{"id":"https://openalex.org/W2016018080","doi":"https://doi.org/10.1097/00000658-199321850-00008","title":"Intraoperative Study on the Relationship Between the Lower Esophageal Sphincter Pressure and the Muscular Components of the Gastro-Esophageal Junction in Achalasic Patients","display_name":"Intraoperative Study on the Relationship Between the Lower Esophageal Sphincter Pressure and the Muscular Components of the Gastro-Esophageal Junction in Achalasic Patients","publication_year":1993,"publication_date":"1993-11-01","ids":{"openalex":"https://openalex.org/W2016018080","doi":"https://doi.org/10.1097/00000658-199321850-00008","mag":"2016018080","pmid":"https://pubmed.ncbi.nlm.nih.gov/8239778","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/1243034"},"language":"en","primary_location":{"id":"doi:10.1097/00000658-199321850-00008","doi":"https://doi.org/10.1097/00000658-199321850-00008","is_oa":false,"landing_page_url":"https://doi.org/10.1097/00000658-199321850-00008","pdf_url":null,"source":{"id":"https://openalex.org/S157664895","display_name":"Annals of Surgery","issn_l":"0003-4932","issn":["0003-4932","1528-1140"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1243034/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5056293658","display_name":"Sandro Mattioli","orcid":"https://orcid.org/0000-0002-0392-3156","observed_orcids":["https://orcid.org/0000-0002-0392-3156"]},"institutions":[{"id":"https://openalex.org/I9360294","display_name":"University of Bologna","ror":"https://ror.org/01111rn36","country_code":"IT","type":"education","lineage":["https://openalex.org/I9360294"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Sandro Mattioli","raw_affiliation_strings":["Second Department of Surgery, University of Bologna, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Second Department of Surgery, University of Bologna, Italy","institution_ids":["https://openalex.org/I9360294"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002012340","display_name":"Vladimiro Pilotti","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Vladimiro Pilotti","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066733141","display_name":"Valentino Felice","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Valentino Felice","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113770012","display_name":"Massimo Pierluigi Di Simone","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Massimo P. Di Simone","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Franco D\u02bcOvidio","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Franco D\u02bcOvidio","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5002415804","display_name":"G Gozzetti","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Giuseppe Gozzetti","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":2.0652,"has_fulltext":false,"cited_by_count":66,"citation_normalized_percentile":{"value":0.86061546,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"218","issue":"5","first_page":"635","last_page":"639"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10671","display_name":"Gastroesophageal reflux and treatments","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10671","display_name":"Gastroesophageal reflux and treatments","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10365","display_name":"Gastrointestinal motility and disorders","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11658","display_name":"Esophageal and GI Pathology","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/achalasia","display_name":"achalasia","score":0.9459999799728394},{"id":"https://openalex.org/keywords/intraoperative-manometry","display_name":"intraoperative manometry","score":0.722000002861023}],"concepts":[{"id":"https://openalex.org/C2776928572","wikidata":"https://www.wikidata.org/wiki/Q1956720","display_name":"Myotomy","level":4,"score":0.9491991400718689},{"id":"https://openalex.org/C2779958274","wikidata":"https://www.wikidata.org/wiki/Q661015","display_name":"Achalasia","level":3,"score":0.8785315155982971},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8721595406532288},{"id":"https://openalex.org/C3018799001","wikidata":"https://www.wikidata.org/wiki/Q173710","display_name":"Esophageal sphincter","level":4,"score":0.6906353235244751},{"id":"https://openalex.org/C3019338163","wikidata":"https://www.wikidata.org/wiki/Q1029907","display_name":"Esophagogastric junction","level":4,"score":0.6590951681137085},{"id":"https://openalex.org/C35150756","wikidata":"https://www.wikidata.org/wiki/Q2357631","display_name":"Curvatures of the stomach","level":3,"score":0.642398476600647},{"id":"https://openalex.org/C2777819096","wikidata":"https://www.wikidata.org/wiki/Q173710","display_name":"Esophagus","level":2,"score":0.5761300325393677},{"id":"https://openalex.org/C2779422922","wikidata":"https://www.wikidata.org/wiki/Q1029907","display_name":"Stomach","level":2,"score":0.5177518725395203},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.37648946046829224},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.31936490535736084},{"id":"https://openalex.org/C43270747","wikidata":"https://www.wikidata.org/wiki/Q898610","display_name":"Reflux","level":3,"score":0.26403000950813293},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.0},{"id":"https://openalex.org/C2781182431","wikidata":"https://www.wikidata.org/wiki/Q356033","display_name":"Adenocarcinoma","level":3,"score":0.0},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D004931","descriptor_name":"Esophageal