ArticleSurgical endoscopy2025
Does the use of EndoFLIP during fundoplications improve outcomes?
Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- SAGES-EAES clinical practice guidelines for the use of FLIP/impedance planimetry in the surgical work-up and management of GERD, achalasia, and gastroparesis.Surgical endoscopy · 2026Guideline
- Achieving physiologic distensibility targets frequently requires modification of standard cruroplasty during anti-reflux surgery.Surgical endoscopy · 2026Article
- Functional Lumen Imaging Probe (EndoFLIP) in Upper Gastrointestinal Disorders: Current Evidence, Clinical Applications, and Future Perspectives.Diseases (Basel, Switzerland) · 2026Review
- Gastrointestinal Complaints After Fundoplication: Rapid Review and Evidence Mapping.Current gastroenterology reports · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundImpedance planimetry (EndoFLIP) provides a powerful intraoperative tool to the trained Foregut surgeon. Real time data on esophageal diameter and distensibility index (DI) allows for objective biofeedback to improve the overall consistency of the operation. While EndoFLIP carries great potential, little has been said about its effect toward postoperative outcomes. Our goal for this study was to identify how certain EndoFLIP scores would impact postoperative patient surveys.
methodsA prospectively collected database of patients undergoing crural repair between January 2023 and September 2024 was reviewed. EndoFLIP measurements of DI and diameter were obtained after fundoplication using a standardized protocol. Patients were then surveyed postoperatively at 2 months, 6 months, and 1-year intervals to trend changes in GERD-HRQL, REGURG, LPR-RSI, and Dysphagia scores. Spearman Rank correlation was used to assess linear relationships between post-fundoplication measurements and quality-of-life scores at follow up.
resultsA total of 55 patients were reviewed in this study. All patients underwent a crural repair while 45% underwent an anterior wrap and 55% a posterior wrap. Diameter and DI measurements were not found to correlate with GERD-HRQL or LPR-RSI scores at 1-year postoperative visits. No correlation was also found when looking at the change in scores from preoperative to postoperative surveys. Larger DI and diameters did correlate to higher REGURG scores at 1-year follow ups.
conclusionsIntraoperative DI and diameter measurements carry almost no correlation to postoperative outcome scores. Only a positive correlation to REGURG scores with higher DI and diameter were noted. As long as DI is kept between extreme values, other factors must be investigated as part of a multifactorial influence to postoperative dysphagia and GERD.
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