Evidence map›Paper›PMID 30254412›Full record

Trial reportWorld journal of gastroenterology2018

Usefulness of the clip-flap method of endoscopic submucosal dissection: A randomized controlled trial.

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

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in World journal of gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
–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

11 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Pooled it
  5. Article
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  8. Review
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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.

Hiromitsu BanDivision of Digestive Endoscopy, Shiga University of Medical Science Hospital, Shiga 520-2192, Japan.
Mitsushige SugimotoDivision of Digestive Endoscopy, Shiga University of Medical Science Hospital, Shiga 520-2192, Japan. sugimo@belle.shiga-med.ac.jp.
Taketo OtsukaDivision of Digestive Endoscopy, Shiga University of Medical Science Hospital, Shiga 520-2192, Japan.
Masaki MurataDepartment of Gastroenterology, Shiga University of Medical Science Hospital, Shiga 520-2192, Japan.
Toshiro NakataDepartment of Gastroenterology, Shiga University of Medical Science Hospital, Shiga 520-2192, Japan.
Hiroshi HasegawaDepartment of Gastroenterology, Shiga University of Medical Science Hospital, Shiga 520-2192, Japan.
Osamu InatomiDepartment of Gastroenterology, Shiga University of Medical Science Hospital, Shiga 520-2192, Japan.
Shigeki BambaDivision of Clinical Nutrition, Shiga University of Medical Science Hospital, Shiga 520-2192, Japan.
Akira AndohDepartment of Gastroenterology, Shiga University of Medical Science Hospital, Shiga 520-2192, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo prospectively investigate the efficacy and safety of clip-flap assisted endoscopic submucosal dissection (ESD) for gastric tumors.

methodsFrom May 2015 to October 2016, we enrolled 104 patients with gastric cancer or adenoma scheduled for ESD at Shiga University of Medical Science Hospital. We randomized patients into two subgroups using the minimization method based on location of the tumor (upper, middle or lower third of the stomach), tumor size (< 20 mm or > 20 mm) and ulcer status: ESD using an endoclip (the clip-flap group) and ESD without an endoclip (the conventional group). Therapeutic efficacy (procedure time) and safety (complication: Gastrointestinal bleeding and perforation) were assessed.

results

conclusionFor patients with early-stage gastric tumors, the clip-flap method has no advantage in efficacy or safety compared with the conventional method.

Indexed as

AdenomaAgedEndoscopic Mucosal ResectionFemaleGastric MucosaGastrointestinal HemorrhageHumansIncidenceMaleMiddle AgedOperative TimePostoperative ComplicationsProspective StudiesStomach NeoplasmsTreatment OutcomeClip flap methodComplicationEndoscopic submucosal dissectionGastric cancerProcedure timeRandomized clinical trial

Identifiers

PMID30254412
PMCPMC6148425

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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.