Observational studyMedicine2015
Factors Associated With Outcomes in Endoscopic Submucosal Dissection of Gastric Cardia Tumors: A Retrospective Observational Study.
Observational study in Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Comparing outcomes for endoscopic submucosal dissection between Eastern and Western countries: A systematic review and meta-analysis.World journal of gastroenterology · 2018Pooled it
- Percutaneous intragastric approach for endoscopic hand suturing of the defect after resection of a submucosal gastric tumor.Endoscopy · 2025Article
- The efficacy of full-thickness endoscopic resection of subepithelial tumors in the gastric cardia.World journal of gastrointestinal oncology · 2023Article
- Endoscopic Submucosal Dissection for Superficial Barrett's Neoplasia in Korea: a Single-Center Experience.Journal of gastric cancer · 2021Article
- Clinical outcomes of early gastric cardiac cancer treated with endoscopic submucosal dissection in patients with different indications.BMC gastroenterology · 2021Article
- Clinical Efficacy of Single-Channel Gastroscopy, Double-Channel Gastroscopy, and Double Gastroscopy for Submucosal Tumors in the Cardia and Gastric Fundus.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Article
- Safety and long-term outcomes of early gastric cardiac cancer treated with endoscopic submucosal dissection in 499 Chinese patients.Therapeutic advances in gastroenterology · 2020Article
- A novel technique for removing large gastric subepithelial tumors with ESD method in the subcardia region.Oncology letters · 2019Article
- Predictors of technical difficulty during endoscopic submucosal dissection of superficial esophageal cancer.Surgical endoscopy · 2019Article
- Endoscopic submucosal dissection for esophagogastric junction tumors: a single-center experience.Surgical endoscopy · 2018Observational
- Endoscopic Submucosal Dissection of Gastric Epithelial Neoplasms after Partial Gastrectomy: A Single-Center Experience.Gastroenterology research and practice · 2017Article
- A specific role of endoscopic ultrasonography for therapeutic decision-making in patients with gastric cardia cancer.Surgical endoscopy · 2016Article
- Article
- An innovative procedure of laparoscope combined with endoscopy for gastrointestinal stromal tumor resection and cholecystectomy: A case report and literature review.Experimental and therapeutic medicine · 2016Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Tumors of the gastric cardia are among the most technically difficult lesions to remove by endoscopic submucosal dissection (ESD). This study aimed to evaluate the therapeutic outcomes of ESD in gastric cardia tumors according to clinicopathologic characteristics, and to assess the predictive factors for incomplete resection.We conducted a retrospective observational study of 82 patients with adenomas and early cancers of the gastric cardia who underwent ESD between January 2006 and December 2013 at the Pusan National University Hospital. Therapeutic outcomes of ESD and procedure-related complications were analyzed.En bloc resection, complete resection, and curative resection rates were 87%, 79%, and 66%, respectively. Deep submucosal invasion was the most common cause of noncurative resection in the cases in which complete resection was achieved. On multivariate analyses, hemispheric distribution (anterior hemisphere; odds ratio [OR] 4.808) and depth of tumor invasion (submucosal cancer; OR 22.056) were independent factors associated with incomplete resection. The rates of procedure-related bleeding, perforation, and stenosis were 6%, 1%, and 0%, respectively; none of the complications required surgical intervention.In conclusion, ESD is a safe, effective, and feasible treatment for gastric cardia tumors. However, the complete resection rate decreases for tumors that are located in the anterior hemisphere or have deep submucosal invasion.
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