Evidence map›Paper›PMID 41646060›Full record

ArticleiGIE : innovation, investigation and insights2023

Efficacy of bougie versus balloon dilatation in children with benign esophageal stricture: a propensity score-matched retrospective cohort study.

Venkata Umeshreddy Devarapalli, Ujjal Poddar, Anshu Srivastava, Surender Kumar Yachha

Abstract read
In one paragraph

Article in iGIE : innovation, investigation and insights, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Venkata Umeshreddy DevarapalliDepartment of Pediatric Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Ujjal PoddarDepartment of Pediatric Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Anshu SrivastavaDepartment of Pediatric Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Surender Kumar YachhaDepartment of Pediatric Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Endoscopic dilatation is the primary management of esophageal strictures in children. However, pediatric data on which of the 2 endoscopic techniques, bougie or balloon, is better and the effect of endoscopic dilatation on the growth in children are lacking. We evaluated whether bougie or balloon dilatation is superior in efficacy and safety for short esophageal strictures in children and the impact of endoscopic dilatation on their growth. Methods: We performed endoscopic dilatation every 2 to 3 weeks using either a bougie or balloon and considered it adequate if we could dilate the esophageal lumen to 15 mm (11 mm in ages <2 years, 12 mm in ages 2-5 years) with complete relief of symptoms for >2 months. Results: Two hundred fifty-nine children were enrolled, with 2580 dilatations performed during the study. We performed a comparative analysis on 77 children where an exclusive bougie versus balloon dilatation was carried out for short strictures (defined as stricture length <5 cm). Both bougie and balloon dilatation showed similar efficacy (median number of sessions for adequate dilatation: 5 [interquartile range, 2.5-7.5] vs 4 [interquartile range, 2-6]; Conclusions: Endoscopic bougie and balloon dilatations were safe and effective, with no significant difference for short strictures. Successful dilatation resulted in significant improvement in growth on follow-up.

Identifiers

PMID41646060
PMCPMC12851094

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.