Evidence map›Paper›PMID 28936593›Full record

ArticleDigestive diseases and sciences2017

Endoscopic Resection of Cecal Polyps Involving the Appendiceal Orifice: A KASID Multicenter Study.

Eun Mi Song, Hyo-Joon Yang, Hyun Jung Lee, Hyun Seok Lee, Jae Myung Cha, Hyun Gun Kim, Yunho Jung, Chang Mo Moon, Byung Chang Kim, Jeong-Sik Byeon

Open access · greenAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Digestive diseases and sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

24 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
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  10. Use of a cholangioscope for appendixoscopy and detecting a residual appendiceal adenoma.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2024
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  17. Endoscopic transcecal appendectomy: a novel option for the treatment of appendiceal polyps.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2019
    Article
  18. Appendix orifice polyps: a study of 691 lesions at a single institution.International journal of colorectal disease · 2019
    Article
  19. Endoscopic en bloc removal of appendiceal polyp facilitated by traction.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2019
    Article
  20. 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 at 7 institutions in 1 country.

Eun Mi SongDepartment of Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Hyo-Joon YangDivision of Gastroenterology, Department of Internal Medicine and Gastrointestinal Cancer Center, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Hyun Jung LeeDivision of Gastroenterology and Institute of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Hyun Seok LeeDepartment of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea.
Jae Myung ChaDepartment of Internal Medicine, Kyung Hee University Hospital at Gang Dong, Kyung Hee University School of Medicine, Seoul, Korea.
Hyun Gun KimInstitute for Digestive Research, Soonchunhyang University College of Medicine, Seoul, Korea.
Yunho JungDivision of Gastroenterology, Department of Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea.
Chang Mo MoonDepartment of Internal Medicine, School of Medicine, Ewha Womans University, Seoul, Korea.
Byung Chang KimCenter for Colorectal Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Korea.
Jeong-Sik ByeonDepartment of Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. jsbyeon@amc.seoul.kr.ORCID 0000-0001-7756-2704
Soonchunhyang University · KRUlsan College · KRYonsei University · KREwha Womans University · KRKangbuk Samsung Hospital · KRKyung Hee University Hospital at Gangdong · KRNational Cancer Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoscopic resection of polyps located at the appendiceal orifice (AO) is challenging, and the feasibility and outcomes of endoscopic resection for cecal polyps involving AO are unconfirmed.

aimsWe evaluated the feasibility and outcomes of endoscopic resection for cecal polyps involving AO.

methodsIn this retrospective, multicenter study involving nine tertiary referral centers, we evaluated 131 patients who underwent endoscopic resection for cecal polyps involving AO.

resultsThe median size of polyps resected was 10 mm (range 3-60 mm). Endoscopic mucosal resection, endoscopic piecemeal mucosal resection, and endoscopic submucosal dissection were performed in 75 (57.3%), 31 (23.7%), and 5 (3.8%) patients, respectively. The en bloc resection rate was 68.7%. Endoscopic complete resection was achieved in 123 lesions (93.9%). Intraprocedural and delayed bleeding occurred in 14 (10.7%) and three patients (2.3%), respectively, and perforation occurred in two patients (1.5%). Seven patients (5.3%) underwent additional surgery because of treatment failure or recurrence. Polyps of ≥20 mm in size showed significantly higher rates of perforation and additional surgery (p < 0.05), and a lower rate of en bloc resection (p < 0.005). Patients with polyps involving ≥75% of AO circumference exhibited a significantly lower rate of en bloc resection (p < 0.001), and significantly higher rates of surgery and recurrence (p < 0.05). Recurrence during follow-up occurred in 12 patients (15.6%); polyps involving ≥75% of AO circumference were an independent risk factor for recurrence.

conclusionEndoscopic resection of cecal polyps involving AO is safe and effective in select patients.

Indexed as

AdultAgedAged, 80 and overAppendiceal NeoplasmsCecal NeoplasmsEndoscopic Mucosal ResectionFeasibility StudiesFemaleHumansIntestinal PolypsMaleMiddle AgedPostoperative ComplicationsRepublic of KoreaRetrospective StudiesRisk FactorsAppendixColonic polypsColonoscopyEndoscopic mucosal resectionEndoscopic submucosal dissection

Identifiers

PMID28936593
OpenAlexW2758169348

What OpenQuestion holds

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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.