Evidence map›Paper›PMID 40933881›Full record

ArticleDEN open2026

Utility of the Endoscopic Pressure Study Integrated System in Identifying Silent Gastroesophageal Reflux Disease During Routine Health Check-ups.

Yohei Nishikawa, Haruhiro Inoue, Kazuki Yamamoto, Tomona Sakurai, Yukiko Okada, Kei Ushikubo, Kohei Shigeta, Ippei Tanaka, Satoshi Abiko, Mayo Tanabe and 3 more

Abstract read
In one paragraph

Article in DEN open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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

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

13 authors.

Yohei NishikawaDigestive Diseases Center Showa Medical University Koto Toyosu Hospital Tokyo Japan.ORCID https://orcid.org/0000-0003-3389-1455
Haruhiro InoueDigestive Diseases Center Showa Medical University Koto Toyosu Hospital Tokyo Japan.
Kazuki YamamotoDigestive Diseases Center Showa Medical University Koto Toyosu Hospital Tokyo Japan.ORCID https://orcid.org/0000-0001-6614-2763
Tomona SakuraiDigestive Diseases Center Showa Medical University Koto Toyosu Hospital Tokyo Japan.
Yukiko OkadaDigestive Diseases Center Showa Medical University Koto Toyosu Hospital Tokyo Japan.
Kei UshikuboDigestive Diseases Center Showa Medical University Koto Toyosu Hospital Tokyo Japan.
Kohei ShigetaDigestive Diseases Center Showa Medical University Koto Toyosu Hospital Tokyo Japan.ORCID https://orcid.org/0009-0006-3683-7015
Ippei TanakaDigestive Diseases Center Showa Medical University Koto Toyosu Hospital Tokyo Japan.ORCID https://orcid.org/0000-0001-8776-6663
Satoshi AbikoDigestive Diseases Center Showa Medical University Koto Toyosu Hospital Tokyo Japan.ORCID https://orcid.org/0000-0002-0962-8342
Mayo TanabeDigestive Diseases Center Showa Medical University Koto Toyosu Hospital Tokyo Japan.
Takayoshi ItoDigestive Diseases Center Showa Medical University Koto Toyosu Hospital Tokyo Japan.
Noboru YokoyamaDigestive Diseases Center Showa Medical University Koto Toyosu Hospital Tokyo Japan.
Naoyuki UragamiDigestive Diseases Center Showa Medical University Koto Toyosu Hospital Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The endoscopic pressure study integrated system (EPSIS) is a novel functional endoscopic modality that records intragastric pressure (IGP) waveforms during CO Methods: We retrospectively analyzed 185 participants who underwent esophagogastroduodenoscopy (EGD) and EPSIS as part of routine health check-ups at a single center between November 2024 and March 2025. Participants were classified into erosive and non-erosive groups based on the presence or absence of mucosal breaks (Grade A or higher) according to the Los Angeles classification. Background characteristics, EPSIS parameters, and endoscopic findings were compared. Results: EPSIS was safely performed in all participants without adverse events. The erosive esophagitis group showed significantly more flat waveform patterns (39.4% vs. 14.5%, Conclusion: EPSIS enables a safe and objective assessment of LES function and may support the identification of erosive esophagitis in asymptomatic individuals. It may hold promise as a functional diagnostic tool for the detection of silent GERD and may support preventive strategies during routine endoscopy.

Indexed as

endoscopic pressure study integrated systemfunctional endoscopygastroesophageal reflux diseasehealth check‐upslower esophageal sphincter

Identifiers

PMID40933881
PMCPMC12417336

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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.