Evidence map›Paper›PMID 26957123›Full record

ArticleWorld journal of surgical oncology2016

Neoadjuvant imatinib treatment and laparoscopic anus-preserving surgery for a large gastrointestinal stromal tumor of the rectum.

Kennoki Kyo, Masaki Azuma, Kazuya Okamoto, Motohiro Nishiyama, Takahiro Shimamura, Atsushi Maema, Hitoshi Kanamaru, Motoaki Shirakawa, Toshio Nakamura, Kazuya Shinmura and 2 more

Open access · goldAbstract read
In one paragraph

Article in World journal of surgical oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

14 citing papers in PubMed, 18 citations in OpenAlex.

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  14. Management of rectal gastrointestinal stromal tumor.Translational gastroenterology and hepatology · 2018
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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

12 authors at 2 institutions in 1 country.

Kennoki KyoDepartment of Surgery, Fujieda Municipal General Hospital, 4-1-11 Surugadai, Fujieda, Shizuoka, 426-8677, Japan. kkyo@vega.ocn.ne.jp.
Masaki AzumaDepartment of Surgery, Fujieda Municipal General Hospital, 4-1-11 Surugadai, Fujieda, Shizuoka, 426-8677, Japan. m-azuma@tc4.so-net.ne.jp.
Kazuya OkamotoDepartment of Surgery, Fujieda Municipal General Hospital, 4-1-11 Surugadai, Fujieda, Shizuoka, 426-8677, Japan. okapon.surg@gmail.com.
Motohiro NishiyamaDepartment of Surgery, Fujieda Municipal General Hospital, 4-1-11 Surugadai, Fujieda, Shizuoka, 426-8677, Japan. moto1vasc@gmail.com.
Takahiro ShimamuraDepartment of Surgery, Fujieda Municipal General Hospital, 4-1-11 Surugadai, Fujieda, Shizuoka, 426-8677, Japan. shimamura@hospital.fujieda.shizuoka.jp.
Atsushi MaemaDepartment of Surgery, Fujieda Municipal General Hospital, 4-1-11 Surugadai, Fujieda, Shizuoka, 426-8677, Japan. maema@yacht.ocn.ne.jp.
Hitoshi KanamaruDepartment of Surgery, Fujieda Municipal General Hospital, 4-1-11 Surugadai, Fujieda, Shizuoka, 426-8677, Japan. hkanamaru@hospital.fujieda.shizuoka.jp.
Motoaki ShirakawaDepartment of Surgery, Fujieda Municipal General Hospital, 4-1-11 Surugadai, Fujieda, Shizuoka, 426-8677, Japan. m-shirakawa@mue.biglobe.ne.jp.
Toshio NakamuraDepartment of Surgery, Fujieda Municipal General Hospital, 4-1-11 Surugadai, Fujieda, Shizuoka, 426-8677, Japan. nakamurat@hospital.fujieda.shizuoka.jp.
Kazuya ShinmuraDepartment of Pathology, Hamamatsu University School of Medicine, 1-20-1, Handayama, Higashi-ku, Hamamatsu, Shizuoka, 431-3192, Japan. kzshinmu@hama-med.ac.jp.
Kenji KodaDepartment of Pathology, Fujieda Municipal General Hospital, 4-1-11 Surugadai, Fujieda, Shizuoka, 426-8677, Japan. path@hospital.fujieda.shizuoka.jp.
Hidetaro YokoyamaDepartment of Surgery, Fujieda Municipal General Hospital, 4-1-11 Surugadai, Fujieda, Shizuoka, 426-8677, Japan. hiyokoyama@hospital.fujieda.shizuoka.jp.
Fujieda Municipal General Hospital · JPHamamatsu University School of Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResection of a gastrointestinal stromal tumor (GIST) of the rectum can be difficult because of the particular location in the pelvis, and a large rectal GIST often requires abdominoperineal resection. Recent reports demonstrate that neoadjuvant imatinib treatment improves surgical outcomes in patients with a rectal GIST, and there are only a few reports of the effectiveness of laparoscopic surgery for a rectal GIST. CASE PRESENTATION: A 46-year-old man was found to have a rectal GIST that measured 80 mm and was located on the anterior wall of the lower rectum. After 6 months treatment with imatinib, the tumor decreased in size to 37 mm, and laparoscopic low anterior resection was performed. The patient is currently alive without any evidence of recurrence 37 months after surgery.

conclusionsNeoadjuvant imatinib should be a treatment of choice for a large rectal GIST. When marked tumor shrinkage is achieved, laparoscopic surgery may be the preferred procedure.

Indexed as

LaparoscopyNeoadjuvant TherapyOrgan Sparing TreatmentsAnal CanalAntineoplastic AgentsCombined Modality TherapyGastrointestinal NeoplasmsGastrointestinal Stromal TumorsHumansImatinib MesylateMaleMiddle AgedPrognosisRectal NeoplasmsAntineoplastic AgentsImatinib Mesylate

Identifiers

PMID26957123
PMCPMC4782511
OpenAlexW2293502602

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.