Evidence map›Paper›PMID 28852321›Full record

SynthesisWorld journal of gastroenterology2017

Systematic review of giant gastric lipomas reported since 1980 and report of two new cases in a review of 117110 esophagogastroduodenoscopies.

Mitchell S Cappell, Charlton E Stevens, Mitual Amin

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in World journal of gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

22 citing papers in PubMed, 34 citations in OpenAlex.

  1. Gastric Adenomas and Mimickers: A Review.Diagnostics (Basel, Switzerland) · 2026
    Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Lipoma of the gastrointestinal tract: a tertiary care centre experience.Annals of the Royal College of Surgeons of England · 2024
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Gastric lipoma: a rare cause of massive haematemesis.Annals of the Royal College of Surgeons of England · 2021
    Article
  14. Article
  15. Article
  16. Article
  17. Endoscopic submucosal dissection and submucosal tunneling endoscopic resection for obstructive lipomas of the foregut and hindgut.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2019
    Article
  18. Article
  19. A Large Intussuscepting Gastric Lipoma.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2018
    Article
  20. Giant symptomatic gastric lipoma: A case report and literature review.International journal of surgery case reports · 2018
    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

3 authors at 3 institutions in 1 country.

Mitchell S CappellMitchell S Cappell, Department of Gastroenterology and Hepatology, William Beaumont Hospital, Royal Oak, MI 48073, United States.
Charlton E StevensMitchell S Cappell, Department of Gastroenterology and Hepatology, William Beaumont Hospital, Royal Oak, MI 48073, United States.
Mitual AminMitchell S Cappell, Department of Gastroenterology and Hepatology, William Beaumont Hospital, Royal Oak, MI 48073, United States.
Beaumont Hospital, Troy · USCreative Research Enterprises (United States) · USSan Antonio Military Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo systematically review the syndrome of giant gastric lipomas, report 2 new illustrative cases.

methodsLiterature systematically reviewed using PubMed for publications since 1980 with following medical subject heading/keywords: ("giant lipoma") AND ("gastric") OR [("lipoma") and ("gastric") and ("bleeding")]. Two authors independently reviewed literature, and decided by consensus which articles to incorporate. Computerized review of pathology/endoscopy records at William Beaumont Hospitals, Royal Oak and Troy, Michigan, January 2005-December 2015, revealed 2 giant gastric lipomas among 117110 consecutive esophagogastroduodenoscopies (EGDs), which were thoroughly reviewed, including re-review of original endoscopic photographs, radiologic images, and pathologic slides.

resultsGiant gastric lipomas are extremely rare: 32 cases reported since 1980, and 2 diagnosed among 117110 consecutive EGDs. Average patient age = 54.5 ± 17.0 years old (males = 22, females = 10). Maximal lipoma dimension averaged 7.9 cm ± 4.1 cm. Ulcerated mass occurred in 21 patients. Lipoma locations: antrum-17, body-and-antrum-4, antrum-intussuscepting-into-small-intestine-3, body-2, fundus-1, and unspecified-5. Intramural locations included submucosal-22, subserosal-2, and unspecified-8. Presentations included: acute upper gastrointestinal (UGI) bleeding-19, abdominal pain-5, nausea/vomiting-5, and asymptomatic-3. Symptoms among patients with UGI bleeding included: weakness/fatigue-6, abdominal pain-4, nausea/vomiting-4, early-satiety-3, dizziness-2, and other-1. Their hemoglobin on admission averaged 7.5 g/dL ± 2.8 g/dL. Patients with GI bleeding had significantly more frequently ulcers than other patients. EGD was extremely helpful diagnostically (

conclusionThis systematic review may help standardize the endoscopic and radiologic evaluation and therapy of patients with this syndrome.

Indexed as

BiopsyEndoscopy, Digestive SystemGastrointestinal HemorrhageHumansIncidental FindingsLaparoscopyLipomaRare DiseasesStomachStomach NeoplasmsSyndromeUltrasonographyEsophagogastroduodenoscopy LipomaGastricGiantMelenaSystematic reviewUpper gastrointestinal bleeding

Identifiers

PMID28852321
PMCPMC5558125
OpenAlexW2746041348

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.