dilators may be suboptimal. The Infinity UES Dilation System has been developed specifically for the anatomic configuration of the UES. This study evaluates the safety of the UES-specific Infinity Dilation System.

methodsAll patients undergoing dilation of the UES between January 1, 2022 and September 1, 2023 were included. Demographics, procedure indication, dilator type, minor adverse events, and major complications were abstracted. Minor adverse events, complications, and maximum dilation dimension (mm) were compared between groups.

resultsA total of 477 patients were included. Eight hundred and seventy-three total UES dilations were performed. The primary indications for UES dilation were cricopharyngeus muscle dysfunction (43%) and stenosis from radiation toxicity (40%). Twenty-three percent (202/873) of dilations were performed with an Infinity balloon, 31% (270/873) were performed using two conventional balloons placed side by side, and 46% (401/873) were performed with one singleton conventional balloon. The average maximum dilation dimension was 33 (±4.7) mm for Infinity balloons, 32 (±3.8) mm for two side-by-side balloons, and 18 (±3.4) mm for singleton balloons. There were three major complications with conventional balloons and none with Infinity balloons. There were no significant differences in minor adverse events between groups.

conclusionsA UES-specific esophageal dilator provides a greater maximum dilation dimension and appears to be at least as safe as dilation with a single cylindrical balloon designed to dilate the esophagus. LEVEL OF EVIDENCE: 3 Laryngoscope, 135:66-72, 2025.

Indexed as

DilatationEsophageal Sphincter, UpperAdultAgedEquipment DesignFemaleHumansMaleMiddle AgedRetrospective Studiesdilationpharyngoesophageal dysphagiapharyngoesophageal segmentupper esophageal sphincter

Identifiers

PMID38982872
PMCPMC11635151

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.