Evidence map›Paper›PMID 41632237›Full record

ArticleSurgical endoscopy2026

Distensibility index might predict the risk of developing new onset or worsening dysphagia after anti-reflux surgery.

Hala Al Asadi, Niloufar Salehi, Anjani Turaja, Brendan M Finnerty, Thomas J Fahey, Rasa Zarnegar

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Article in Surgical endoscopy, 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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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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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

6 authors.

Hala Al AsadiDepartment of Surgery, Division of Endocrine & Minimally Invasive Surgery, Weill Cornell Medical College, New York-Presbyterian Hospital, 525 East 68Th Street, K-836, New York, NY, 10065, USA.ORCID http://orcid.org/0000-0001-6832-6558
Niloufar SalehiDepartment of Surgery, Division of Endocrine & Minimally Invasive Surgery, Weill Cornell Medical College, New York-Presbyterian Hospital, 525 East 68Th Street, K-836, New York, NY, 10065, USA.
Anjani TurajaDepartment of Surgery, Division of Endocrine & Minimally Invasive Surgery, Weill Cornell Medical College, New York-Presbyterian Hospital, 525 East 68Th Street, K-836, New York, NY, 10065, USA.
Brendan M FinnertyDepartment of Surgery, Division of Endocrine & Minimally Invasive Surgery, Weill Cornell Medical College, New York-Presbyterian Hospital, 525 East 68Th Street, K-836, New York, NY, 10065, USA.
Thomas J FaheyDepartment of Surgery, Division of Endocrine & Minimally Invasive Surgery, Weill Cornell Medical College, New York-Presbyterian Hospital, 525 East 68Th Street, K-836, New York, NY, 10065, USA.
Rasa ZarnegarDepartment of Surgery, Division of Endocrine & Minimally Invasive Surgery, Weill Cornell Medical College, New York-Presbyterian Hospital, 525 East 68Th Street, K-836, New York, NY, 10065, USA. Raz2002@med.cornell.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDysphagia is one of the most common complications following anti-reflux surgery (ARS). The factors affecting the development of new onset or worsening dysphagia are not well understood. This study aimed to investigate how lower esophageal sphincter distensibility impacts the development of new onset or worsening dysphagia after ARS.

methodA review of patients who underwent robotic ARS was conducted. All patients had intra-operative EndoFLIP monitoring at two-time points, pre-repair, and post-wrap. Dysphagia was assessed pre-operatively and at 3-6 months after surgery.

resultsOut of 168 patients (63.8%) with 3- to 6-month follow-up, 24 patients (14.2%) developed new onset or worsening post-operative dysphagia. Among these, 13 patients reported mild symptoms, and 11 patients experienced moderate-to-severe dysphagia. Patients with new onset or worsening post-operative dysphagia had lower DI values compared to those without [0.9 IQR (0.7-1.5) mm

conclusionPatients who developed new onset or worsening dysphagia after ARS had lower post-wrap LES DI values compared to those who did not. A post-wrap DI value of (

Indexed as

Deglutition DisordersEsophageal Sphincter, LowerFundoplicationGastroesophageal RefluxPostoperative ComplicationsRobotic Surgical ProceduresAgedFemaleHumansMaleManometryMiddle AgedRetrospective StudiesRisk FactorsAnti-reflux surgeryDysphagiaEndoFLIPNew onset or worsened dysphagiaPost-operative dysphagia

Identifiers

PMID41632237

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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.