Evidence map›Paper›PMID 30054825›Full record

ArticleAnnals of surgical oncology2018

The Distal Predilection of Small Bowel Neuroendocrine Tumors.

Kendall J Keck, Jessica E Maxwell, Alan F Utria, Andrew M Bellizzi, Joseph S Dillon, Thomas M O'Dorisio, James R Howe

Registry-linked trialAbstract read
In one paragraph

Article in Annals of surgical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05246319 (Evaluation of Preoperative Imaging), which is not on this map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.2field-weighted citation impact, top 8% 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.

NCT05246319 completednot on this map

Evaluation of Preoperative Imaging (CT Scan, DOPA-PET and DOTATOC) in Patients With Small Bowel Neuroendocrine Tumors

TypeobservationalSponsorLaurent BRUNAUDRan2012 to 2025Enrolled50ConditionsNeuroendocrine Tumors, Small Intestinal NET, Lymph Node MetastasisArmspreoperative imaging
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. The University of Iowa Neuroendocrine Tumor Clinic.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2025
    Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Surgical aspects of small intestinal neuroendocrine tumors.World journal of gastrointestinal surgery · 2023
    Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Review
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

7 authors at 1 institution in 1 country.

Kendall J KeckDepartment of Surgery, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Jessica E MaxwellDepartment of Surgery, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Alan F UtriaDepartment of Surgery, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Andrew M BellizziDepartment of Pathology, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Joseph S DillonDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Thomas M O'DorisioDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
James R HoweDepartment of Surgery, University of Iowa Carver College of Medicine, Iowa City, IA, USA. james-howe@uiowa.edu.
University of Iowa · US

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Christopher K Laubenthal · 2000 to 2026
$70.0M
Project 4: New Approaches to Improving the Effectiveness of Radionuclide Targeted Treatments in Neuroendocrine TumorsP50CA174521 · NCI · UNIVERSITY OF IOWA · PI ODORISIO, THOMAS · 2015 to 2021
$13.2M
University of Iowa Surgical Oncology Training GrantT32CA148062 · NCI · UNIVERSITY OF IOWA · PI WEIGEL, RONALD J · 2010 to 2020
$3.8M
NCI NIH HHS P50 CA174521NCI NIH HHS T32 CA148062NIH SPORE grant P50 CA174521-01NIH T32 Surgical Oncology training grant CA148062-01
6 · The paper itself

Abstract

backgroundThe small bowel (SB) is the most common site of neuroendocrine tumors (NETs) of the GI tract. These are described as being predominantly jejunoileal, but their exact locations within the SB have not been well defined. We sought to determine prospectively the spectrum of SBNET locations.

methodsPatients undergoing exploration for SBNET primaries had measurement of bowel length, tumor locations, and resection length recorded. Correlations of clinicopathologic factors were performed, and analysis done utilizing Welch's t test, Chi square test, and the Kaplan-Meier method.

resultsMeasurements were recorded in 123 patients, 107 of whom had complete information. Multifocal tumors (MTs) were found in 69 (56%) and unifocal (UTs) in 54 (44%) patients. Only 1 of 107 patients had a tumor within 100 cm of the ligament of Treitz (LT), whereas 77 of 107 (72%) had tumors within 100 cm of the ileocecal valve (ICV). No MTs were found within 100 cm of LT, whereas 41 of 60 (68%) patients had all (10) or at least one tumor (31) located within 100 cm of the ICV. MTs required a mean resection length of 108 versus 59 cm for UTs (p < 0.01). Seventy-seven percent of UTs (36/47) were within 100 cm of ICV. Tumors occurring only between > 100 cm from the LT and ICV were seen in 29 of 107 (27%) patients.

conclusionsSBNETs are frequently multifocal and most commonly located within 100 cm of the ICV. SBNETs are less prevalent proximally in the small bowel, which may result from anatomic differences in enterochromaffin cell density, hormonal factors, or environmental exposures in the distal SB.

Indexed as

AdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansIntestinal NeoplasmsIntestine, SmallMaleMiddle AgedNeoplasm InvasivenessNeoplasm MetastasisNeuroendocrine TumorsPancreatic NeoplasmsPrognosisProspective Studies

Identifiers

PMID30054825
PMCPMC6525566
OpenAlexW2884935112

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.