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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Pathophysiol. Sep 22, 2025; 16(3): 108900
Published online Sep 22, 2025. doi: 10.4291/wjgp.v16.i3.108900
Published online Sep 22, 2025. doi: 10.4291/wjgp.v16.i3.108900
Esophageal retention on modified barium swallow study: Limited predictive value for true esophageal pathology
Sabrina Lauren Chen, Diana Partida, Connie Wang, Priya Kathpalia, Department of Gastroen terology and Hepatology, University of California, San Francisco, CA 94143, United States
Co-corresponding authors: Sabrina Lauren Chen and Diana Partida.
Author contributions: Chen SL completed statistical analysis, and wrote the manuscript; Chen SL and Partida D conducted chart review; Partida D, Wang C, and Kathpalia P edited the manuscript; Wang C and Kathpalia P conceived of the presented idea; all authors helped to code the data, developed the framework to analyze the data, read and approve the final manuscript.
Institutional review board statement: This study was approved by the Institutional Review Board at the University of California, San Francisco, United States.
Informed consent statement: This was an observational study that utilized existing data from routine clinical care. Therefore, separate consent forms were not required.
Conflict-of-interest statement: The authors have no relevant financial or non-financial interests to disclose.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Data sharing statement: Statistical code and dataset available from the corresponding author at sabrinaLchen@gmail.com. Informed consent was not obtained but the presented data are anonymized, and risk of identification is low.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sabrina Lauren Chen, MD, Research Fellow, Department of Gastroen terology and Hepatology, University of California, 505 Parnassus Ave, San Francisco, CA 94143, United States. sabrinalchen@gmail.com
Received: April 25, 2025
Revised: May 12, 2025
Accepted: June 13, 2025
Published online: September 22, 2025
Processing time: 147 Days and 15.4 Hours
Revised: May 12, 2025
Accepted: June 13, 2025
Published online: September 22, 2025
Processing time: 147 Days and 15.4 Hours
Core Tip
Core Tip: This retrospective cohort study evaluated whether esophageal retention observed during modified barium swallow studies (MBSS) predicts clinically relevant esophageal pathology. Among 122 patients with follow-up esophageal studies, no significant association was found between MBSS retention findings and confirmed esophageal disease. These results suggest that while MBSS esophageal visualization may offer theoretical insights, it is not a reliable standalone screening tool for esophageal dysphagia. This study underscores the need for standardized guidelines and multidisciplinary evaluation in dysphagia assessment.