{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T02:29:55Z","timestamp":1761877795916,"version":"build-2065373602"},"reference-count":37,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.es","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Cirug\u00eda Espa\u00f1ola (English Edition)"],"published-print":{"date-parts":[[2023,10]]},"DOI":"10.1016\/j.cireng.2023.01.015","type":"journal-article","created":{"date-parts":[[2023,11,16]],"date-time":"2023-11-16T17:48:19Z","timestamp":1700156899000},"page":"S8-S18","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"S4","title":["Study of gastroesophageal reflux. Interpretation of functional tests in the obese patient"],"prefix":"10.1016","volume":"101","author":[{"given":"Elizabeth","family":"Barba Orozco","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Ezquerra Duran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.cireng.2023.01.015_bib0005","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1053\/j.gastro.2017.09.047","article-title":"Pathophysiology of gastroesophageal reflux disease","volume":"154","author":"Tack","year":"2018","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cireng.2023.01.015_bib0010","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1056\/NEJM199703273361306","article-title":"The esophagogastric junction","volume":"336","author":"Mittal","year":"1997","journal-title":"N Engl J Med"},{"key":"10.1016\/j.cireng.2023.01.015_bib0015","doi-asserted-by":"crossref","DOI":"10.1111\/nmo.12920","article-title":"Validation of criteria for the definition of transient lower esophageal sphincter relaxations using high-resolution manometry","volume":"29","author":"Roman","year":"2017","journal-title":"Neurogastroenterol Motil"},{"issue":"6","key":"10.1016\/j.cireng.2023.01.015_bib0020","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1080\/17474124.2020.1764348","article-title":"Obesity and esophageal cancer: GERD, Barrett\u2019s esophagus, and molecular carcinogenic pathways","volume":"14","author":"Schlottmann","year":"2020","journal-title":"Expert Rev Gastroenterol Hepatol"},{"issue":"1","key":"10.1016\/j.cireng.2023.01.015_bib0025","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.gtc.2013.11.009","article-title":"Obesity & GERD","volume":"43","author":"Chang","year":"2014","journal-title":"Gastroenterol Clin North Am"},{"issue":"6","key":"10.1016\/j.cireng.2023.01.015_bib0030","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1155\/2014\/960520","article-title":"High prevalence of esophageal dysmotility in asymptomatic obese patients","volume":"28","author":"C\u00f4t\u00e9-Daigneault","year":"2014","journal-title":"Can J Gastroenterol Hepatol"},{"issue":"4","key":"10.1016\/j.cireng.2023.01.015_bib0035","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1097\/MOG.0000000000000369","article-title":"High-resolution esophageal manometry","volume":"33","author":"Yadlapati","year":"2017","journal-title":"Curr Opin Gastroenterol"},{"issue":"1","key":"10.1016\/j.cireng.2023.01.015_bib0040","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/nmo.14058","article-title":"Esophageal motility disorders on high\u2010resolution manometry: Chicago classification version 4.0 \u00a9","volume":"33","author":"Yadlapati","year":"2021","journal-title":"Neurogastroenterol Motil"},{"issue":"11","key":"10.1016\/j.cireng.2023.01.015_bib0045","doi-asserted-by":"crossref","first-page":"1706","DOI":"10.1038\/ajg.2013.289","article-title":"Multiple rapid swallow responses during esophageal high-resolution manometry reflect esophageal body peristaltic reserve","volume":"108","author":"Shaker","year":"2013","journal-title":"Am J Gastroenterol"},{"issue":"4","key":"10.1016\/j.cireng.2023.01.015_bib0050","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1111\/nmo.12749","article-title":"Patterns of esophageal pressure responses to a rapid drink challenge test in patients with esophageal motility disorders","volume":"28","author":"Marin","year":"2016","journal-title":"Neurogastroenterol Motil"},{"issue":"10","key":"10.1016\/j.cireng.2023.01.015_bib0055","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/nmo.14113","article-title":"Chicago classification update (v4.0): technical review of high\u2010resolution manometry metrics for EGJ barrier function","volume":"33","author":"Kahrilas","year":"2021","journal-title":"Neurogastroenterol Motil"},{"issue":"6","key":"10.1016\/j.cireng.2023.01.015_bib0060","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1093\/dote\/dox048","article-title":"Classification for esophagogastric junction (EGJ) complex based on physiology","volume":"30","author":"Akimoto","year":"2017","journal-title":"Dis Esophagus"},{"issue":"7","key":"10.1016\/j.cireng.2023.01.015_bib0065","doi-asserted-by":"crossref","first-page":"1351","DOI":"10.1136\/gutjnl-2017-314722","article-title":"Modern diagnosis of GERD: the Lyon Consensus","volume":"67","author":"Gyawali","year":"2018","journal-title":"Gut."