Evidence map›Paper›PMID 40452117›Full record

ReviewAnnals of the New York Academy of Sciences2025

The conundrum of esophagogastric junction outflow obstruction: Answers to key clinical questions.

Kristle Lee Lynch, C Prakash Gyawali, Enrique Coss-Adame, Stefano Siboni, Christopher Vélez, Abraham Khan, Pierfrancesco Visaggi, Joshua A Sloan, Sravanya Gavini, Marco Sozzi and 1 more

Abstract readReview
In one paragraph

Review in Annals of the New York Academy of Sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

11 authors.

Kristle Lee LynchDivision of Gastroenterology and Hepatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-5481-2499
C Prakash GyawaliDivision of Gastroenterology Washington University School of Medicine, St. Louis, Missouri, USA.
Enrique Coss-AdameDepartment of Gastroenterology, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", México City, México.
Stefano SiboniDepartment of General and Emergency Surgery, IRCCS Policlinico San Donato, Milan, Italy.
Christopher VélezDivision of Gastroenterology, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-3388-0660
Abraham KhanDivision of Gastroenterology and Hepatology, NYU Grossman School of Medicine, NYU Langone Health, New York, New York, USA.
Pierfrancesco VisaggiDivision of Gastroenterology, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Joshua A SloanDivision of Gastroenterology, Hepatology, and Nutrition, University of Minnesota, Minneapolis, Minnesota, USA.
Sravanya GaviniDivision of Digestive and Liver Diseases, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Marco SozziDepartment of General and Emergency Surgery, IRCCS Policlinico San Donato, Milan, Italy.
Justin WuDivision of Gastroenterology & Hepatology, Department of Medicine & Therapeutics, The Chinese University of Hong Kong, Ma Liu Shui, Hong Kong.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Esophagogastric junction outflow obstruction (EGJOO) is a heterogeneous disorder characterized by abnormal esophagogastric junction residual pressures in the setting of intact esophageal body peristalsis. This manometric finding is most clinically relevant in patients with dysphagia and chest pain, and may arise from various mechanisms, including structural processes, catheter positioning artifact, and medications. Rarely, manometric EGJOO is a consequence of abnormal relaxation of the lower esophageal sphincter (LES) akin to achalasia. Thus, it is critical in the evaluation of EGJOO to determine if a true pressure gradient exists across the esophagogastric junction (EGJ) that warrants therapy. There are many unanswered questions in EGJOO diagnosis and management, which are addressed in this review in the context of the use of provocative maneuvers during high-resolution manometry, complementary and alternate testing, and therapeutic options.

Indexed as

Esophageal Motility DisordersEsophagogastric JunctionDeglutition DisordersEsophageal AchalasiaEsophageal Sphincter, LowerHumansManometryPeristalsischest painChicago classificationdysphagiaesophageal dysmotilityesophagogastric junction outflow obstructionhiatal herniatimed barium esophagram

Identifiers

PMID40452117
PMCPMC12309437

What OpenQuestion holds

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Registered trials

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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.