Evidence map›Paper›PMID 30477284›Full record

ArticleIntestinal research2019

Efficacy and safety of cold forceps polypectomy utilizing the jumbo cup: a prospective study.

Hiroshi Hasegawa, Shigeki Bamba, Kenichiro Takahashi, Masaki Murata, Taketo Otsuka, Hiroshi Matsumoto, Takehide Fujimoto, Rie Osak, Hirotsugu Imaeda, Atsushi Nishida and 6 more

Open access · diamondAbstract read
In one paragraph

Article in Intestinal research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. The quality of colorectal polypectomy. Is it enough to have just a visual assessment of the site?Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    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

16 authors at 1 institution in 1 country.

Hiroshi HasegawaDivision of Gastroenterology, Shiga University of Medical Science, Otsu, Japan.
Shigeki BambaDivisions of Clinical Nutrition, Shiga University of Medical Science, Otsu, Japan.
Kenichiro TakahashiDivision of Gastroenterology, Shiga University of Medical Science, Otsu, Japan.
Masaki MurataDivision of Gastroenterology, Shiga University of Medical Science, Otsu, Japan.
Taketo OtsukaDivisions of Digestive Endoscopy, Shiga University of Medical Science, Otsu, Japan.
Hiroshi MatsumotoDivisions of Digestive Endoscopy, Shiga University of Medical Science, Otsu, Japan.
Takehide FujimotoDivision of Gastroenterology, Shiga University of Medical Science, Otsu, Japan.
Rie OsakDivision of Gastroenterology, Shiga University of Medical Science, Otsu, Japan.
Hirotsugu ImaedaDivision of Gastroenterology, Shiga University of Medical Science, Otsu, Japan.
Atsushi NishidaDivision of Gastroenterology, Shiga University of Medical Science, Otsu, Japan.
Hiromitsu BanDivision of Gastroenterology, Kusatsu General Hospital, Kusatsu, Japan.
Ayano SonodaDivision of Gastroenterology, Shiga University of Medical Science, Otsu, Japan.
Osamu InatomiDivision of Gastroenterology, Shiga University of Medical Science, Otsu, Japan.
Masaya SasakiDivisions of Clinical Nutrition, Shiga University of Medical Science, Otsu, Japan.
Mitsushige SugimotoDivisions of Digestive Endoscopy, Shiga University of Medical Science, Otsu, Japan.
Akira AndohDivision of Gastroenterology, Shiga University of Medical Science, Otsu, Japan.
Shiga University of Medical Science · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsThere are few prospective studies on cold forceps polypectomy (CFP) using jumbo cup forceps. Therefore, we examined patients with diminutive polyps (5 mm or smaller) treated with CFP using jumbo cup forceps to achieve an adenoma-free colon and also assessed the safety of the procedure and the recurrence rate of missed or residual polyp after CFP by performing follow-up colonoscopy 1 year later.

methodsWe included patients with up to 5 adenomas removed at initial colonoscopy and analyzed data from a total of 361 patients with 573 adenomas. One-year follow-up colonoscopy was performed in 165 patients, at which 251 lesions were confirmed.

resultsThe one-bite resection rate with CFP was highest for lesions 3 mm or smaller and decreased significantly with increasing lesion size. Post-procedural hemorrhage was observed in 1 of 573 lesions (0.17%). No perforation was noted. The definite recurrence rate was 0.8% (2/251 lesions). The probable recurrence rate, which was defined as recurrence in the same colorectal segment, was 17%. Adenoma-free colon was achieved in 55% of patients at initial resection. Multivariate analysis revealed that achievement of an adenoma-free colon was significantly associated with number of adenomas and years of endoscopic experience.

conclusionsCFP using jumbo biopsy forceps was safe and showed a high one-bite resection rate for diminutive lesions of 3 mm or smaller. The low definite recurrence rate confirms the reliability of CFP using jumbo biopsy forceps. Number of adenomas and years of endoscopic experience were key factors in achieving an adenoma-free colon.

Indexed as

AdenomaDiminutive polypHemorrhageOne-bite resectionRecurrence

Identifiers

PMID30477284
PMCPMC6505094
OpenAlexW2902553458

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.