Evidence map›Paper›PMID 22843117›Full record

ArticleSurgery today2013

Impact of magnetic resonance in the preoperative staging and the surgical planning for treating small bowel neoplasms.

Giuseppe Pappalardo, Gianfranco Gualdi, Aldo Nunziale, Gabriele Masselli, Irene Floriani, Emanuele Casciani

Abstract read
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In one paragraph

Article in Surgery today, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Small Bowel Neoplasms and Polyps.Current gastroenterology reports · 2016
    Review
  5. Small bowel carcinoid: Location isn't everything!World journal of gastrointestinal surgery · 2013
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Giuseppe PappalardoDepartment of Surgery, P. Stefanini, Policlinico Umberto I, La Sapienza, University of Rome, Via del Policlinico 155, 00191 Rome, Italy. giuseppe.pappalardo@uniroma1.it
Gianfranco Gualdi
Aldo Nunziale
Gabriele Masselli
Irene Floriani
Emanuele Casciani

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe role of MR enteroclysis/enterography (MRE) in the diagnosis of small bowel (SB) tumor has not been fully evaluated. The aims of this study were to assess the capability of MRE correctly identifying the site, stage and histology of such neoplasms.

methodsMR enteroclysis/enterography was employed in consecutive patients suspected of having an SB tumor following negative upper and lower endoscopies. The SB was subdivided into proximal jejunum, middle SB and distal ileum. The histological examination (HE) of the surgical specimen was the reference standard.

resultsOne hundred and fifty-eight patients were examined. Thirty-one out of 32 (96.9 %) SB detected by HE were correctly identified by MRE. The concordance rate between MRE and HE was 100 % for localization, and 87.1, 80.6 and 96.8 % for T, N and M stages, respectively. The concordance rate was 62.2 % for histological diagnosis.

conclusionsThe high concordance rates between MRE and HE for the localization of SB tumors and for their staging have a significant impact upon surgical planning, particularly if laparoscopy is being considered. A preoperative histological diagnosis is not sufficiently reliable.

Indexed as

AdenocarcinomaAdultAgedAged, 80 and overDigestive System Surgical ProceduresFemaleHumansIntestinal NeoplasmsIntestine, SmallMagnetic Resonance ImagingMaleMiddle AgedNeoplasm StagingPreoperative Period

Identifiers

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Read underepoch 390

Registered trials

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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.