Evidence map›Paper›PMID 30187199›Full record

ArticleSurgical endoscopy2019

Colorectal endoscopic submucosal dissection using novel articulating devices: a comparative study in a live porcine model.

Yasuharu Okamoto, Ryu Nakadate, Shotaro Nakamura, Jumpei Arata, Susumu Oguri, Tomohiko Moriyama, Motohiro Esaki, Tsutomu Iwasa, Kenoki Ohuchida, Tomohiko Akahoshi and 3 more

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Surgical Robot for Intraluminal Access: AnCyborg and bionic systems (Washington, D.C.) · 2020
    Article
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

13 authors.

Yasuharu OkamotoDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Ryu NakadateCenter for Advanced Medical Innovation, Kyushu University, Fukuoka, Japan.
Shotaro NakamuraDivision of Gastroenterology, Department of Internal Medicine, Iwate Medical University, Morioka, Japan.
Jumpei ArataDepartment of Mechanical Engineering, Faculty of Engineering, Kyushu University, Fukuoka, Japan.
Susumu OguriDepartment of Advanced Medical Initiatives, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Tomohiko MoriyamaDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Motohiro EsakiDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Tsutomu IwasaCenter for Advanced Medical Innovation, Kyushu University, Fukuoka, Japan.
Kenoki OhuchidaDepartment of Advanced Medical Initiatives, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Tomohiko AkahoshiDepartment of Advanced Medical Initiatives, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Tetsuo IkedaDepartment of Advanced Medical Initiatives, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Takanari KitazonoDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Makoto HashizumeCenter for Advanced Medical Innovation, Kyushu University, Fukuoka, Japan. mhashi@dem.med.kyushu-u.ac.jp.ORCID http://orcid.org/0000-0002-5140-0982

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsColonic endoscopic submucosal dissection (ESD) is time-consuming and bears a high risk of perforation. The aim of the present study was to compare the safety and efficacy between novel articulating devices and conventional ESD in live porcine colon models.

methodsThirty ESDs in ten pigs were carried out at three different locations (15, 25, and 35 cm from the anus) by the conventional method (n = 15) and by the new method (n = 15). Procedure times, adverse events (perforation, bleeding), and damage to the muscular layer were recorded, and the ESD time per unit area of the specimens was calculated.

resultsThe perforation rate using the conventional method was 6.7% (1/15), whereas that using the new method was 0.0%. The number of sites of muscular damage was significantly lower in the new than conventional method (6 vs. 37, respectively; P = 0.024). The mean procedure time was significantly shorter in the new than conventional method (4.6 ± 2.0 vs. 7.0 ± 4.1 min/cm

conclusionsUse of the new ESD method allows for reduced adverse events and a shortened resection time.

Indexed as

Endoscopic Mucosal ResectionAnimalsColorectal NeoplasmsModels, AnatomicSwineTreatment OutcomeArticulating deviceColonEndoscopic submucosal dissectionESDNovel deviceStandard endoscope

Identifiers

PMID30187199

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.