Evidence map›Paper›PMID 41492162›Full record

ArticleJournal of neurogastroenterology and motility2026

Loss of Inspiratory Augmentation as a Predictive Factor for the Development of Gastroesophageal Reflux Disease After Peroral Endoscopic Myotomy in Patients With Achalasia.

Min-Jae Kim, Se Yeon Jeon, Jun Chul Park, Young Hoon Youn, Hyojin Park

Abstract read
In one paragraph

Article in Journal of neurogastroenterology and motility, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

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5 · Who and what money

Authors and funding

5 authors.

Min-Jae KimDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Se Yeon JeonDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Jun Chul ParkDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Young Hoon YounDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Hyojin ParkDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Aims: : Gastroesophageal reflux disease (GERD) after peroral endoscopic myotomy (POEM) is a significant challenge. Disruption of the lower esophageal sphincter during POEM and dysfunction of the crural diaphragm, which contributes to esophagogastric junction pressure, may lead to GERD after POEM. We aim to identify predictors of GERD after POEM and focus on physiological parameters of esophagogastric junction pressure in patients with achalasia before POEM. Methods: : We retrospectively analyzed a prospectively collected database of patients who underwent POEM between July 2016 and August 2023. Ninety-two patients with achalasia who underwent high-resolution manometry and endoscopy before and after POEM were included. Results: : Forty-nine (53.3%) patients were diagnosed with GERD. Patient demographics, achalasia subtypes, prior treatments, myotomy length, and myotomy orientation were not associated with GERD after POEM. Loss of inspiratory augmentation before POEM was associated with GERD after POEM ( Conclusion: : Loss of inspiratory augmentation may predict GERD after POEM.

Indexed as

Esophageal achalasiaEsophagogastric junctionGastroesophageal refluxManometryMyotomy

Identifiers

PMID41492162
PMCPMC12780906

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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.