},{"issue":"10","key":"10.1016\/j.cireng.2023.01.015_bib0070","doi-asserted-by":"crossref","first-page":"1446","DOI":"10.1111\/nmo.12642","article-title":"Assessment of bolus transit with intraluminal impedance measurement in patients with esophageal motility disorders","volume":"27","author":"Bogte","year":"2015","journal-title":"Neurogastroenterol Motil"},{"issue":"1","key":"10.1016\/j.cireng.2023.01.015_bib0075","doi-asserted-by":"crossref","first-page":"27","DOI":"10.14309\/ajg.0000000000001538","article-title":"ACG clinical guideline for the diagnosis and management of gastroesophageal reflux disease","volume":"117","author":"Katz","year":"2022","journal-title":"Am J Gastroenterol"},{"issue":"9","key":"10.1016\/j.cireng.2023.01.015_bib0080","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.1111\/nmo.12620","article-title":"Patients with refractory reflux symptoms often do not have GERD","volume":"27","author":"Herregods","year":"2015","journal-title":"Neurogastroenterol Motil"},{"issue":"12","key":"10.1016\/j.cireng.2023.01.015_bib0085","doi-asserted-by":"crossref","DOI":"10.1111\/nmo.13104","article-title":"Classification of esophageal motor findings in gastro-esophageal reflux disease: Conclusions from an international consensus group","volume":"29","author":"Gyawali","year":"2017","journal-title":"Neurogastroenterol Motil"},{"issue":"3","key":"10.1016\/j.cireng.2023.01.015_bib0090","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1111\/j.1442-2050.2011.01258.x","article-title":"Esophageal spasm: demographic, clinical, radiographic, and manometric features in 108 patients","volume":"25","author":"Almansa","year":"2012","journal-title":"Dis Esophagus"},{"issue":"2","key":"10.1016\/j.cireng.2023.01.015_bib0095","doi-asserted-by":"crossref","first-page":"263","DOI":"10.14309\/ajg.0000000000001061","article-title":"Hypercontractile esophagus from pathophysiology to management: proceedings of the pisa symposium","volume":"116","author":"De Bortoli","year":"2021","journal-title":"Am J Gastroenterol"},{"issue":"11","key":"10.1016\/j.cireng.2023.01.015_bib0100","doi-asserted-by":"crossref","first-page":"1706","DOI":"10.1038\/ajg.2013.289","article-title":"Multiple rapid swallow responses during esophageal high-resolution manometry reflect esophageal body peristaltic reserve","volume":"108","author":"Shaker","year":"2013","journal-title":"Am J Gastroenterol"},{"issue":"8","key":"10.1016\/j.cireng.2023.01.015_bib0105","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/nmo.14336","article-title":"Solid bolus swallows during high\u2010resolution manometry complement multiple rapid swallows in predicting symptoms following antireflux surgery","volume":"34","author":"Greenan","year":"2022","journal-title":"Neurogastroenterol Motil"},{"issue":"5","key":"10.1016\/j.cireng.2023.01.015_bib0110","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1111\/apt.12208","article-title":"The effects of obesity on oesophageal function, acid exposure and the symptoms of gastro-oesophageal reflux disease","volume":"37","author":"Anggiansah","year":"2013","journal-title":"Aliment Pharmacol Ther"},{"issue":"7","key":"10.1016\/j.cireng.2023.01.015_bib0115","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.1136\/gutjnl-2013-305803","article-title":"Waist belt and central obesity cause partial hiatus hernia and short-segment acid reflux in asymptomatic volunteers","volume":"63","author":"Lee","year":"2014","journal-title":"Gut."},{"issue":"3","key":"10.1016\/j.cireng.2023.01.015_bib0120","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1053\/j.gastro.2005.12.016","article-title":"Obesity: a challenge to esophagogastric junction integrity","volume":"130","author":"Pandolfino","year":"2006","journal-title":"Gastroenterology"},{"issue":"3","key":"10.1016\/j.cireng.2023.01.015_bib0125","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1053\/j.gastro.2006.12.032","article-title":"Obesity is associated with increased transient lower esophageal sphincter relaxation","volume":"132","author":"Wu","year":"2007","journal-title":"Gastroenterology."},{"issue":"2","key":"10.1016\/j.cireng.2023.01.015_bib0130","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1111\/nmo.12477","article-title":"The Chicago classification of esophageal motility disorders, v3.0","volume":"27","author":"Kahrilas","year":"2015","journal-title":"Neurogastroenterol Motil."},{"issue":"11","key":"10.1016\/j.cireng.2023.01.015_bib0135","doi-asserted-by":"crossref","first-page":"3536","DOI":"10.1007\/s11695-019-04020-1","article-title":"Modern esophageal function testing and gastroesophageal reflux disease in morbidly obese patients","volume":"29","author":"Kristo","year":"2019","journal-title":"Obes Surg."