Evidence map›Paper›PMID 22354823›Full record

ArticleEndoscopy2012

Preliminary experience of endoscopic submucosal tunnel dissection for upper gastrointestinal submucosal tumors.

W Gong, Y Xiong, F Zhi, S Liu, A Wang, B Jiang

Registry-linked trialAbstract readVideo-Audio Media
PubMed Publisher
In one paragraph

Article in Endoscopy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01768104 (Endoscopic Submucosal Tunnel Dissection Versus Video-assisted Thoracoscopic Surgery for Upper Gastrointestinal Submucosal Tumors), which is not on this map. Cited by 64 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT01768104 naunknown statusnot on this map

Endoscopic Submucosal Tunnel Dissection Versus Video-assisted Thoracoscopic Surgery for Upper Gastrointestinal Submucosal Tumors: a Prospective Randomized Controlled Trial

TypeinterventionalSponsorNanfang Hospital, Southern Medical UniversityRan2011 to 2013Enrolled200ConditionsUpper Gastrointestinal Submucosal Tumors (SMTs), Gastrointestinal Stromal Tumors (GISTs), LeiomyomaArmsESTD, VATS
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  8. [Management of Colorectal Subepithelial Lesions: Differential Diagnosis and Follow-up].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2025
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  20. Consensus on the digestive endoscopic tunnel technique.World journal of gastroenterology · 2019
    Article

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

W GongDepartment of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Y Xiong
F Zhi
S Liu
A Wang
B Jiang

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND STUDY

aimAlthough the majority of submucosal tumors (SMTs) are benign, some do have a malignant potential. Resection of SMTs would aid in establishing the diagnosis and may be curative. Our aim was to examine the feasibility and safety of a novel method for endoscopic resection of upper gastrointestinal SMTs. PATIENTS AND

methodsIn 12 patients who presented with an upper gastrointestinal SMT of ≤40 mm located in the esophagus or cardia, a submucosal tunnel was endoscopically created starting approximately 5 cm proximal to the lesion. After careful submucosal dissection with carbon dioxide or air insufflation, the SMTs were completely removed, and the entrance of the tunnel closed using endoclips.

resultsSMTs had a mean size of 19.5 mm (range 10-40 mm); eight were located in the esophagus and four in the cardia. SMT resection was successful in all patients with en bloc resection in 10 patients (83.3%) and resection in two pieces in the remaining two patients. The mean time required for the procedure was 48.3 minutes (range 30-60 minutes). Two patients had both pneumothorax and subcutaneous emphysema. All the complications resolved with conservative management.

conclusionsIn this pilot study, endoscopic submucosal tunnel dissection (ESTD) of esophageal and cardia SMTs was effective and appeared to be safe. Larger studies that also examine its application for gastric SMTs are warranted.

Indexed as

AdultCardiaEsophageal NeoplasmsEsophagoscopyFemaleGastric MucosaGastrointestinal Stromal TumorsGastroscopyHumansInsufflationLeiomyomaMaleMiddle AgedPneumothoraxStomach NeoplasmsSubcutaneous Emphysema

Identifiers

PMID22354823

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.