{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T21:30:42Z","timestamp":1786397442952,"version":"build-2736575974"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1007\/s00464-026-13164-y","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T16:44:24Z","timestamp":1784825064000},"page":"7255-7264","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Development of expert consensus protocols for diagnostic and procedural use of the EndoFLIP system"],"prefix":"10.1007","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5354-535X","authenticated-orcid":false,"given":"Perretta","family":"Silvana","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pohl","family":"Daniel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chon","family":"Seung-Hun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. H\u00e5kanson","family":"Bengt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristo","family":"Ivan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Messmann","family":"Helmut","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. Schoppmann","family":"Sebastian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Botha","family":"Abraham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"key":"13164_CR1","doi-asserted-by":"publisher","first-page":"1005","DOI":"10.1007\/s00535-015-1087-7","volume":"50","author":"C Lottrup","year":"2015","unstructured":"Lottrup C, Gregersen H, Liao D et al (2015) Functional lumen imaging of the gastrointestinal tract. J Gastroenterol 50:1005\u20131016","journal-title":"J Gastroenterol"},{"key":"13164_CR2","doi-asserted-by":"publisher","first-page":"1823","DOI":"10.1007\/s00464-019-06947-z","volume":"34","author":"B Turner","year":"2020","unstructured":"Turner B, Helm M, Hetzel E, Gould JC (2020) Is that \u2018floppy\u2019 fundoplication tight enough? Surg Endosc 34:1823\u20131828. https:\/\/doi.org\/10.1007\/s00464-019-06947-z","journal-title":"Surg Endosc"},{"key":"13164_CR3","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.13980","author":"C Desprez","year":"2020","unstructured":"Desprez C, Roman S, Leroi AM, Gourcerol G (2020) The use of impedance planimetry (Endoscopic Functional Lumen Imaging Probe, EndoFLIP\u00ae) in the gastrointestinal tract: a systematic review. Neurogastroenterol Motil. https:\/\/doi.org\/10.1111\/nmo.13980","journal-title":"Neurogastroenterol Motil"},{"key":"13164_CR4","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.14419","author":"AJ Bredenoord","year":"2022","unstructured":"Bredenoord AJ, Rancati F, Lin H, Schwartz N, Argov M (2022) Normative values for esophageal functional lumen imaging probe measurements: a meta-analysis. Neurogastroenterol Motil. https:\/\/doi.org\/10.1111\/nmo.14419","journal-title":"Neurogastroenterol Motil"},{"key":"13164_CR5","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1007\/s11894-017-0544-2","volume":"19","author":"NK Ahuja","year":"2017","unstructured":"Ahuja NK, Clarke JO (2017) The role of impedance planimetry in the evaluation of esophageal disorders. Curr Gastroenterol Rep 19:8. https:\/\/doi.org\/10.1007\/s11894-017-0544-2","journal-title":"Curr Gastroenterol Rep"},{"key":"13164_CR6","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1016\/j.cgh.2016.10.022","volume":"15","author":"I Hirano","year":"2017","unstructured":"Hirano I, Pandolfino JE, Boeckxstaens GE (2017) Functional lumen imaging probe for the management of esophageal disorders: expert review from the Clinical Practice Updates Committee of the AGA Institute. Clin Gastroenterol Hepatol 15:325\u2013334. https:\/\/doi.org\/10.1016\/j.cgh.2016.10.022","journal-title":"Clin Gastroenterol Hepatol"},{"key":"13164_CR7","doi-asserted-by":"publisher","first-page":"9283","DOI":"10.1007\/s00464-023-10494-z","volume":"37","author":"H Evensen","year":"2023","unstructured":"Evensen H et al (2023) Intraoperative distensibility measurement in POEM for achalasia: impact on patient outcome and associations with other outcome variables at 1-year follow-up. Surg Endosc 37:9283\u20139290. https:\/\/doi.org\/10.1007\/s00464-023-10494-z","journal-title":"Surg Endosc"},{"key":"13164_CR8","doi-asserted-by":"publisher","first-page":"e1250","DOI":"10.1016\/j.cgh.2021.06.040","volume":"20","author":"DA Carlson","year":"2022","unstructured":"Carlson DA et al (2022) Validation of clinically relevant thresholds of esophagogastric junction obstruction using FLIP panometry. Clin Gastroenterol Hepatol 20:e1250\u2013e1262. https:\/\/doi.org\/10.1016\/j.cgh.2021.06.040","journal-title":"Clin Gastroenterol Hepatol"},{"key":"13164_CR9","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2025.01.234","author":"DA Carlson","year":"2025","unstructured":"Carlson DA et al (2025) Motility disorders: the Dallas Consensus. Gastroenterology. https:\/\/doi.org\/10.1053\/j.gastro.2025.01.234","journal-title":"Gastroenterology"},{"key":"13164_CR10","doi-asserted-by":"publisher","first-page":"5717","DOI":"10.1007\/s00464-020-08034-0","volume":"35","author":"B Su","year":"2021","unstructured":"Su B et al (2021) Using a standardized intra-operative EndoFLIP protocol during fundoplication to identify factors that affect distensibility. Surg Endosc 35:5717\u20135723. https:\/\/doi.org\/10.1007\/s00464-020-08034-0","journal-title":"Surg Endosc"},{"key":"13164_CR11","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1007\/s00464-021-08291-7","volume":"36","author":"M Liu","year":"2022","unstructured":"Liu M et al (2022) The impact of pneumoperitoneum on esophagogastric junction distensibility during anti-reflux surgery. Surg Endosc 36:367\u2013374. https:\/\/doi.org\/10.1007\/s00464-021-08291-7","journal-title":"Surg Endosc"},{"key":"13164_CR12","doi-asserted-by":"publisher","first-page":"702","DOI":"10.1016\/j.gie.2023.11.052","volume":"99","author":"A Canakis","year":"2023","unstructured":"Canakis A et al (2023) Anesthesia choice and its potential impact on endoluminal functional lumen imaging probe measurements in esophageal motility disorders. Gastrointest Endosc 99:702-711.e6. https:\/\/doi.org\/10.1016\/j.gie.2023.11.052","journal-title":"Gastrointest Endosc"},{"key":"13164_CR13","doi-asserted-by":"publisher","first-page":"3090","DOI":"10.1007\/s00464-020-07739-6","volume":"35","author":"AL Holmstrom","year":"2021","unstructured":"Holmstrom AL et al (2021) Intraoperative use of FLIP is associated with clinical success following POEM for achalasia. Surg Endosc 35:3090\u20133096. https:\/\/doi.org\/10.1007\/s00464-020-07739-6","journal-title":"Surg Endosc"},{"key":"13164_CR14","doi-asserted-by":"publisher","first-page":"420","DOI":"10.1097\/XCS.0000000000000273","volume":"235","author":"H Wu","year":"2022","unstructured":"Wu H et al (2022) Impedance planimetry (EndoFLIP) and ideal distensibility ranges for optimal outcomes after Nissen and Toupet fundoplication. J Am Coll Surg 235:420\u2013429. https:\/\/doi.org\/10.1097\/XCS.0000000000000273","journal-title":"J Am Coll Surg"},{"key":"13164_CR15","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1016\/j.gtc.2020.04.002","volume":"49","author":"EN Donnan","year":"2021","unstructured":"Donnan EN, Pandolfino JE (2021) EndoFLIP in the esophagus: assessing sphincter function, wall stiffness, and motility to guide treatment. Gastroenterol Clin North Am 49:427\u2013435. https:\/\/doi.org\/10.1016\/j.gtc.2020.04.002","journal-title":"Gastroenterol Clin North Am"},{"key":"13164_CR16","doi-asserted-by":"publisher","first-page":"2365","DOI":"10.1007\/s00464-021-08517-8","volume":"36","author":"YY Law","year":"2022","unstructured":"Law YY et al (2022) Intraoperative diagnosis and treatment of achalasia using EndoFLIP during Heller myotomy and Dor fundoplication. Surg Endosc 36:2365\u20132372. https:\/\/doi.org\/10.1007\/s00464-021-08517-8","journal-title":"Surg Endosc"},{"key":"13164_CR17","doi-asserted-by":"publisher","first-page":"3097","DOI":"10.1007\/s00464-020-07740-z","volume":"35","author":"AL Holmstrom","year":"2021","unstructured":"Holmstrom AL et al (2021) Intraoperative FLIP distensibility during POEM varies according to achalasia subtype. Surg Endosc 35:3097\u20133103. https:\/\/doi.org\/10.1007\/s00464-020-07740-z","journal-title":"Surg Endosc"},{"key":"13164_CR18","first-page":"1","volume":"14","author":"E Brindise","year":"2021","unstructured":"Brindise E et al (2021) Insights into the endoscopic management of esophageal achalasia. Ther Adv Gastrointest Endosc 14:1\u201312","journal-title":"Ther Adv Gastrointest Endosc"},{"key":"13164_CR19","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1053\/j.gastro.2012.04.048","volume":"143","author":"WO Rohof","year":"2012","unstructured":"Rohof WO, Hirsch DP, Kessing BF, Boeckxstaens GE (2012) Efficacy of treatment for patients with achalasia depends on the distensibility of the esophagogastric junction. Gastroenterology 143:328\u2013335. https:\/\/doi.org\/10.1053\/j.gastro.2012.04.048","journal-title":"Gastroenterology"},{"key":"13164_CR20","doi-asserted-by":"publisher","first-page":"496","DOI":"10.1111\/nmo.12097","volume":"25","author":"JE Pandolfino","year":"2013","unstructured":"Pandolfino JE, De Ruigh A, Nicod\u00e8me F, Xiao Y, Boris L, Kahrilas PJ (2013) Distensibility of the esophagogastric junction assessed with the functional lumen imaging probe (FLIP) in achalasia patients. Neurogastroenterol Motil 25:496-e368. https:\/\/doi.org\/10.1111\/nmo.12097","journal-title":"Neurogastroenterol