Evidence map›Paper›PMID 26159157›Full record

ArticleFamilial cancer2015

Massive gastric polyposis associated with a germline SMAD4 gene mutation.

Eline Soer, Wouter H de Vos Tot Nederveen Cappel, Marjolijn J L Ligtenberg, Freek Moll, Robert G Pierik, Juda Vecht, Hans F A Vasen, Antoine Flierman

Open access · greenAbstract readCase Reports
PubMed Publisher
In one paragraph

Article in Familial cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

13 citing papers in PubMed, 17 citations in OpenAlex.

  1. A Case of Gastric Juvenile-Type Polyposis With SMAD4 Mutation.The Korean journal of helicobacter and upper gastrointestinal research · 2026
    Article
  2. Article
  3. Review
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  6. Review
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  11. First report of an Asian family with gastric adenocarcinoma and proximal polyposis of the stomach (GAPPS) revealed with the germline mutation of the APC exon 1B promoter region.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2018
    Article
  12. Gastric Hamartomatous Polyps-Review and Update.Clinical medicine insights. Gastroenterology · 2016
    Review
  13. Giant Gastric Folds in Juvenile Polyposis.Case reports in gastroenterology
    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

8 authors at 4 institutions in 2 countries.

Eline SoerDepartment of Gastroenterology and Hepatology, Isala Clinics, P.O. Box 10400, 8000 GK, Zwolle, The Netherlands. elinesoer@gmail.com.ORCID http://orcid.org/0000-0002-7695-3719
Wouter H de Vos Tot Nederveen CappelDepartment of Gastroenterology and Hepatology, Isala Clinics, P.O. Box 10400, 8000 GK, Zwolle, The Netherlands.
Marjolijn J L LigtenbergDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, The Netherlands.
Freek MollDepartment of Pathology, Isala Clinics, Zwolle, The Netherlands.
Robert G PierikDepartment of Surgery, Isala Clinics, Zwolle, The Netherlands.
Juda VechtDepartment of Gastroenterology and Hepatology, Isala Clinics, P.O. Box 10400, 8000 GK, Zwolle, The Netherlands.
Hans F A VasenThe Netherlands Foundation for the Detection of Hereditary Tumors, Leiden, The Netherlands.
Antoine FliermanDepartment of Gastroenterology and Hepatology, Isala Clinics, P.O. Box 10400, 8000 GK, Zwolle, The Netherlands.
Clinica Santa Maria · CLIsala · NLNetherlands Consortium for Healthy Ageing · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Juvenile polyposis syndrome (JPS) is a rare autosomal dominant disorder characterized by the development of multiple hamartomatous polyps in the gastrointestinal tract. Polyps are most common in the colorectum (98% of patients) and the stomach (14%). Causative mutations for JPS have been identified in two genes to date, SMAD4 and BMPR1A. SMAD4 mutations are associated with a higher incidence of gastric polyposis. In this case report, we describe two patients with massive gastric polyposis associated with a SMAD4 mutation. Both presented with anaemia and both had colonic polyps. Initial endoscopic findings revealed giant rugal folds suggestive of Ménétrier disease. However, as other possible gastropathies could not be differentiated on the basis of histology, a definitive diagnosis of JPS required additional mutation analysis. In patients with polyposis predominant in or limited to the stomach, establishing a diagnosis based solely on the pathological features of polyps can be challenging due to difficulties in differentiating JPS from other hypertrophic gastropathies. Mutation analysis should be considered early in the diagnostic process in cases of suspected juvenile polyposis, thus facilitating rapid diagnosis and adequate follow-up.

Indexed as

Adenomatous PolypsDNA Mutational AnalysisFemaleGerm-Line MutationHumansMaleMiddle AgedPrognosisSmad4 ProteinStomach NeoplasmsSmad4 ProteinSMAD4 protein, humanGastric polyposisJuvenile polyposisSMAD4 mutation

Identifiers

PMID26159157
OpenAlexW840148003

What OpenQuestion holds

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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.