Evidence map›Paper›PMID 30880720›Full record

ArticleEndoscopic ultrasound

Evaluation of a new slim radial echoendoscope: A better option for an aging population.

Pietro Fusaroli, Marta Serrani, Andrea Lisotti

Abstract read
In one paragraph

Article in Endoscopic ultrasound. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

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

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Pietro FusaroliDepartment of Medical and Surgical Sciences, GI Unit, Hospital of Imola, University of Bologna, Bologna, Italy.
Marta SerraniDepartment of Medical and Surgical Sciences, GI Unit, Hospital of Imola, University of Bologna, Bologna, Italy.
Andrea LisottiDepartment of Medical and Surgical Sciences, GI Unit, Hospital of Imola, University of Bologna, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe radial echoendoscope is still widely used for the investigation of abnormalities in the gastrointestinal wall and for stone detection in the extrahepatic biliary tree. Due to aging patient population, EUS is frequently performed in fragile and elderly individuals. We aimed to compare the maneuverability and image quality of a new thin radial echoendoscope to the current one. PATIENTS AND

methodsThis evaluation was conducted at a referral academic EUS center. The new radial echoendoscope has a thinner shaft and distal tube and a shorter bending section compared to the previous one. Patients referred for diagnostic EUS with a radial echoendoscope were enrolled. Indications included pancreaticobiliary disease, esophagogastric abnormalities, and neoplasms and rectal cancer staging.

resultsWe enrolled 177 patients (122 pancreaticobiliary, 48 esophagogastric, and 7 rectal cases). Overall, the new echoendoscope performed better than the previous model in terms of maneuverability during esophageal intubation and transition from the duodenal bulb to the second portion. On the other hand, pylorus traversing was comparable to the current radial echoendoscope. No loss in image quality was appreciated at predefined stations (esophagus, stomach, and duodenum) compared to the current model. On the other hand, image penetration depth in tissue harmonic mode was significantly improved with the new echoendoscope.

conclusionsA new thinner radial echoendoscope showed improved maneuverability compared to the existing version. Image quality was also improved thanks to increased penetration depth in the tissue harmonic mode. We speculate that this new echoendoscope may allow for safer and faster EUS examination, which may prove useful in an aging patient population.

Indexed as

Bending sectionEUSimage qualityprocedure safetyradial echoendoscope

Identifiers

PMID30880720
PMCPMC6791111

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.