Evidence map›Paper›PMID 30568115›Full record

ArticleInternal medicine (Tokyo, Japan)2019

Clinical Impact of Piecemeal Resection Concerning the Lateral Spread of Ampullary Adenomas.

Kenjiro Yamamoto, Atsushi Sofuni, Takayoshi Tsuchiya, Kentaro Ishii, Shujiro Tsuji, Reina Tanaka, Ryosuke Tonozuka, Mitsuyoshi Honjo, Shuntaro Mukai, Mitsuru Fujita and 5 more

Open access · diamondAbstract read
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.1field-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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Endoscopic Papillectomy for Ampullary Tumors in Older Patients: Balancing Oncologic Benefit and Geriatric Risk.Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Updates on the Management of Ampullary Neoplastic Lesions.Diagnostics (Basel, Switzerland) · 2023
    Review
  7. Article
  8. Review
  9. Methods and outcome of the endoscopic treatment of ampullary tumors.Therapeutic advances in gastrointestinal endoscopy
    Review
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

15 authors at 1 institution in 1 country.

Kenjiro YamamotoDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Japan.
Atsushi SofuniDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Japan.
Takayoshi TsuchiyaDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Japan.
Kentaro IshiiDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Japan.
Shujiro TsujiDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Japan.
Reina TanakaDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Japan.
Ryosuke TonozukaDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Japan.
Mitsuyoshi HonjoDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Japan.
Shuntaro MukaiDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Japan.
Mitsuru FujitaDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Japan.
Yasutsugu AsaiDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Japan.
Yukitoshi MatsunamiDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Japan.
Yuichi NagakawaThird Department of Surgery, Tokyo Medical University, Japan.
Hiroshi YamaguchiDepartment of Pathology, Tokyo Medical University, Japan.
Takao ItoiDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Japan.
Tokyo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective Endoscopic papillectomy (EP) has been recognized to be a safe and reliable treatment modality for ampullary adenomas. The purpose of this study was to determine the safety and efficacy of endoscopic piecemeal resection for laterally spreading ampullary adenomas and to compare these findings with a control population of smaller conventional ampullary tumors treated in the same time period. Methods Between May 1999 and September 2015, 136 patients underwent EP at Tokyo Medical University hospital. A total of 125 patients underwent en bloc resection, and 11 patients underwent piecemeal resection. Results The final pathological diagnoses were 103 adenomas, 14 carcinomas in adenomas, 4 carcinomas, and 4 hyperplasia in the en bloc resection group, versus 7 adenomas, 3 carcinomas in adenoma, and 1 carcinomas in the piecemeal resection group. A single treatment session was possible in 104 (83.2%) of the 125 patients in the en bloc resection group and in 8 (72.7%) of the 11 in the piecemeal resection group. The total resection rate including additional treatments was 98.4% in the en bloc resection group and 100% in the piecemeal resection group. Conclusion Piecemeal resection for laterally spreading ampullary adenomas was sufficiently performed compared with en bloc resection.

Indexed as

Ampulla of VaterAdenomaAdultAgedAged, 80 and overCommon Bile Duct NeoplasmsDuodenoscopyFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesSphincterotomy, EndoscopicTreatment OutcomeYoung Adultendoscopic papillectomylaterally spreading ampullary adenomaspiecemeal resection

Identifiers

PMID30568115
PMCPMC6478995
OpenAlexW2903613380

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.