Evidence map›Paper›PMID 30837791›Full record

ArticleAnnals of gastroenterology

A retrospective comparative study of argon plasma versus polypectome snare tip coagulation: effect on recurrence rate after resection of large laterally spreading type lesions.

Panagiotis Katsinelos, Georgia Lazaraki, Grigoris Chatzimavroudis, Sotiris Anastasiadis, Nikolaos Georgakis, Andreas Xanthis, Anthi Gatopoulou, Kiriaki Anastasiadou, Jannis Kountouras

Registry-linked trialAbstract read
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In one paragraph

Article in Annals of gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06476145 (Prospective Randomized Controlled Trial Evaluating Adenoma Recurrence After Endoscopic Mucosal Resection With Margin Marking or Post Treatment With Snare Tip Soft Coagulation), which is not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT06476145 recruitingnot on this map

Prospective Randomized Controlled Trial Evaluating Adenoma Recurrence After Endoscopic Mucosal Resection With Margin Marking or Post Treatment With Snare Tip Soft Coagulation

TypeobservationalSponsorAdventHealthRan2023 to 2027Enrolled342ConditionsAdenoma Colon Polyp
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Article
  5. Review
  6. 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

9 authors.

Panagiotis Katsinelos2 Department of Gastroenterology, Ippokration General Hospital, Macedonia, Greece.
Georgia Lazaraki2 Department of Gastroenterology, Ippokration General Hospital, Macedonia, Greece.
Grigoris Chatzimavroudis2 Surgical Department, G. Gennimatas General Hospital, School of Medicine, Aristotle University of Thessaloniki, Macedonia, Greece.
Sotiris Anastasiadis2 Department of Gastroenterology, Ippokration General Hospital, Macedonia, Greece.
Nikolaos Georgakis2 Department of Gastroenterology, Ippokration General Hospital, Macedonia, Greece.
Andreas Xanthis2 Department of Gastroenterology, Ippokration General Hospital, Macedonia, Greece.
Anthi Gatopoulou2 Department of Gastroenterology, Ippokration General Hospital, Macedonia, Greece.
Kiriaki Anastasiadou2 Department of Gastroenterology, Ippokration General Hospital, Macedonia, Greece.
Jannis Kountouras2 Department of Gastroenterology, Ippokration General Hospital, Macedonia, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoscopic mucosal resection (EMR) is an established technique for treating large laterally spreading type (LST) lesions ≥20 mm. The aim of our study was to compare the use of argon plasma (APC) versus snare-tip coagulation on the recurrence rate of large LST lesions.

methodsAll patients with large LST lesions resected by EMR between January 2006 and December 2014 were enrolled. After piecemeal resection, patients underwent either APC or snare-tip coagulation of the rim of the resection area and any residual adenomatous tissue. Follow up included colonoscopy and biopsies. Medical records, including characteristics of patients and polyps, complications and recurrence were retrieved and collected.

resultsOne hundred one patients were included in the final analysis. They were divided into the APC group (n=50) and the snare-tip coagulation group (n=51). The 2 groups were similar concerning patients' characteristics, size of polyps and histology. Post-polypectomy coagulation syndrome was observed in 8 patients (7.9%) (APC group: n=5 and snare tip group: n=3). EMR-related bleeding occurred in 9 patients (8.9%) (APC group: n=4 and snare tip group: n=5). Total recurrence rate was 14.85% (16% and 13.7% in APC and snare-tip groups, respectively, P=0.34).

conclusionThe effectiveness of snare-tip coagulation is comparable with that of APC with respect to recurrence rate after resection of large LST lesions. It thus represents a cost-effective alternative to APC.

Indexed as

argon plasmaEndoscopic mucosal resectionrecurrencesnare tip coagulation

Identifiers

PMID30837791
PMCPMC6394265

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Registered trials

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.