Evidence map›Paper›PMID 26898597›Full record

SynthesisThe Korean journal of internal medicine2016

Endoscopic submucosal dissection of gastric subepithelial tumors: a systematic review and meta-analysis.

Chang Seok Bang, Gwang Ho Baik, In Soo Shin, Ki Tae Suk, Jai Hoon Yoon, Dong Joon Kim

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The Korean journal of internal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03082079 (Long Outcome of Endoscopic Submucosal Dissection for Small Gastrointestinal Stromal Tumors), which is not on this map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT03082079 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Long Outcome of Endoscopic Submucosal Dissection for Small Gastrointestinal Stromal Tumors (<2cm) :a Randomized Controlled Trial

TypeinterventionalSponsorNanfang Hospital, Southern Medical UniversityRan2017 to 2021Enrolled90ConditionsGISTArmsESD
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  15. Recent advances in endoscopic management of gastric neoplasms.World journal of gastrointestinal endoscopy · 2023
    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

6 authors.

Chang Seok BangDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
Gwang Ho BaikDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
In Soo ShinJeonju University College of Education, Jeonju, Korea.
Ki Tae SukDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
Jai Hoon YoonDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
Dong Joon KimDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsTo evaluate the therapeutic outcomes of the endoscopic submucosal dissection (ESD) technique for the treatment of gastric subepithelial tumors (SETs).

methodsA systematic literature review was conducted using the core databases. Data on the complete resection rates and the procedure-related perforation rates were extracted and analyzed. A random effects model was then applied for this meta-analysis.

resultsIn all, 288 patients with 290 SETs were enrolled from nine studies (44 SETs originated from the submucosal layer; 246 SETs originated from the muscularis propria layer). The mean diameter of the lesions ranged from 17.99 to 38 mm. Overall, the pooled complete resection rate was estimated to be 86.2% (95% confidence interval [CI], 78.9 to 91.3). If the analysis was limited to the lesions that originated from the submucosal layer, the pooled complete resection rate was 91.4% (95% CI, 77.9 to 97). If the analysis was limited to the lesions that originated from the muscularis propria, the pooled complete resection rate was 84.4% (95% CI, 78.7 to 88.8). The pooled procedure-related gastric perforation rate was 13% (95% CI, 9.4 to 17.6). Sensitivity analyses showed consistent results. Finally, publication bias was not detected.

conclusionsESD, including endoscopic muscularis dissection, is a technically feasible procedure for the treatment of SETs. However, selection bias is suspected from the enrolled studies. For the development of a proper indication of ESD for SETs, further studies are needed.

Indexed as

Endoscopic Mucosal ResectionFeasibility StudiesGastric MucosaGastrointestinal Stromal TumorsHumansNeoplasms, Glandular and EpithelialStomach NeoplasmsTreatment OutcomeEndoscopic submucosal dissectionGastrointestinal stromal tumorsSubepithelial tumors

Identifiers

PMID26898597
PMCPMC5016280

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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.