Evidence map›Paper›PMID 30219994›Full record

ArticleJournal of gastroenterology2019

Capsule endoscopy findings for the diagnosis of Crohn's disease: a nationwide case-control study.

Motohiro Esaki, Takayuki Matsumoto, Naoki Ohmiya, Ema Washio, Toshifumi Morishita, Kei Sakamoto, Hiroo Abe, Shojiro Yamamoto, Tetsu Kinjo, Kazutomo Togashi and 16 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. 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

26 authors at 15 institutions in 1 country.

Motohiro EsakiDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-ku, Fukuoka, 812-8582, Japan. mesaki@intmed2.med.kyushu-u.ac.jp.ORCID http://orcid.org/0000-0001-8421-509X
Takayuki MatsumotoDivision of Gastroenterology, Department of Internal Medicine, School of Medicine, Iwate Medical University, Morioka, Japan.
Naoki OhmiyaDepartment of Gastroenterology, Fujita Health University School of Medicine, Toyoake, Japan.
Ema WashioDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-ku, Fukuoka, 812-8582, Japan.
Toshifumi MorishitaDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-ku, Fukuoka, 812-8582, Japan.
Kei SakamotoDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-ku, Fukuoka, 812-8582, Japan.
Hiroo AbeDepartment of Gastroenterology and Hematology, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
Shojiro YamamotoDepartment of Gastroenterology and Hematology, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
Tetsu KinjoDepartment of Endoscopy, University of Ryukyus Hospital, Nishihara, Okinawa, Japan.
Kazutomo TogashiDepartment of Coloproctology, Aizu Medical Center, Fukushima Medical University, Aizuwakamatsu-City, Japan.
Kenji WatanabeDepartment of Intestinal Inflammation Research, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan.
Fumihito HiraiInflammatory Bowel Disease Center, Fukuoka University Chikushi Hospital, Chikushino, Japan.
Masanao NakamuraDepartment of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Sadaharu NoudaSecond Department of Internal Medicine, Osaka Medical College, Takatsuki, Japan.
Shinya AshizukaDepartment of Circulatory and Body Fluid Regulation, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
Teppei OmoriInstitute of Gastroenterology, Tokyo Women's Medical University, Tokyo, Japan.
Shuji KochiDivision of Gastroenterology, Matsuyama Red Cross Hospital, Matsuyama, Japan.
Shunichi YanaiDivision of Gastroenterology, Department of Internal Medicine, School of Medicine, Iwate Medical University, Morioka, Japan.
Yuta FuyunoDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-ku, Fukuoka, 812-8582, Japan.
Atsushi HiranoDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-ku, Fukuoka, 812-8582, Japan.
Junji UmenoDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-ku, Fukuoka, 812-8582, Japan.
Takanari KitazonoDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-ku, Fukuoka, 812-8582, Japan.
Fukunori KinjoCenter for Gastroenterology, Urasoe General Hospital, Urasoe, Japan.
Mamoru WatanabeDepartment of Gastroenterology, School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Toshiyuki MatsuiInflammatory Bowel Disease Center, Fukuoka University Chikushi Hospital, Chikushino, Japan.
Yasuo SuzukiDepartment of Internal Medicine, Toho University, Sakura Medical Centre, Sakura, Chiba, Japan.
Kyushu University · JPUniversity of Miyazaki · JPFukuoka University · JPIwate Medical University · JPFujita Health University · JPFukushima Medical University · JPHyogo Medical University · JPMatsuyama Red Cross Hospital · JPNagoya University · JPOsaka Medical and Pharmaceutical University · JPToho University · JPTokyo Medical and Dental University · JPTokyo Women's Medical University · JPUniversity of the Ryukyus · JPUrasoe General Hospital

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCapsule endoscopy can be used to identify the early stage of small bowel Crohn's disease (CD). We evaluated significant small bowel capsule endoscopy (SBCE) findings that can lead to early diagnosis of CD.

methodsWe retrospectively accumulated clinical and SBCE data of 108 patients (63 with and 45 without CD). Types of small bowel mucosal injuries, including erosion, ulceration, and cobblestone appearance, and the alignment of diminutive lesions were compared between patients with and without CD. Inter- and intra-observer agreement in the determination of lesions was assessed in 25 pairs of SBCE from the two groups.

resultsUnder SBCE, cobblestone appearance (33% vs. 2%, p < 0.0001), longitudinal ulcers (78% vs. 20%, p < 0.0001), and irregular ulcers (84% vs. 60%, p < 0.01) were more frequently found in patients with CD. Linear erosion (90% vs. 38%, p < 0.0001) and irregular erosion (89% vs. 64%, p < 0.005) were also more frequent in patients with CD. Furthermore, circumferential (75% vs. 9%, p < 0.0001) and longitudinal (56% vs. 7%, p < 0.0001) alignment of diminutive lesions, mainly observed in the 1st tertile of the small bowel, was more frequent in patients with CD. Good intra-observer agreement was found for ulcers, cobblestone appearance, and lesion alignment. However, inter-observer agreement of SBCE findings differed among observers.

conclusionsCircumferential or longitudinal alignment of diminutive lesions, especially in the upper small bowel, may be a diagnostic clue for CD under SBCE, while inter-observer variations should be cautiously considered when using SBCE.

Indexed as

AdultAgedCapsule EndoscopyCase-Control StudiesCrohn DiseaseFemaleHumansIntestinal MucosaJapanMaleMiddle AgedObserver VariationRetrospective StudiesSensitivity and SpecificityVideo RecordingCapsule endoscopyCrohn’s diseaseDiagnostic accuracy

Identifiers

PMID30219994
PMCPMC6394710
OpenAlexW2890881267

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.