Evidence map›Paper›PMID 29869091›Full record

SynthesisJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2018

Outcomes of Surgical and Endoscopic Resection of Duodenal Neuroendocrine Tumours (NETs): a Systematic Review of the Literature.

Bobby V M Dasari, Sarah Al-Shakhshir, Timothy M Pawlik, Tahir Shah, Ravi Marudanayagam, Robert P Sutcliffe, Darius F Mirza, Paolo Muiesan, Keith J Roberts, John Isaac

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.8field-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

18 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Long-Term Outcomes in Patients With Non-Ampullary Duodenal Neuroendocrine Tumors.The Korean journal of helicobacter and upper gastrointestinal research · 2025
    Article
  3. Article
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  6. Review
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  13. Review
  14. A proof-of-concept methodology to validate theProceedings of SPIE--the International Society for Optical Engineering · 2020
    Article
  15. Article
  16. Article
  17. Advances in Endoscopic Techniques for Resection of Duodenal Neuroendocrine Tumours.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019
    Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Bobby V M DasariDepartment of HPB and Liver Transplantation Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, B15 2TH, UK. bobby.dasari@uhb.nhs.uk.ORCID 0000-0003-2375-1141
Sarah Al-ShakhshirDepartment of HPB and Liver Transplantation Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, B15 2TH, UK.
Timothy M PawlikDepartment of Surgery, Division of Surgical Oncology, The Ohio State University, Wexner Medical Centre, Columbus, OH, USA.
Tahir ShahDepartment of Hepatology and Centre for Neuroendocrine Tumours, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
Ravi MarudanayagamDepartment of HPB and Liver Transplantation Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, B15 2TH, UK.
Robert P SutcliffeDepartment of HPB and Liver Transplantation Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, B15 2TH, UK.
Darius F MirzaDepartment of HPB and Liver Transplantation Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, B15 2TH, UK.
Paolo MuiesanDepartment of HPB and Liver Transplantation Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, B15 2TH, UK.
Keith J RobertsDepartment of HPB and Liver Transplantation Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, B15 2TH, UK.
John IsaacDepartment of HPB and Liver Transplantation Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, B15 2TH, UK.
Queen Elizabeth Hospital · GBThe Ohio State University Wexner Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDuodenal neuroendocrine tumours (dNETs) comprise about 2% of all the NETs. Treatment of dNETs involves resection of the tumour either by endoscopic or surgical resection. Surgical or endoscopic local resection of the lesion is usually a more conservative and less morbid option compared with a more radical pancreaticoduodenectomy. However, inadequate clearance by local resection might result in recurrent disease with reduced overall survival.

methodsThe current systematic review compared the differences in outcomes of endoscopic resection (ER), local resection (LR) and pancreaticoduodenectomy (PD) in the management of dNETs. Searches were performed on MEDLINE, PubMed, Embase and Cochrane databases using MeSH keyword combinations: 'duodenal', AND, 'neuroendocrine tumours'. All relevant articles published up to 2016 were included. Post-operative morbidity, R0 resection status and recurrence rates were the outcomes assessed.

resultsEight non-randomised retrospective studies with 335 participants were included (LR = 122; PD = 118; ER = 64). While PD was associated with higher morbidity compared with LR (27/64 vs. 10/74; P = 0.002), PD was associated with a higher incidence of an R0 resection (3/97 vs. 15/97; P = 0.007) as well as lower recurrence rates (3/51 vs. 6/46; P = 0.21). ER was associated with a higher positive resection margin status versus LR (22/51 vs. 14/91; P = 0.0002). Recurrence at follow-up was not different among patients with dNETs who underwent PD versus LR.

conclusionsRadical surgical resection in the form of PD was associated with higher post-operative morbidity among patients with dNETs yet provided better margin clearance. Patients with dNETs need systematic evaluation with a view to obtain most of the information about the prognostic factors in order to tailor the treatment options.

Indexed as

Endoscopy, GastrointestinalNeoplasm Recurrence, LocalPancreaticoduodenectomyDuodenal NeoplasmsHumansMargins of ExcisionNeoplasm, ResidualNeuroendocrine TumorsPostoperative ComplicationsDuodenalEndoscopy, pancreaticoduodenectomyNeuroendocrine tumoursResection

Identifiers

PMID29869091
OpenAlexW2806261025

What OpenQuestion holds

Textmetadata
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.