},{"issue":"10","key":"10.1016\/j.cireng.2023.01.015_bib0140","doi-asserted-by":"crossref","first-page":"2449","DOI":"10.1007\/s11695-016-2127-y","article-title":"High-resolution impedance manometry after sleeve gastrectomy: increased intragastric pressure and reflux are frequent events","volume":"26","author":"Mion","year":"2016","journal-title":"Obes Surg."},{"issue":"8","key":"10.1016\/j.cireng.2023.01.015_bib0145","doi-asserted-by":"crossref","first-page":"2591","DOI":"10.1007\/s00423-021-02171-3","article-title":"Manometric and pH-monitoring changes after laparoscopic sleeve gastrectomy: a systematic review","volume":"406","author":"Balla","year":"2021","journal-title":"Langenbecks Arch Surg."},{"issue":"3","key":"10.1016\/j.cireng.2023.01.015_bib0150","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1023\/A:1005611602100","article-title":"Role of esophageal function tests in diagnosis of gastroesophageal reflux disease","volume":"46","author":"Patti","year":"2001","journal-title":"Dig Dis Sci."},{"issue":"3","key":"10.1016\/j.cireng.2023.01.015_bib0155","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1053\/j.gastro.2005.12.016","article-title":"Obesity: a challenge to esophagogastric junction integrity","volume":"130","author":"Pandolfino","year":"2006","journal-title":"Gastroenterology"},{"issue":"3","key":"10.1016\/j.cireng.2023.01.015_bib0160","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1053\/j.gastro.2006.12.032","article-title":"Obesity is associated with increased transient lower esophageal sphincter relaxation","volume":"132","author":"Wu","year":"2007","journal-title":"Gastroenterology"},{"issue":"8","key":"10.1016\/j.cireng.2023.01.015_bib0165","doi-asserted-by":"crossref","first-page":"1440","DOI":"10.1007\/s11605-009-0930-7","article-title":"Obesity and gastroesophageal reflux: quantifying the association between body mass index, esophageal acid exposure, and lower esophageal sphincter status in a large series of patients with reflux symptoms","volume":"13","author":"Ayazi","year":"2009","journal-title":"J Gastrointest Surg."},{"issue":"9","key":"10.1016\/j.cireng.2023.01.015_bib0170","doi-asserted-by":"crossref","first-page":"1976","DOI":"10.1016\/j.cgh.2020.09.002","article-title":"Inter-reviewer variability in interpretation of pH-impedance studies: the wingate consensus","volume":"19","author":"Gyawali","year":"2021","journal-title":"Clin Gastroenterol Hepatol."},{"issue":"1","key":"10.1016\/j.cireng.2023.01.015_bib0175","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1007\/s11695-015-1732-5","article-title":"Normal values of 24H multichannel intraluminal impedance pH-metry in a Greek obese population based on montreal definition of Gerd","volume":"26","author":"Doulami","year":"2016","journal-title":"Obes Surg."},{"key":"10.1016\/j.cireng.2023.01.015_bib0180","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1007\/s11695-010-0275-z","article-title":"Dari S 24-h pH-metry and multichannel intraluminal impedance monitoring in obese patients with and without gastroesophageal reflux disease symptoms","volume":"21","author":"Ricci","year":"2011","journal-title":"Obes Surg"},{"key":"10.1016\/j.cireng.2023.01.015_bib0185","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1023\/A:1005611602100","article-title":"Role of esophageal function tests in diagnosis of gastroesophageal reflux disease","volume":"46","author":"Patti","year":"2001","journal-title":"Dig Dis Sci."}],"container-title":["Cirug\u00eda Espa\u00f1ola (English Edition)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S217350772300220X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S217350772300220X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T01:57:27Z","timestamp":1761875847000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S217350772300220X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":37,"alternative-id":["S217350772300220X"],"URL":"https:\/\/doi.org\/10.1016\/j.cireng.2023.01.015","relation":{},"ISSN":["2173-5077"],"issn-type":[{"type":"print","value":"2173-5077"}],"subject":[],"published":{"date-parts":[[2023,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Study of gastroesophageal reflux. Interpretation of functional tests in the obese patient","name":"articletitle","label":"Article Title"},{"value":"Cirug\u00eda Espa\u00f1ola (English Edition)","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.cireng.2023.01.015","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.ciresp.2023.01.001","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 AEC. Published by Elsevier Espa\u00f1a, S.L.U. All rights reserved.","name":"copyright","label":"Copyright"}]}}