Motil"},{"key":"13164_CR21","doi-asserted-by":"publisher","first-page":"522","DOI":"10.1007\/s00464-014-3733-1","volume":"29","author":"EN Teitelbaum","year":"2015","unstructured":"Teitelbaum EN et al (2015) Esophagogastric junction distensibility measurements during Heller myotomy and POEM for achalasia predict postoperative symptomatic outcomes. Surg Endosc 29:522\u2013528. https:\/\/doi.org\/10.1007\/s00464-014-3733-1","journal-title":"Surg Endosc"},{"key":"13164_CR22","doi-asserted-by":"publisher","first-page":"570","DOI":"10.1055\/a-1268-7713","volume":"53","author":"RA Moran","year":"2021","unstructured":"Moran RA et al (2021) Impedance planimetry values for predicting clinical response following peroral endoscopic myotomy. Endoscopy 53:570\u2013577. https:\/\/doi.org\/10.1055\/a-1268-7713","journal-title":"Endoscopy"},{"key":"13164_CR23","doi-asserted-by":"publisher","first-page":"3840","DOI":"10.1007\/s00464-020-07788-x","volume":"35","author":"U Nwokedi","year":"2021","unstructured":"Nwokedi U et al (2021) Short-term outcome of routine use of EndoFLIP during hiatal hernia repair. Surg Endosc 35:3840\u20133849. https:\/\/doi.org\/10.1007\/s00464-020-07788-x","journal-title":"Surg Endosc"},{"key":"13164_CR24","doi-asserted-by":"publisher","first-page":"1761","DOI":"10.1007\/s00464-019-06925-5","volume":"34","author":"B Su","year":"2020","unstructured":"Su B, Novak S, Callahan ZM, Kuchta K, Carbray JA, Ujiki MB (2020) Using impedance planimetry (EndoFLIP) in the operating room to assess gastroesophageal junction distensibility and predict patient outcomes following fundoplication. Surg Endosc 34:1761\u20131768. https:\/\/doi.org\/10.1007\/s00464-019-06925-5","journal-title":"Surg Endosc"},{"key":"13164_CR25","doi-asserted-by":"publisher","first-page":"8670","DOI":"10.1007\/s00464-023-10301-9","volume":"37","author":"JR Amundson","year":"2023","unstructured":"Amundson JR et al (2023) Target distensibility index on impedance planimetry during fundoplication by choice of wrap and choice of bougie. Surg Endosc 37:8670\u20138681. https:\/\/doi.org\/10.1007\/s00464-023-10301-9","journal-title":"Surg Endosc"},{"key":"13164_CR26","doi-asserted-by":"publisher","first-page":"674","DOI":"10.1016\/j.cgh.2018.07.042","volume":"17","author":"DA Carlson","year":"2019","unstructured":"Carlson DA et al (2019) Normal values of esophageal distensibility and distension-induced contractility measured by functional luminal imaging probe panometry. Clin Gastroenterol Hepatol 17:674-681.e1. https:\/\/doi.org\/10.1016\/j.cgh.2018.07.042","journal-title":"Clin Gastroenterol Hepatol"},{"key":"13164_CR27","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1111\/nmo.14192","volume":"34","author":"DA Carlson","year":"2022","unstructured":"Carlson DA et al (2022) Validation of secondary peristalsis classification using FLIP panometry in 741 subjects undergoing manometry. Neurogastroenterol Motil 34:1\u201313. https:\/\/doi.org\/10.1111\/nmo.14192","journal-title":"Neurogastroenterol Motil"},{"key":"13164_CR28","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1111\/nmo.14470","volume":"35","author":"DA Carlson","year":"2023","unstructured":"Carlson DA et al (2023) Identifying hiatal hernia with impedance planimetry during esophageal distension testing. Neurogastroenterol Motil 35:1\u201310. https:\/\/doi.org\/10.1111\/nmo.14470","journal-title":"Neurogastroenterol Motil"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-026-13164-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-026-13164-y","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-026-13164-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T21:11:24Z","timestamp":1786396284000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-026-13164-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,23]]},"references-count":28,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["13164"],"URL":"https:\/\/doi.org\/10.1007\/s00464-026-13164-y","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"value":"0930-2794","type":"print"},{"value":"1432-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,23]]},"assertion":[{"value":"12 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Perretta Silvana, Pohl Daniel, Chon Seung-Hun, H\u00e5kanson Bengt, Kristo Ivan, Messmann Helmut, Schoppmann Sebastian, and Botha Abraham have no conflicts of interest or financial ties to disclose.","order":1,"name":"Ethics","label":"Disclosures","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethics committee approval and patient consent were not required for this project, as it did not involve patient participation or the use of patient health information.","order":2,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}}]}}