Evidence map›Paper›PMID 25469264›Full record

ArticleMolecular and clinical oncology2015

Establishment of the hybrid endoscopic full-thickness resection of gastric gastrointestinal stromal tumors.

Hirohito Mori, Hideki Kobara, Shintaro Fujihara, Noriko Nishiyama, Maki Ayagi, Tae Matsunaga, Tatsuo Yachida, Tsutomu Masaki

Open access · diamondAbstract read
In one paragraph

Article in Molecular and clinical oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 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. Hybrid laparoendoscopic full‑thickness gastric resection with lymphatic mapping-guided lymphadenectomy for a gastric neuroendocrine tumor.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2026
    Article
  3. Endoscopic full-thickness resectionWorld journal of gastrointestinal surgery · 2025
    Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Endoscopic resection of gastric gastrointestinal stromal tumors.Translational gastroenterology and hepatology · 2017
    Review
  9. Review
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

8 authors at 2 institutions in 1 country.

Hirohito MoriDepartment of Gastroenterology and Neurology, Kagawa University, Miki, Kita, Kagawa 761-0793, Japan.
Hideki KobaraDepartment of Gastroenterology and Neurology, Kagawa University, Miki, Kita, Kagawa 761-0793, Japan.
Shintaro FujiharaDepartment of Gastroenterology and Neurology, Kagawa University, Miki, Kita, Kagawa 761-0793, Japan.
Noriko NishiyamaDepartment of Gastroenterology and Neurology, Kagawa University, Miki, Kita, Kagawa 761-0793, Japan.
Maki AyagiDepartment of Gastroenterology and Neurology, Kagawa University, Miki, Kita, Kagawa 761-0793, Japan.
Tae MatsunagaDepartment of Gastroenterology and Neurology, Kagawa University, Miki, Kita, Kagawa 761-0793, Japan.
Tatsuo YachidaDepartment of Gastroenterology and Neurology, Kagawa University, Miki, Kita, Kagawa 761-0793, Japan.
Tsutomu MasakiDepartment of Gastroenterology and Neurology, Kagawa University, Miki, Kita, Kagawa 761-0793, Japan.
Kagawa University · JPKagawa University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A prospective observational study was conducted to establish the procedure of hybrid endoscopic full-thickness resection (EFTR) using an existing flexible endoscope. The present study included 16 patients who underwent hybrid EFTR between September 2009 and February 2013 for gastric gastrointestinal stromal tumor (GIST). The patients were selected using the following inclusion criteria for histological findings: Mitotic counts <5/high-power field and immunohistochemical stains positive for KIT or cluster of differentiation 34 (CD34). The mean patient age was 68.2 years (range, 44-81 years); the male-to-female ratio was 6:10; lesion sites at upper (U), middle (M) and lower regions (L) of the stomach were 9/6/1; and the average tumor diameter was 28.3 mm. The mean surgical time was 271 min and the surgical time became progressively faster with each successive surgery. There were 12 and four patients with mitotic counts of <5 and 5-10, respectively, which was significantly different (P=0.01). Immunohistochemical stains showed that tumors from 13 and 10 patients (81.2 and 62.5%, respectively) were positive for KIT and CD34, respectively (P=0.328). All resected surgical margins were negative. According to Fletcher's risk classification, there were five, eight and three patients at an 'extremely low', 'low', and 'intermediate' risk (31.2, 50 and 18.8%, respectively) (P=0.003). The mean postoperative hospital duration was 12.3 days (range, 10-15 days). In conclusion, an ultra-minimally invasive surgery-hybrid EFTR is a safe and established surgical endoscopy procedure.

Indexed as

gastrointestinal stromal tumorhybrid endoscopic full-thickness resectionmean hospital staymean surgical timeultra-minimally invasive surgery

Identifiers

PMID25469264
PMCPMC4251207
OpenAlexW2126752747

What OpenQuestion holds

Textmetadata
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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.