Evidence map›Paper›PMID 30783374›Full record

ArticleWorld journal of gastroenterology2019

Short- and long-term outcomes of endoscopically treated superficial non-ampullary duodenal epithelial tumors.

Yuko Hara, Kenichi Goda, Akira Dobashi, Tomohiko Richard Ohya, Masayuki Kato, Kazuki Sumiyama, Takehiro Mitsuishi, Shinichi Hirooka, Masahiro Ikegami, Hisao Tajiri

Open access · hybridAbstract readEvaluation Study
In one paragraph

Article in World journal of gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
7.5field-weighted citation impact, top 2% 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.

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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

10 authors at 2 institutions in 1 country.

Yuko HaraDepartment of Endoscopy, The Jikei University School of Medicine, Tokyo 105-8461, Japan. yukohara0526@yahoo.co.jp.
Kenichi GodaDepartment of Gastroenterology, Dokkyo Medical University, Tochigi 321-0293, Japan.
Akira DobashiDepartment of Endoscopy, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Tomohiko Richard OhyaDepartment of Endoscopy, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Masayuki KatoDepartment of Endoscopy, The Jikei University Katsushika Medical Center, Tokyo 125-8506, Japan.
Kazuki SumiyamaDepartment of Endoscopy, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Takehiro MitsuishiDepartment of Pathology, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Shinichi HirookaDepartment of Pathology, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Masahiro IkegamiDepartment of Pathology, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Hisao TajiriDepartment of Innovative Interventional Endoscopy Research, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Jikei University School of Medicine · JPDokkyo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is widely recognized that endoscopic resection (ER) of superficial non-ampullary duodenal epithelial tumors (SNADETs) is technically challenging and may carry high risks of intraoperative and delayed bleeding and perforation. These adverse events could be more critical than those occurring in other levels of the gastrointestinal tract. Because of the low prevalence of the disease and the high risks of severe adverse events, the curability including short- and long-term outcomes have not been standardized yet.

aimTo investigate the curability including short- and long-term outcomes of ER for SNADETs in a large case series.

methodsThis retrospective study included cases that underwent ER for SNADETs at our university hospital between March 2004 and July 2017. Short-term outcomes of ER were measured based on

resultsIn the study, 131 patients with 147 SNADETs were analyzed. The 147 ERs consisted of 136 endoscopic mucosal resections (EMRs) (93%) and 11 endoscopic submucosal dissections (ESDs) (7%). The median tumor diameter was 10 mm. The pathology diagnosis was adenocarcinoma (56/147, 38%), high-grade intraepithelial neoplasia (44/147, 30%), or low-grade intraepithelial neoplasia (47/147, 32%). The R0 resection rate was 68% (93/136) in the EMR group and 73% (8/11) in the ESD group, respectively. Cap-assisted EMR (known as EMR-C) showed a higher rate of R0 resection compared to the conventional method of EMR using a snare (78%

conclusionOur findings suggest that ER provides good long-term outcomes in the patients with SNADETs. EMR is likely to become the safe and reliable treatment for small SNADETs.

Indexed as

AdenocarcinomaAgedCarcinoma in SituDuodenal NeoplasmsDuodenoscopyEndoscopic Mucosal ResectionFemaleHumansIntestinal MucosaMaleMiddle AgedNeoplasm Recurrence, LocalPostoperative ComplicationsRetrospective StudiesTreatment OutcomeDuodenal adenomaDuodenal cancerEndoscopic resectionEndoscopic submucosal dissectionLong-term outcome

Identifiers

PMID30783374
PMCPMC6378536
OpenAlexW2914767621

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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.