Evidence map›Paper›PMID 41676744›Full record

ArticleACG case reports journal2026

A Tough Pill to Swallow: Demonstration of Esophageal Physiologic Events Explaining Severe Dysphagia Captured on EndoFLIP After LINX Procedure.

Shay S Bidani, Alexandria Iakovidis, Lindsey Creech, Manuel Amaris, David Estores

Abstract readCase Reports
In one paragraph

Article in ACG case reports journal, 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

5 authors.

Shay S BidaniDepartment of Internal Medicine, University of Florida, Gainesville, FL.ORCID https://orcid.org/0009-0008-9435-3777
Alexandria IakovidisDepartment of Internal Medicine, University of Florida, Gainesville, FL.
Lindsey CreechDepartment of Internal Medicine, University of Florida, Gainesville, FL.
Manuel AmarisDepartment of Gastroenterology, Hepatology, and Nutrition, University of Florida, Gainesville, FL.
David EstoresDepartment of Gastroenterology, Hepatology, and Nutrition, University of Florida, Gainesville, FL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dysphagia is a common symptom after magnetic sphincter augmentation, a minimally invasive antireflux alternative to laparoscopic Nissen fundoplication. A 69-year-old woman underwent LINX procedure in 2017 for GERD symptoms, after which she had the onset of dysphagia. EndoFLIP demonstrated narrowing and stiffness at lower volumes but acceptable distensibility at the largest balloon volume. The treatment plan aimed to improve swallowing by ingesting larger solid boluses and avoiding additional invasive procedures. This visualization of the obstruction on EndoFLIP presented a more physiologic approach to treatment with ingesting larger, rather than smaller, solid food boluses.

Indexed as

dysphagiaEndoFLIPesophageal distensibilityesophagogastric junctionLINX devicemagnetic sphincter augmentationvolume-dependent obstruction

Identifiers

PMID41676744
PMCPMC12889350

What OpenQuestion holds

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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.