Evidence map›Paper›PMID 27468216›Full record

ArticleWorld journal of gastroenterology2016

Feasibility and safety of endoscopic submucosal dissection for lower rectal tumors with hemorrhoids.

Shinwa Tanaka, Takashi Toyonaga, Yoshinori Morita, Namiko Hoshi, Tsukasa Ishida, Yoshiko Ohara, Tetsuya Yoshizaki, Fumiaki Kawara, Eiji Umegaki, Takeshi Azuma

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PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 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.

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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Observational
  6. Review
  7. Article
  8. Article
  9. Article
  10. Feasibility of the lidocaine injection method during esophageal endoscopic submucosal dissection.JGH open : an open access journal of gastroenterology and hepatology · 2020
    Article
  11. Article
  12. Colorectal endoscopic submucosal dissection in special locations.World journal of gastrointestinal endoscopy · 2019
    Review
  13. Article
  14. Article
  15. Review
  16. 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

10 authors.

Shinwa TanakaShinwa Tanaka, Takashi Toyonaga, Tetsuya Yoshizaki, Fumiaki Kawara, Eiji Umegaki, Department of Endoscopy, Kobe University Hospital, Kobe, Hyogo 650-0017, Japan.
Takashi ToyonagaShinwa Tanaka, Takashi Toyonaga, Tetsuya Yoshizaki, Fumiaki Kawara, Eiji Umegaki, Department of Endoscopy, Kobe University Hospital, Kobe, Hyogo 650-0017, Japan.
Yoshinori MoritaShinwa Tanaka, Takashi Toyonaga, Tetsuya Yoshizaki, Fumiaki Kawara, Eiji Umegaki, Department of Endoscopy, Kobe University Hospital, Kobe, Hyogo 650-0017, Japan.
Namiko HoshiShinwa Tanaka, Takashi Toyonaga, Tetsuya Yoshizaki, Fumiaki Kawara, Eiji Umegaki, Department of Endoscopy, Kobe University Hospital, Kobe, Hyogo 650-0017, Japan.
Tsukasa IshidaShinwa Tanaka, Takashi Toyonaga, Tetsuya Yoshizaki, Fumiaki Kawara, Eiji Umegaki, Department of Endoscopy, Kobe University Hospital, Kobe, Hyogo 650-0017, Japan.
Yoshiko OharaShinwa Tanaka, Takashi Toyonaga, Tetsuya Yoshizaki, Fumiaki Kawara, Eiji Umegaki, Department of Endoscopy, Kobe University Hospital, Kobe, Hyogo 650-0017, Japan.
Tetsuya YoshizakiShinwa Tanaka, Takashi Toyonaga, Tetsuya Yoshizaki, Fumiaki Kawara, Eiji Umegaki, Department of Endoscopy, Kobe University Hospital, Kobe, Hyogo 650-0017, Japan.
Fumiaki KawaraShinwa Tanaka, Takashi Toyonaga, Tetsuya Yoshizaki, Fumiaki Kawara, Eiji Umegaki, Department of Endoscopy, Kobe University Hospital, Kobe, Hyogo 650-0017, Japan.
Eiji UmegakiShinwa Tanaka, Takashi Toyonaga, Tetsuya Yoshizaki, Fumiaki Kawara, Eiji Umegaki, Department of Endoscopy, Kobe University Hospital, Kobe, Hyogo 650-0017, Japan.
Takeshi AzumaShinwa Tanaka, Takashi Toyonaga, Tetsuya Yoshizaki, Fumiaki Kawara, Eiji Umegaki, Department of Endoscopy, Kobe University Hospital, Kobe, Hyogo 650-0017, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the feasibility and safety of endoscopic submucosal dissection (ESD) for lower rectal lesions with hemorrhoids.

methodsThe outcome of ESD for 23 lesions with hemorrhoids (hemorrhoid group) was compared with that of 48 lesions without hemorrhoids extending to the dentate line (non-hemorrhoid group) during the same study period.

resultsMedian operation times (ranges) in the hemorrhoid and non-hemorrhoid groups were 121 (51-390) and 130 (28-540) min. The en bloc resection rate and the curative resection rate in the hemorrhoid group were 96% and 83%, and they were 100% and 90% in the non-hemorrhoid group, respectively. In terms of adverse events, perforation and postoperative bleeding did not occur in both groups. In terms of the clinical course of hemorrhoids after ESD, the rate of complete recovery of hemorrhoids after ESD in lesions with resection of more than 90% was significantly higher than that in lesions with resection of less than 90%.

conclusionESD on lower rectal lesions with hemorrhoids could be performed safely, similarly to that on rectal lesions extending to the dentate line without hemorrhoids. In addition, all hemorrhoids after ESD improved to various degrees, depending on the resection range.

Indexed as

AdenocarcinomaAdenomaAdultAgedAged, 80 and overEndoscopic Mucosal ResectionFeasibility StudiesFemaleHemorrhoidsHumansMaleMiddle AgedOperative TimePostoperative ComplicationsPostoperative HemorrhageRectal NeoplasmsBleedingEndoscopic submucosal dissectionHemorrhoidOutcomeRectum

Identifiers

PMID27468216
PMCPMC4945985

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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.