Evidence map›Paper›PMID 29218316›Full record

ArticleEndoscopy international open2017

The feasibility of colorectal endoscopic submucosal dissection for the treatment of residual or recurrent tumor localized in therapeutic scar tissue.

Ryosuke Kobayashi, Kingo Hirasawa, Ryosuke Ikeda, Takeh de Fukuchi, Yasuaki Ishii, Hiroaki Kaneko, Makomo Makazu, Chiko Sato, Shin Maeda

Open access · goldAbstract read
In one paragraph

Article in Endoscopy international open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.5field-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

11 citing papers in PubMed, 31 citations in OpenAlex.

  1. A >30-cm circumferential rectal laterally spreading tumor treated with multitunnel endoscopic submucosal dissection and suturing.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 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

9 authors at 2 institutions in 1 country.

Ryosuke KobayashiYokohama City University Medical Center - Gastroenterological Center, Yokohama, Kanagawa, Japan.
Kingo HirasawaYokohama City University Medical Center - Gastroenterological Center, Yokohama, Kanagawa, Japan.
Ryosuke IkedaYokohama City University Medical Center - Gastroenterological Center, Yokohama, Kanagawa, Japan.
Takeh de FukuchiYokohama City University Medical Center - Gastroenterological Center, Yokohama, Kanagawa, Japan.
Yasuaki IshiiYokohama City University Medical Center - Gastroenterological Center, Yokohama, Kanagawa, Japan.
Hiroaki KanekoYokohama City University Medical Center - Gastroenterological Center, Yokohama, Kanagawa, Japan.
Makomo MakazuYokohama City University Medical Center - Gastroenterological Center, Yokohama, Kanagawa, Japan.
Chiko SatoYokohama City University Medical Center - Gastroenterological Center, Yokohama, Kanagawa, Japan.
Shin MaedaYokohama City University, School of Medicine - Gastroenterology Division, Yokohama, Kanagawa, Japan.
Yokohama City University · JPYokohama City University Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND STUDY

aimsEndoscopic submucosal dissection (ESD) is used to treat superficial colorectal tumors. Previous studies have reported the efficacy of ESD for treating residual or local recurrent colorectal tumors. This study sought to evaluate the efficacy of ESD in treating these lesions and to assess factors that prevent successful ESD.

methodsThis retrospective study assessed 25 cases of residual or local recurrent lesions that were previously treated using EMR (18 lesions), TEM (5 lesions), ESD (1 lesion) or surgery (1 lesion), and 459 primary lesions treated using ESD between April 2008 and September 2015. Clinicopathological characteristics, treatment outcome and adverse events were compared between groups with or without scar tissue. Factors related to perforation and a prolonged treatment time, which indicate the likelihood of technical difficulties, were identified using multiple logistic regression analysis.

resultsIn residual or local recurrent lesions groups, patients experienced more perforations (32 % vs 4 %,

conclusionsESD for residual or local recurrent colorectal tumors is a technically challenging, but effective and minimally invasive treatment. When performed carefully with sufficient proficiency, it is a useful treatment option.

Identifiers

PMID29218316
PMCPMC5718910
OpenAlexW2771954051

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.