Evidence map›Paper›PMID 30388148›Full record

ArticlePloS one2018

Eosinophilic esophagitis in Japanese patients: A mild and slow-progressing disorder.

Hiroki Sato, Terasu Honma, Yujiro Nozawa, Takashi Owaki, Michitaka Imai, Tomoe Sano, Akito Iwanaga, Keiichi Seki, Toru Ishikawa, Toshiaki Yoshida and 1 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.8field-weighted citation impact, top 7% 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

21 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
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  10. Observational
  11. Article
  12. Review
  13. How to approach adult patients with asymptomatic esophageal eosinophilia.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2021
    Review
  14. The "caterpillar sign": a novel endoscopic indicator of eosinophilic esophagitis.Esophagus : official journal of the Japan Esophageal Society · 2021
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Eosinophilic esophagitis: time for clinical practice.Esophagus : official journal of the Japan Esophageal Society · 2019
    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

11 authors at 2 institutions in 1 country.

Hiroki SatoDepartment of Gastroenterology, Saiseikai Niigata Daini Hospital, Niigata, Japan.ORCID 0000-0001-7766-3724
Terasu HonmaDepartment of Gastroenterology, Saiseikai Niigata Daini Hospital, Niigata, Japan.
Yujiro NozawaDepartment of Gastroenterology, Saiseikai Niigata Daini Hospital, Niigata, Japan.
Takashi OwakiDepartment of Gastroenterology, Saiseikai Niigata Daini Hospital, Niigata, Japan.
Michitaka ImaiDepartment of Gastroenterology, Saiseikai Niigata Daini Hospital, Niigata, Japan.
Tomoe SanoDepartment of Gastroenterology, Saiseikai Niigata Daini Hospital, Niigata, Japan.
Akito IwanagaDepartment of Gastroenterology, Saiseikai Niigata Daini Hospital, Niigata, Japan.
Keiichi SekiDepartment of Gastroenterology, Saiseikai Niigata Daini Hospital, Niigata, Japan.
Toru IshikawaDepartment of Gastroenterology, Saiseikai Niigata Daini Hospital, Niigata, Japan.
Toshiaki YoshidaDepartment of Gastroenterology, Saiseikai Niigata Daini Hospital, Niigata, Japan.
Shuji TeraiDivision of Gastroenterology and Hepatology, Niigata University Medical and Dental Hospital, Niigata, Japan.
Saiseikai Niigata Daini Hospital · JPNiigata University Medical and Dental Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimAwareness of eosinophilic esophagitis (EoE) has gradually increased in Japan, therefore the characteristics of this disease in the Japanese patient population need to be elucidated. This study aimed to investigate the features of EoE in the Japanese population.

methodsDuring a 2-year period, all gastrointestinal endoscopies were performed with maximum attention being paid to identify EoE through endoscopic findings. Clinical features and findings were analyzed among this population.

resultsAmong a total of 8589 patients (general gastrointestinal endoscopy, performed for evaluation of symptoms or disease follow-up: 3669; medical check-up endoscopy, routinely performed in asymptomatic patients: 4920), 17 patients (0.20%) were diagnosed with esophageal eosinophilia (mean age ± standard deviation: 44±11.9 years; 1 female). Only 6 patients with esophageal eosinophilia were diagnosed by general gastrointestinal endoscopy; among them, 3 patients had dysphagia and 3 were asymptomatic. The remaining 11 patients were diagnosed by medical check-up endoscopy. All patients were treated with a proton pump inhibitor (PPI); 5 were diagnosed with EoE and 12 with PPI responsive esophageal eosinophilia. Chronological endoscopy analysis showed that EoE findings could be observed for a mean of 6.1 years prior to diagnosis, and the disease did not significantly progress in severity.

conclusionsMost Japanese patients with EoE have mild and slowly progressing disease, which can be diagnosed when close attention is paid to the endoscopic findings. Medical check-up endoscopy in Japan could be a great opportunity for the early diagnosis of EoE.

Indexed as

AdultDeglutition DisordersDisease ProgressionEarly DiagnosisEndoscopy, GastrointestinalEosinophilic EsophagitisEsophagusFemaleFollow-Up StudiesHumansJapanMaleMiddle AgedProton Pump InhibitorsSeverity of Illness IndexProton Pump Inhibitors

Identifiers

PMID30388148
PMCPMC6214552
OpenAlexW2898879161

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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.