Evidence map›Paper›PMID 29720859›Full record

ArticleAnnals of gastroenterology

Endoscopic submucosal dissection versus endoscopic mucosal resection for type 0-II superficial gastric lesions larger than 20 mm.

Pietro Gambitta, Francesca Iannuzzi, Alessandro Ballerini, Alessandra D'Alessandro, Maurizio Vertemati, Emilia Bareggi, Stefano Pallotta, Paola Fontana, Paolo Aseni

Open access · diamondAbstract read
In one paragraph

Article in Annals of gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

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  6. Retrospective analysis of the clinical effects of endoscopic mucosal dissection on treatment of early esophagogastric precancerous lesions.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    Article
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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 1 institution in 1 country.

Pietro GambittaEndoscopy Division, Luigi Sacco Hospital, University of Milan (Pietro Gambitta, Francesca Iannuzzi, Alessandro Ballerini, Emilia Bareggi, Stefano Pallotta, Paola Fontana), Italy.
Francesca IannuzziEndoscopy Division, Luigi Sacco Hospital, University of Milan (Pietro Gambitta, Francesca Iannuzzi, Alessandro Ballerini, Emilia Bareggi, Stefano Pallotta, Paola Fontana), Italy.
Alessandro BalleriniEndoscopy Division, Luigi Sacco Hospital, University of Milan (Pietro Gambitta, Francesca Iannuzzi, Alessandro Ballerini, Emilia Bareggi, Stefano Pallotta, Paola Fontana), Italy.
Alessandra D'AlessandroDepartment of Clinical Medicine and Surgery, University of Naples Federico II (Alessandra D'Alessandro), Italy.
Maurizio VertematiDepartment of Biomedical and Clinical Science, Luigi Sacco Hospital, University of Milan (Maurizio Vertemati), Italy.
Emilia BareggiEndoscopy Division, Luigi Sacco Hospital, University of Milan (Pietro Gambitta, Francesca Iannuzzi, Alessandro Ballerini, Emilia Bareggi, Stefano Pallotta, Paola Fontana), Italy.
Stefano PallottaEndoscopy Division, Luigi Sacco Hospital, University of Milan (Pietro Gambitta, Francesca Iannuzzi, Alessandro Ballerini, Emilia Bareggi, Stefano Pallotta, Paola Fontana), Italy.
Paola FontanaEndoscopy Division, Luigi Sacco Hospital, University of Milan (Pietro Gambitta, Francesca Iannuzzi, Alessandro Ballerini, Emilia Bareggi, Stefano Pallotta, Paola Fontana), Italy.
Paolo AseniDepartment of Emergency, ASST Grande Ospedale Metropolitano Niguarda, Milan (Paolo Aseni), Italy.
University of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) are increasingly used for the treatment of superficial gastrointestinal neoplasia. However, the limits and the indications for each technique are still debated. Our retrospective study aimed to compare these techniques in patients with gastric flat lesions larger than 20 mm without the non-lifting sign.

methodsBetween January 2013 and July 2016, a total of 36 patients with early gastric flat lesions larger than 20 mm and without the non-lifting sign were resected by ESD and were followed up by endoscopy. As a control group, 40 EMR cases from our database were matched.

results

conclusionsOur retrospective analysis seems to confirm a clear advantage for ESD over EMR in removing early superficial gastric neoplasm. Although ESD has expanded the endoscopic resectability of endoscopic gastric lesions, EMR may still be considered one of the therapeutic options for flat gastric lesions without the non-lifting sign.

Indexed as

Early gastric cancerendoscopic mucosal resectionendoscopic submucosal dissection

Identifiers

PMID29720859
PMCPMC5924856
OpenAlexW2794074072

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.