Evidence map›Paper›PMID 19465154›Full record

ArticleClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2009

No association between gastric fundic gland polyps and gastrointestinal neoplasia in a study of over 100,000 patients.

Robert M Genta, Christopher M Schuler, Cristian I Robiou, Richard H Lash

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04522752 (Long-term Endoscopic Follow-up of Benign Epithelial Gastric Polyps), which is not on this map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04522752 unknown statusnot on this mapstarted 2020, after this paper: background citation

Long-term Endoscopic Follow-up of Benign Epithelial Gastric Polyps: a Multicenter Prospective Large Sample Cohort Study

TypeobservationalSponsorFirst Affiliated Hospital Xi'an Jiaotong UniversityRan2020 to 2023Enrolled200ConditionsBenign Gastric PolypArmsSize and pathological type of benign epithelial gastric polyp
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 131 citations in OpenAlex.

  1. Pooled it
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  10. Image-enhanced endoscopy for real-time differentiation between hyperplastic and fundic gland polyps in the stomach.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2022
    Article
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  13. Gastritis, Gastric Polyps and Gastric Cancer.International journal of molecular sciences · 2021
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Robert M GentaDivision of Gastrointestinal Pathology, Caris Diagnostics, Irving, Texas, USA. robert.genta@utsouthwestern.edu
Christopher M Schuler
Cristian I Robiou
Richard H Lash
Caris Life Sciences (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsFundic gland polyps (FGPs), the most common type of gastric polyps, have been associated with prolonged proton pump inhibitor therapy and an increased risk of colon cancer. The presence of FGPs has been inversely correlated with Helicobacter pylori infection. We evaluated the prevalence of H pylori-associated gastritis, colonic polyps, and carcinomas in subjects with and without FGPs.

methodsWe analyzed data collected from community-based endoscopy centers in 36 states (plus Washington DC and Puerto Rico) on patients who underwent esophagogastroduodenoscopy (EGD) and colonoscopy between April 2007 and March 2008. Of the 103,385 patients who underwent EGD during this time period, gastric biopsy samples were collected from 78,801 and colonic biopsies from 26,017. Slides of samples from Helicobacter-infected FGPs and FGPs with dysplasia were reviewed.

resultsFGPs were detected in 6081 patients (67.8% women). Helicobacter infection was present in less than 0.5% patients with FGPs and 13.0% of those without FGPs (odds ratio [OR], 29.05; 95% confidence interval [CI], 20.4-41.4; P < .0001). Colonic adenomas were detected in 42.3% of women with FGPs and 33.8% of those without (OR, 1.43; 95% CI, 1.26-1.63; P < .001); there was no significant difference in colonic adenomas between men with and without FGPs.

conclusionsWomen had a higher prevalence of FGPs. FGPs were associated with gastroesophageal reflux disease symptoms, gastric heterotopia, hyperplastic colonic polyps (only in men), and colonic adenomas (only in women, especially those over 60 years of age). The presence of FGPs was inversely correlated with H pylori infection, active gastritis, and gastric neoplasia.

Indexed as

AdolescentAdultAgedAged, 80 and overBiopsyChildColonColonoscopyDistrict of ColumbiaEndoscopy, GastrointestinalFemaleGastric FundusGastric MucosaGastritisGastrointestinal NeoplasmsHelicobacter Infections

Identifiers

PMID19465154
OpenAlexW2036238354

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.