ArticleSurgical endoscopy2013
Sedation methods can determine performance of endoscopic submucosal dissection in patients with gastric neoplasia.
Article in Surgical endoscopy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
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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.
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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.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Comparative efficacy of various anti-ulcer medications after gastric endoscopic submucosal dissection: a systematic review and network meta-analysis.Surgical endoscopy · 2019Pooled it
- Long-Term Outcomes Comparison of Endoscopic Resection With Gastrectomy for Treatment of Early Gastric Cancer: A Systematic Review and Meta-Analysis.Frontiers in oncology · 2019Pooled it
- Comparing outcomes for endoscopic submucosal dissection between Eastern and Western countries: A systematic review and meta-analysis.World journal of gastroenterology · 2018Pooled it
- Modified Lamaze Breathing Reduces Abdominal Pain in Patients during Colonoscopy.Computational and mathematical methods in medicine · 2022Trial
- Patient satisfaction after endoscopic submucosal dissection under propofol-based sedation: a small premedication makes all the difference.Surgical endoscopy · 2017Trial
- Short- and long-term outcomes of endoscopic submucosal dissection for early gastric cancer in elderly patients aged 75 years and older.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2017Trial
- Trial
- Beneficial effect of intravenous magnesium during endoscopic submucosal dissection for gastric neoplasm.Surgical endoscopy · 2015Trial
- Comparison of the efficacy and safety of sedation between dexmedetomidine-remifentanil and propofol-remifentanil during endoscopic submucosal dissection.World journal of gastroenterology · 2015Trial
- Trial
- Bispectral index monitoring during anesthesiologist-directed propofol and remifentanil sedation for endoscopic submucosal dissection: a prospective randomized controlled trial.Yonsei medical journal · 2014Trial
- Comparison of general anesthesia and conscious sedation in procedure-related complications during esophageal endoscopic submucosal dissection.Surgical endoscopy · 2020Article
- Sedation Strategies for Procedures Outside the Operating Room.Yonsei medical journal · 2019Review
- Polysomnographic assessment of respiratory disturbance during deep propofol sedation for endoscopic submucosal dissection of gastric tumors.World journal of gastrointestinal endoscopy · 2018Article
- Outcomes of Propofol Sedation During Emergency Endoscopy Performed for Upper Gastrointestinal Bleeding.Digestive diseases and sciences · 2016Article
- Clinical Outcomes and Complications of Endoscopic Submucosal Dissection for Superficial Gastric Neoplasms in the Elderly.Medicine · 2015Observational
- Unsedation colonoscopy can be not that painful: Evaluation of the effect of "Lamaze method of colonoscopy".World journal of gastrointestinal endoscopy · 2015Article
- The usage of overtube has a favorable effect on endoscopic submucosal dissection.Surgical endoscopy · 2015Article
- Pneumonia after endoscopic resection for gastric neoplasm.Digestive diseases and sciences · 2014Article
- Endoscopic treatment for early gastric cancer.World journal of gastroenterology · 2014Review
Corrections and comments
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Authors and funding
12 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough proper sedation is mandatory for endoscopic procedures such as endoscopic submucosal dissection (ESD), there is no research investigating the effects of sedation on ESD performance and complications. We aimed to evaluate the relationship among sedation methods, clinical outcomes, and complications after ESD for gastric neoplasia.
methodsWe retrospectively reviewed clinical data of 1,367 patients with 1,485 lesions who had undergone ESD for gastric adenoma or early gastric cancer at our tertiary teaching hospital in Seoul, Korea, between January 2008 and May 2011. Of these, 1,035 lesions in 958 patients were included in the intermittent midazolam/propofol injection by endoscopists (IMIE) group, and 450 lesions in 409 patients were included in the continuous propofol infusion with opioid administration by anesthesiologists (CPIA) group.
resultsEn bloc resection and complete resection rates were higher in the CPIA group than in the IMIE group (CPIA vs. IMIE; en bloc resection, 99.8 and 95.0 %, P < 0.001; complete resection, 94.2 and 88.3 %, P < 0.001). Duration of procedure was shorter in the CPIA group than in the IMIE group (CPIA vs. IMIE; 48.2 ± 32.5 and 57.6 ± 41.3 min, P < 0.001). In multivariate analysis, sedation method was an independent factor associated with en bloc resection and complete resection. Additionally, sedation with CPIA was not a risk factor for bleeding (P = 0.403) or perforation (P = 0.474); however, aspiration pneumonia developed more frequently in patients sedated with CPIA (CPIA vs. IMIE, 4.4 and 1.5 %, P = 0.002).
conclusionsSedation with CPIA can improve ESD performance.
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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.