Evidence map›Paper›PMID 27087954›Full record

ArticleUnited European gastroenterology journal2016

Efficiency and safety of endoscopic resection in the management of subepithelial lesions of the stomach.

Sébastien Godat, Maxime Robert, Fabrice Caillol, Erwan Bories, Christian Pesenti, Chiara De Cassan, Jean Philippe Ratone, Flora Poizat, Marc Giovannini

Open access · bronzeAbstract read
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Article in United European gastroenterology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

10 citing papers in PubMed, 15 citations in OpenAlex.

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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

9 authors at 1 institution in 1 country.

Sébastien GodatDivision of Gastroenterology, Paoli-Calmettes Institute, Marseille, France.
Maxime RobertDivision of Gastroenterology, Paoli-Calmettes Institute, Marseille, France.
Fabrice CaillolDivision of Gastroenterology, Paoli-Calmettes Institute, Marseille, France.
Erwan BoriesDivision of Gastroenterology, Paoli-Calmettes Institute, Marseille, France.
Christian PesentiDivision of Gastroenterology, Paoli-Calmettes Institute, Marseille, France.
Chiara De CassanDivision of Gastroenterology, Paoli-Calmettes Institute, Marseille, France.
Jean Philippe RatoneDivision of Gastroenterology, Paoli-Calmettes Institute, Marseille, France.
Flora PoizatDivision of Pathology, Paoli-Calmettes Institute, Marseille, France.
Marc GiovanniniDivision of Gastroenterology, Paoli-Calmettes Institute, Marseille, France.
Institut Paoli-Calmettes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastric subepithelial tumors represent a diagnostic and therapeutic challenge, given their histologic heterogeneity and potential malignant behavior.

objectiveThe objective of this article is to evaluate the interest, efficiency and safety of endoscopic resection for subepithelial gastric lesions of size <20 mm.

methodsWe conducted a single-center retrospective study in a tertiary care center.

resultsA total of 33 lesions (10 malignant/23 benign lesions) were studied. Mean histological size was 14.5 mm. Nine EMR, 18 ESD and six hybrid resections were performed. A total of 93.9% lesions were resected in one piece. At six months' follow-up, complete and definitive resection was obtained in 96.7% of cases. A vertical resection was insufficient in four cases. One GIST needed a complementary surgical resection, one neuroendocrine tumor was successfully treated by a new ESD session and two pancreatic rests were not additionally treated given the benign character and the absence of residual tissue in endoscopic control after six months. There was only one severe adverse event (2.9%); one pneumoperitoneum with ESD, three bleeding with one ESD and two EMR, always treated conservatively or endoscopically.

conclusionEndoscopic resection is safe and should be the procedure of choice for both diagnosis and definitive resection of subepithelial gastric lesions of size under 20 mm.

Indexed as

elderly patientendoscopic mucosal resectionEndoscopic submucosal dissectionesophageal canceresophageal neoplasm

Identifiers

PMID27087954
PMCPMC4804372
OpenAlexW2224802975

What OpenQuestion holds

Textmetadata
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.