Evidence map›Paper›PMID 39300967›Full record

ArticleNeurogastroenterology and motility2024

Correlation of deglutitive striated esophagus motor function and pharyngeal phase swallowing biomechanical events.

Reza Shaker, Mark Kern, Francis Edeani, Ling Mei, Elliot Yu, Patrick Sanvanson

Abstract read
In one paragraph

Article in Neurogastroenterology and motility, 2024. 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

6 authors.

Reza ShakerDivision of Gastroenterology and Hepatology, The Hub for Collaborative Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.ORCID 0000-0001-6079-1017
Mark KernDivision of Gastroenterology and Hepatology, The Hub for Collaborative Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Francis EdeaniDivision of Gastroenterology and Hepatology, The Hub for Collaborative Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Ling MeiDivision of Gastroenterology and Hepatology, The Hub for Collaborative Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Elliot YuDivision of Gastroenterology and Hepatology, The Hub for Collaborative Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Patrick SanvansonDivision of Gastroenterology and Hepatology, The Hub for Collaborative Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Funding

Deglutitive and airway protective functions of proximal/ striated muscle esophagus in health and diseaseR01DK132082 · NIDDK · MEDICAL COLLEGE OF WISCONSIN · PI SHAKER, REZA NONE · 2022 to 2025
$1.8M
NIDDK NIH HHS R01 DK132082NIH HHS
6 · The paper itself

Abstract

backgroundThe functional relationship of striated esophagus (St.Eso) motor function with pharyngeal deglutitive biomechanical events has not been systematically studied. The aim of this study was to determine the spatio-temporal characteristics of St.Eso function and its correlation with pharyngeal biomechanics and bolus transport.

methodsWe studied 50 healthy volunteer subjects (age range: 21-82 years, 31 female) by digital videofluoroscopy. All subjects were studied in a seated, upright position. Thirteen of these 50 volunteers also underwent high-resolution manometry (HRM) concurrent with fluoroscopy. We used laryngeal excursion as a surrogate for St.Eso excursion. KEY

resultsMedian duration of St.Eso excursion was 2.35 [1.93,2.85, 5th and 95th percentile] seconds. Mean maximum extent of St.Eso excursion was 2.84 ± 0.72 cm. We identified four distinct periods in deglutitive St.Eso motor function: P1. Anterosuperior ascent without bolus or peristaltic activity, P2. Non-peristaltic bolus receiving at the apogee of St.Eso excursion concurrent with UES opening and pharyngeal peristalsis P3. Peristaltic bolus transport as St.Eso descends and P4. Continued peristalsis in resting position. CONCLUSIONS AND INFERENCES: 1. St.Eso motor function spans both pharyngeal and esophageal phases of swallowing for receiving and transporting the bolus, 2. Pressure signatures in HRM recordings currently attributed to St.Eso deglutitive motor activity does not represent the entirety of St.Eso peristalsis, only the part that occurs in its resting position. St.Eso peristalsis that occurs during its descent is recorded by pressure sensors initially in the pharynx. This finding needs to be considered when interpreting HRM recordings of the pharynx and proximal esophagus.

Indexed as

DeglutitionEsophagusManometryPharynxAdultAgedAged, 80 and overBiomechanical PhenomenaFemaleFluoroscopyHumansMaleMiddle AgedPeristalsisYoung Adultesophagusmanometryperistalsispharynxstriated

Identifiers

PMID39300967
PMCPMC11613504

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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.