The Case for Functional Lumen Imaging Probe Panometry in Clinical Practice

Carlson, Dustin A.; Kahrilas, Peter J.

doi:10.1053/j.gastro.2022.11.020

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…7,8 Diagnostic FLIP (EndoFLIP ® ), is used to measure pressure and cross-sectional area, while the therapeutic FLIP (EsoFLIP ® ) was designed for esophageal dilation. 9,10 The FDA has approved diagnostic FLIP for measuring esophageal, pyloric, and anal sphincter dimensions and pressures, estimating gastric band stoma size, and for use as an adjunctive test in esophageal hypersensitivity. 10 The American Gastroenterological Association Institute's expert review provided essential guidance on using FLIP in clinical practice, such as using it as a complementary tool to assess opening dynamics of the esophagogastric junction and esophageal wall stiffness and utilizing it for severity assessment of eosinophilic esophagitis and therapeutic monitoring.…”

Section: Introductionmentioning

confidence: 99%

“…9,10 The FDA has approved diagnostic FLIP for measuring esophageal, pyloric, and anal sphincter dimensions and pressures, estimating gastric band stoma size, and for use as an adjunctive test in esophageal hypersensitivity. 10 The American Gastroenterological Association Institute's expert review provided essential guidance on using FLIP in clinical practice, such as using it as a complementary tool to assess opening dynamics of the esophagogastric junction and esophageal wall stiffness and utilizing it for severity assessment of eosinophilic esophagitis and therapeutic monitoring. 5 While studies have demonstrated the effectiveness of FLIP devices in these procedures, information regarding associated adverse events is limited.…”

Section: Introductionmentioning

confidence: 99%

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Analysis of Reported Adverse Events Associated With the Use of Functional Lumen Imaging Probe Devices in the Esophagus and Stomach: An FDA MAUDE Database Study

Jaber

Johnson

Wilson

et al. 2023

Foregut: The Journal of the American Foregut Society

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The endoscopic Functional Lumen Imaging Probe (FLIP) devices are used to evaluate pressure changes, diameter, and volume of the esophagus. We used the FDA’s MAUDE database to collect post-marketing surveillance data on these devices from January 2009 to September 2022. Forty-Five device-related events and thirty-six patient-related adverse events were analyzed. The most common device issue for the diagnostic FLIP device was therapeutic/diagnostic failure (n = 6), while the most frequent issue with the therapeutic FLIP device was adverse events without an identified device or use problem (n = 11). Patient-related adverse events were extremely rare with the diagnostic FLIP and the most common patient-related adverse event with the therapeutic FLIP was perforation (n = 11). Endoscopists need to be mindful of these potential technical issues and adverse events while using these devices.

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