Achalasia","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D004931","descriptor_name":"Esophageal Achalasia","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D004943","descriptor_name":"Esophagogastric Junction","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D004943","descriptor_name":"Esophagogastric Junction","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007432","descriptor_name":"Intraoperative Period","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008365","descriptor_name":"Manometry","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009130","descriptor_name":"Muscle, Smooth","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D009130","descriptor_name":"Muscle, Smooth","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D011312","descriptor_name":"Pressure","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1097/00000658-199321850-00008","doi":"https://doi.org/10.1097/00000658-199321850-00008","is_oa":false,"landing_page_url":"https://doi.org/10.1097/00000658-199321850-00008","pdf_url":null,"source":{"id":"https://openalex.org/S157664895","display_name":"Annals of Surgery","issn_l":"0003-4932","issn":["0003-4932","1528-1140"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Surgery","raw_type":"journal-article"},{"id":"pmid:8239778","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8239778","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of surgery","raw_type":"Comparative Study"},{"id":"pmh:oai:pubmedcentral.nih.gov:1243034","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1243034/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ann Surg","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:1243034","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1243034/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ann Surg","raw_type":"Text"},"sustainable_development_goals":[{"score":0.9537000060081482,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":11,"referenced_works":["https://openalex.org/W1428098757","https://openalex.org/W1979506950","https://openalex.org/W1988349365","https://openalex.org/W2018876936","https://openalex.org/W2050699036","https://openalex.org/W2059421008","https://openalex.org/W2411514020","https://openalex.org/W2412521509","https://openalex.org/W2422979296","https://openalex.org/W2429083108","https://openalex.org/W2471458157"],"related_works":["https://openalex.org/W4233909453","https://openalex.org/W2078678588","https://openalex.org/W181032955","https://openalex.org/W2088263432","https://openalex.org/W2007138941","https://openalex.org/W2025123791","https://openalex.org/W2042506777","https://openalex.org/W3021250752","https://openalex.org/W4388517215","https://openalex.org/W2490618354"],"abstract_inverted_index":{"OBJECTIVE:":[0],"The":[1,102,176,218],"lower":[2],"esophageal":[3,62,116,157,245],"sphincter":[4],"(LES)":[5],"resting":[6,43,108,204],"tone":[7,44,109,205],"originates":[8],"from":[9],"the":[10,13,17,26,30,41,56,61,67,77,82,85,89,93,99,106,111,115,122,145,148,160,202,209,215,223,227],"tension":[11],"of":[12,16,25,29,58,66,88,92,98,114,121,129,144,201,214,220,222,226],"muscular":[14,27,119],"fibers":[15,87,120],"gastro-esophageal":[18],"(GE)":[19],"junction.":[20,69,217],"This":[21,231],"study":[22],"determined":[23],"which":[24],"structures'":[28],"GE":[31,68,123,146,216],"junction":[32,124],"are":[33],"actually":[34],"responsible":[35],"and":[36,63,71,84,117],"to":[37,55,165],"what":[38],"degree":[39],"for":[40,138,244],"LES":[42,107,162,203,228],"in":[45,132],"achalasic":[46,198],"patients.":[47],"SUMMARY":[48],"BACKGROUND":[49],"DATA:":[50],"Controversy":[51],"still":[52],"exists":[53],"as":[54,242],"length":[57],"myotomy":[59,137,185,241],"on":[60,105],"gastric":[64,118,183,210,224],"sides":[65],"Experimental":[70],"clinical":[72],"studies":[73],"have":[74],"supposed":[75],"that":[76],"anatomical":[78,212],"complex":[79],"formed":[80],"by":[81,110,127,208],"U":[83],"sling":[86],"lesser":[90],"curvature":[91],"stomach":[94],"can":[95],"be":[96,234],"part":[97],"LES.":[100],"METHODS:":[101],"variations":[103],"induced":[104],"separate":[112],"division":[113],"were":[125],"studied":[126],"means":[128],"intraoperative":[130],"manometry":[131],"32":[133],"patients":[134],"who":[135],"underwent":[136],"achalasia.":[139,246],"RESULTS:":[140],"After":[141,156],"surgical":[142],"preparation":[143],"junction,":[147],"mean":[149,161],"pressure":[150,163,178],"was":[151,179],"29.3":[152],"+/-":[153,167,187],"13":[154],"mmHg.":[155],"side":[158,184,211],"myotomy,":[159],"decreased":[164],"13.6":[166],"7.9":[168],"mmHg":[169],"(paired":[170],"t":[171,191],"test,":[172,192],"p":[173,193],"<":[174,194],"0.0005).":[175,195],"residual":[177],"further":[180],"reduced":[181],"after":[182],"(3.4":[186],"1.9":[188],"mmHg;":[189],"paired":[190],"CONCLUSIONS:":[196],"In":[197],"patients,":[199],"45%":[200],"is":[206,229],"maintained":[207],"component":[213,225],"range":[219],"variability":[221],"wide.":[230],"information":[232],"should":[233],"taken":[235],"into":[236],"account":[237],"when":[238],"performing":[239],"extramucosal":[240],"therapy":[243]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":5},{"year":2018,"cited_by_count":4},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":2},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":2}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2016-06-24T00:00:00"}
