Evidence map›Paper›PMID 29774087›Full record

ArticleWorld journal of gastrointestinal endoscopy2018

Severity of gastric mucosal atrophy affects the healing speed of post-endoscopic submucosal dissection ulcers.

Taketo Otsuka, Mitsushige Sugimoto, Hiromitsu Ban, Toshiro Nakata, Masaki Murata, Atsushi Nishida, Osamu Inatomi, Shigeki Bamba, Akira Andoh

Open access · hybridAbstract read
In one paragraph

Article in World journal of gastrointestinal endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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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 2 countries.

Taketo OtsukaDivision of Digestive Endoscopy, Shiga University of Medical Science Hospital, Otsu 520-2192, Japan.
Mitsushige SugimotoDivision of Digestive Endoscopy, Shiga University of Medical Science Hospital, Otsu 520-2192, Japan.
Hiromitsu BanDivision of Digestive Endoscopy, Shiga University of Medical Science Hospital, Otsu 520-2192, Japan.
Toshiro NakataDepartment of Gastroenterology, Shiga University of Medical Science Hospital, Otsu 520-2192, Japan.
Masaki MurataDepartment of Gastroenterology, Shiga University of Medical Science Hospital, Otsu 520-2192, Japan.
Atsushi NishidaDepartment of Gastroenterology, Shiga University of Medical Science Hospital, Otsu 520-2192, Japan.
Osamu InatomiDepartment of Gastroenterology, Shiga University of Medical Science Hospital, Otsu 520-2192, Japan.
Shigeki BambaDepartment of Gastroenterology, Shiga University of Medical Science Hospital, Otsu 520-2192, Japan.
Akira AndohDepartment of Gastroenterology, Shiga University of Medical Science Hospital, Otsu 520-2192, Japan.
Shiga University of Medical Science Hospital · JPCreative Research Enterprises (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate factors associated with the healing of endoscopic submucosal dissection (ESD)-induced ulcers.

methodsWe enrolled 132 patients with gastric tumors scheduled for ESD. Following ESD, patients were treated with daily lansoprazole 30 mg or vonoprazan 20 mg. Ulcer size was endoscopically measured on the day after ESD and at 4 and 8 wk. The gastric mucosa was endoscopically graded according to the Kyoto gastritis scoring system. We assessed the number of patients with and without a 90% reduction in ulcer area at 4 wk post-ESD and scar formation at 8 wk, and looked for risk factors for slower healing.

resultsThe mean size of gastric tumors and post-ESD ulcers was 17.4 ± 12.1 mm and 32.9 ± 13.0 mm. The mean reduction rates in ulcer area were 90.4% ± 0.8% at 4 wk and 99.8% ± 0.1% at 8 wk. The reduction rate was associated with the Kyoto grade of gastric atrophy at 4 wk (A0: 97.9% ± 0.6%, A1: 93.4% ± 4.1%, and A2: 89.7% ± 1.0%, respectively). In multivariate analysis, the factor predicting 90% reduction at 4 wk was gastric atrophy (Odds ratio: 5.678, 95%CI: 1.190-27.085,

conclusionThe healing speed of post-ESD ulcers was associated with the degree of gastric mucosal atrophy, and

Indexed as

Endoscopic submucosal dissectionGastric mucosal/ABGastric ulcerHelicobacter pylori

Identifiers

PMID29774087
PMCPMC5955726
OpenAlexW2804271046

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LicenceCC BY-NC
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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.