Evidence map›Paper›PMID 30805784›Full record

ArticleSurgical endoscopy2019

Over-the-scope-clip applications for perforated peptic ulcer.

Jing-Jing Wei, Xue-Ping Xie, Ting-Ting Lian, Zhi-Yong Yang, Yu-Feng Pan, Zhen-Lv Lin, Guang-Wei Zheng, Ze-Hao Zhuang

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
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  5. 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

8 authors at 2 institutions in 1 country.

Jing-Jing WeiEndoscopic Center, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China.
Xue-Ping XieEndoscopic Center, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China.
Ting-Ting LianEndoscopic Center, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China.
Zhi-Yong YangEndoscopic Center, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China.
Yu-Feng PanEndoscopic Center, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China.
Zhen-Lv LinDepartment of Emergency Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China.
Guang-Wei ZhengDepartment of Emergency Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China.
Ze-Hao ZhuangEndoscopic Center, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China. zhuang203@yeah.net.
First Affiliated Hospital of Fujian Medical University · CNFujian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate the effectiveness of over-the-scope-clip (OTSC)-based endoscopic closure in patients with perforated peptic ulcer (PPU).

methodsOne hundred six patients diagnosed with PPU were treated with either OTSC (n = 26) or conservative treatments (n = 80), respectively. The outcome assessments included technical success rate, clinical success rate, post-treatment complications after 1 month, mortality rate, time to resume oral feeding, length of hospital stay, and the administration of antibiotics.

resultsIn the OTSC group, technical and clinical success was achieved in 100% of patients without any complications, including death, incomplete closure, duodenal obstruction, and gastrointestinal bleeding, with a median operation time of 10 min. All patients in the OTSC group were discharged, while the mortality rate in the control group was 13.8%. Subsequent surgeries were required in 30% of patients in the control group. The median times to resume oral feeding were 3.5 (interquartile range [IQR] 2.0-5.25) days in the OTSC group and 7.0 (IQR 5.0-9.0) days in the control group (p < 0.001). One month post-procedure, 30% (24/80) of patients in the control group and 0 (0/26) in the OTSC group required additional operations (p < 0.001). No significant difference was found in the length of the hospital stay and the administration of antibiotics between the two groups (p > 0.05).

conclusionsOTSC-based endoscopic technique, with a high clinical success rate and a shorter time to resume oral feeding, was effective in achieving closure of PPU with a diameter < 15 mm.

Indexed as

Surgical InstrumentsAdultFemaleHemostasis, EndoscopicHumansMaleMiddle AgedNatural Orifice Endoscopic SurgeryPeptic Ulcer PerforationRetrospective StudiesTreatment OutcomeEndoscopic closureOral feedingOver-the-scope systemPerforated peptic ulcer

Identifiers

PMID30805784
OpenAlexW2917872489

What OpenQuestion holds

Textmetadata
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.