Evidence map›Paper›PMID 25320536›Full record

ArticleWorld journal of gastroenterology2014

Endoscopic full-thickness resection for gastric submucosal tumors arising from the muscularis propria layer.

Liu-Ye Huang, Jun Cui, Shu-Juan Lin, Bo Zhang, Cheng-Rong Wu

Open access · hybridAbstract readEvaluation Study
In one paragraph

Article in World journal of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% 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.

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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Endoscopic resection of gastric submucosal tumors: A comparison of endoscopic nontunneling with tunneling resection and a systematic review.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Pooled it
  2. Review
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  12. Managing endoscopic challenges on the road to resect a large ulcerated gastric GI stromal tumor.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2021
    Article
  13. Article
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  16. Clinicopathological Features and Prognosis of Small Gastric Gastrointestinal Stromal Tumors (GISTs).Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019
    Article
  17. Article
  18. Endoscopic full-thickness resection of a gastric GI stromal tumor.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2019
    Article
  19. Review
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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

5 authors at 1 institution in 1 country.

Liu-Ye HuangLiu-Ye Huang, Jun Cui, Shu-Juan Lin, Bo Zhang, Cheng-Rong Wu, Department of Gastroenterology, Yantai Yu Huang Ding Hospital, Yantai 264000, Shandong Province, China.
Jun CuiLiu-Ye Huang, Jun Cui, Shu-Juan Lin, Bo Zhang, Cheng-Rong Wu, Department of Gastroenterology, Yantai Yu Huang Ding Hospital, Yantai 264000, Shandong Province, China.
Shu-Juan LinLiu-Ye Huang, Jun Cui, Shu-Juan Lin, Bo Zhang, Cheng-Rong Wu, Department of Gastroenterology, Yantai Yu Huang Ding Hospital, Yantai 264000, Shandong Province, China.
Bo ZhangLiu-Ye Huang, Jun Cui, Shu-Juan Lin, Bo Zhang, Cheng-Rong Wu, Department of Gastroenterology, Yantai Yu Huang Ding Hospital, Yantai 264000, Shandong Province, China.
Cheng-Rong WuLiu-Ye Huang, Jun Cui, Shu-Juan Lin, Bo Zhang, Cheng-Rong Wu, Department of Gastroenterology, Yantai Yu Huang Ding Hospital, Yantai 264000, Shandong Province, China.
Yuhuangding Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the efficacy, safety and feasibility of endoscopic full-thickness resection (EFR) for the treatment of gastric submucosal tumors (SMTs) arising from the muscularis propria.

methodsA total of 35 gastric SMTs arising from the muscularis propria layer were resected by EFR between January 2010 and September 2013. EFR consists of five major steps: injecting normal saline into the submucosa; pre-cutting the mucosal and submucosal layers around the lesion; making a circumferential incision as deep as the muscularis propria around the lesion using endoscopic submucosal dissection and an incision into the serosal layer around the lesion with a Hook knife; a full-thickness resection of the tumor, including the serosal layer with a Hook or IT knife; and closing the gastric wall with metallic clips.

resultsOf the 35 gastric SMTs, 14 were located at the fundus, and 21 at the corpus. EFR removed all of the SMTs successfully, and the complete resection rate was 100%. The mean operation time was 90 min (60-155 min), the mean hospitalization time was 6.0 d (4-10 d), and the mean tumor size was 2.8 cm (2.0-4.5 cm). Pathological examination confirmed the presence of gastric stromal tumors in 25 patients, leiomyomas in 7 and gastric autonomous nerve tumors in 2. No gastric bleeding, peritonitis or abdominal abscess occurred after EFR. Postoperative contrast roentgenography on the third day detected no contrast extravasation into the abdominal cavity. The mean follow-up period was 6 mo, with no lesion residue or recurrence noted.

conclusionEFR is efficacious, safe and minimally invasive for patients with gastric SMTs arising from the muscularis propria layer. This technique is able to resect deep gastric lesions while providing precise pathological information about the lesion. With the development of EFR, the indications of endoscopic resection might be extended.

Indexed as

AdultAgedFeasibility StudiesFemaleGastrectomyGastric MucosaGastroscopyHumansLength of StayMaleMiddle AgedOperative TimePneumoperitoneumPuncturesRetrospective StudiesStomach NeoplasmsEndoscopic full-thickness resectionExcisionMuscularis propria layerStomachSubmucosal tumor

Identifiers

PMID25320536
PMCPMC4194582
OpenAlexW2033302408

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.