Evidence map›Paper›PMID 29179691›Full record

ArticleBMC gastroenterology2017

Comparison of sedation between the endoscopy room and operation room during endoscopic submucosal dissection for neoplasms in the upper gastrointestinal tract.

Daisuke Yamaguchi, Naoko Yamaguchi, Yuki Takeuchi, Takahiro Yukimoto, Kei Ikeda, Kosuke Matsumoto, Rikako Kinoshita, Saori Kamachi, Kyosuke Sugiyama, Tomohito Morisaki and 5 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in BMC gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 22 citations in OpenAlex.

  1. Efficacy and Recovery of Remimazolam Versus Midazolam in Sedated Colonoscopy: A Multicenter Randomized Controlled Trial in Japan.Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2026
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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

15 authors at 2 institutions in 1 country.

Daisuke YamaguchiDepartment of Gastroenterology, National Hospital Organization Ureshino Medical Center, Ureshino, 843-0301, Japan. daisukehawks@gmail.com.ORCID http://orcid.org/0000-0001-9782-9998
Naoko YamaguchiDepartment of Anesthesiology, National Hospital Organization Ureshino Medical Center, Ureshino, 843-0301, Japan.
Yuki TakeuchiDepartment of Gastroenterology, National Hospital Organization Ureshino Medical Center, Ureshino, 843-0301, Japan.
Takahiro YukimotoDepartment of Gastroenterology, National Hospital Organization Ureshino Medical Center, Ureshino, 843-0301, Japan.
Kei IkedaDepartment of Gastroenterology, National Hospital Organization Ureshino Medical Center, Ureshino, 843-0301, Japan.
Kosuke MatsumotoDepartment of Gastroenterology, National Hospital Organization Ureshino Medical Center, Ureshino, 843-0301, Japan.
Rikako KinoshitaDepartment of Gastroenterology, National Hospital Organization Ureshino Medical Center, Ureshino, 843-0301, Japan.
Saori KamachiDepartment of Gastroenterology, National Hospital Organization Ureshino Medical Center, Ureshino, 843-0301, Japan.
Kyosuke SugiyamaDepartment of Anesthesiology, National Hospital Organization Ureshino Medical Center, Ureshino, 843-0301, Japan.
Tomohito MorisakiDepartment of Gastroenterology, National Hospital Organization Ureshino Medical Center, Ureshino, 843-0301, Japan.
Keisuke ArioDepartment of Gastroenterology, National Hospital Organization Ureshino Medical Center, Ureshino, 843-0301, Japan.
Hisako YoshidaClinical Research Center, Saga Medical School, Saga, 849-8501, Japan.
Ryo KatsukiDepartment of Anesthesiology, National Hospital Organization Ureshino Medical Center, Ureshino, 843-0301, Japan.
Seiji TsunadaDepartment of Gastroenterology, National Hospital Organization Ureshino Medical Center, Ureshino, 843-0301, Japan.
Kazuma FujimotoDepartment of Internal Medicine and Gastrointestinal Endoscopy, Saga Medical School, Saga, 849-8501, Japan.
National Hospital Organization · JPSaga Medical School Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe present study was performed to compare the safety of sedation during endoscopic submucosal dissection (ESD) in the endoscopy room versus operation room.

methodsIn total, 297 patients with gastrointestinal tumors who underwent ESD from January 2011 to December 2016 were retrospectively reviewed. The patients were divided into two groups: those who underwent ESD in the endoscopy room without propofol (Group E) versus operation room with propofol (Group O). The patient, tumor, and procedure characteristics; adverse events; and treatment outcomes were compared between the two groups.

resultsThe patient and tumor characteristics, including age (73.6 ± 8.2 vs. 72.5 ± 9.1 years), comorbidities, and tumor size and histology, were not different between Groups E and O. The ESD procedure time was comparable between Groups E and O (105.4 ± 70.4 vs. 106.5 ± 64.4 min), and the anesthesia time was equivalent (138.3 ± 78.1 vs. 148.4 ± 68.8 min). There were no significant differences in adverse events between the two groups. During the ESD procedure, desaturation occurred significantly more often in Group E than O (12.9% vs. 4.0%, P = 0.021, odds ratio: 3.53, 95% CI: 1.17-14.4). The recovery time after ESD was significantly longer in Group E than O (180 (100-360) vs. 90 (0-180) min, P < 0.001).

conclusionsA decreased desaturation rate and shorter recovery time after ESD were the advantages of sedation in the operation room with propofol compared with sedation in the endoscopy room. These findings warrant further exploration of the advantages of safe and effective ESD for upper gastrointestinal neoplasms in the operation room.

Indexed as

Endoscopic Mucosal ResectionAgedAnalgesics, OpioidAnesthesia Recovery PeriodBenzodiazepinesGastrointestinal NeoplasmsHospital UnitsHumansHypnotics and SedativesOperating RoomsPropofolRetrospective StudiesUpper Gastrointestinal TractAnalgesics, OpioidBenzodiazepinesHypnotics and SedativesPropofolAdverse eventsAnesthesiaDesaturationPerforationPropofol

Identifiers

PMID29179691
PMCPMC5704549
OpenAlexW2769137575

What OpenQuestion holds

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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.