Evidence map›Paper›PMID 40467449›Full record

ArticleEndoscopy2025

Clinical effectiveness of esophageal stricture dilation using an improved endoscopic attachment cap in adults with eosinophilic esophagitis.

Alain M Schoepfer, Luc Biedermann, Andrea Kreienbuehl, Ekaterina Safroneeva, Catherine Saner, Philipp Schreiner, Thomas Greuter, Alex Straumann, Jeanine Wakim El-Khoury

Erratum issuedAbstract read
In one paragraph

Article in Endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Alain M SchoepferDivision of Gastroenterology and Hepatology, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne, Lausanne, Switzerland.
Luc BiedermannDepartment of Gastroenterology and Hepatology, University Hospital Zurich, Zurich, Switzerland.
Andrea KreienbuehlDepartment of Gastroenterology and Hepatology, University Hospital Zurich, Zurich, Switzerland.
Ekaterina SafroneevaInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Catherine SanerDivision of Gastroenterology and Hepatology, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne, Lausanne, Switzerland.
Philipp SchreinerDivision of Gastroenterology and Hepatology, AKH, University Hospital Vienna, Vienna, Austria.
Thomas GreuterDepartment of Gastroenterology and Hepatology, University Hospital Zurich, Zurich, Switzerland.
Alex StraumannDepartment of Gastroenterology and Hepatology, University Hospital Zurich, Zurich, Switzerland.
Jeanine Wakim El-KhouryDivision of Gastroenterology and Hepatology, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne, Lausanne, Switzerland.

Funding

Swiss National Science Foundation (to Alain Schoepfer) 32003B_204751/1
6 · The paper itself

Abstract

Background: The improved endoscopic attachment cap has the following new features: 1) more rounded tip; 2) stepwise dilation in two 1-mm increments; 3) softer plastic, ensuring better contact with the endoscope tip; and 4) improved adhesive tape. We evaluated the feasibility and effectiveness of one-time esophageal stricture dilation using the new device in adults with eosinophilic esophagitis (EoE). Methods: Patients prospectively included in the Swiss EoE cohort with esophageal strictures (diameter ≤16 mm) and stricture-related symptoms underwent dilation with the new device. Symptoms were assessed using the Eosinophilic Esophagitis Activity Index patient-reported outcomes instrument before and 2 weeks after a single dilation. Results: 60 patients (median age 42 years; 75% male) were evaluated. Bougienage was successful in all patients. Median esophageal diameter increased from 12 mm (interquartile range [IQR] 11–14) to 16 mm (IQR 14–16; P < 0.001). Median symptom severity dropped from 36 points (IQR 22–62) to 0 (IQR 0–12; P < 0.001). No device became detached and no severe adverse events were reported. Post-dilation pain was recorded in 31.7% (19/60). Conclusions: Esophageal stricture dilation in adults with EoE using the improved endoscopic attachment cap was feasible, clinically effective, and environmentally friendly.

Indexed as

DilatationEosinophilic EsophagitisEsophageal StenosisEsophagoscopyAdultEquipment DesignFeasibility StudiesFemaleHumansMaleMiddle AgedProspective StudiesSeverity of Illness IndexTreatment Outcome

Identifiers

PMID40467449
PMCPMC12507039

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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.