Evidence map›Paper›PMID 31144122›Full record

Observational studySurgical endoscopy2020

Efficacy and safety of endoscopic balloon dilation in inflammatory bowel disease: results of the large multicenter study of the ENEIDA registry.

Xavier Andújar, Carme Loras, Begoña González, Milena Socarras, Vicente Sanchiz, Maia Boscà, Eugeni Domenech, Margalida Calafat, Esther Rodríguez, Beatriz Sicilia and 16 more

Erratum issued 2 registry-linked trialsAbstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% 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.

NCT04330846 narecruitingnot on this mapstarted 2022, after this paper: background citation

Prospective Multicenter Randomized Comparative Study of the Treatment of de Novo Stenosis in Crohn's Disease. Endoscopic Treatment (Self-expanding Metal Prosthesis/Ballon Dilation) vc Surgical Resection (ENDOCIR STUDY)

TypeinterventionalSponsorGrupo Espanol de Trabajo en Enfermedad de Crohn y Colitis UlcerosaRan2022 to 2027Enrolled40ConditionsCrohn DiseaseArmsSurgical resection
NCT06036680 unknown statusnot on this mapstarted 2022, after this paper: background citation

Long-term Follow-up ProtDilat Study; Comparative Prospective Multicenter Randomized Study of Endoscopic Treatment of Stenosis in Crohn´s Disease: Self-expandable Metal Stent vs. Endoscopic Balloon Dilatation

TypeobservationalSponsorHospital Mutua de TerrassaRan2022 to 2023Enrolled80ConditionsCrohn Disease, Stenosis
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Trial
  4. Trial
  5. Review
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 14 institutions in 1 country.

Xavier AndújarDepartment of Gastroenterology, Endoscopy Unit, Hospital Universitari Mútua de Terrassa, Universitat de Barcelona, Plaça Dr Robert nº 5, Terrassa, 08221, Barcelona, Catalonia, Spain.
Carme LorasDepartment of Gastroenterology, Endoscopy Unit, Hospital Universitari Mútua de Terrassa, Universitat de Barcelona, Plaça Dr Robert nº 5, Terrassa, 08221, Barcelona, Catalonia, Spain. cloras@mutuaterrassa.cat.
Begoña GonzálezHospital Clínic de Barcelona, Barcelona, Spain.
Milena SocarrasHospital Clínic de Barcelona, Barcelona, Spain.
Vicente SanchizHospital Clínico Universitario de Valencia, Valencia, Spain.
Maia BoscàHospital Clínico Universitario de Valencia, Valencia, Spain.
Eugeni DomenechHospital Germans Trias i Pujol, Barcelona, Spain.
Margalida CalafatHospital Germans Trias i Pujol, Barcelona, Spain.
Esther RodríguezHospital Universitario Nuestra Señora de la Candelaria, Santa Cruz De Tenerife, Spain.
Beatriz SiciliaComplejo Asistencial Universitario de Burgos, Burgos, Spain.
Xavier CalvetCorporació Sanitària Universitària Parc Taulí, Barcelona, Spain.
Jesús BarrioHospital Rio Hortega, León, Spain.
Jordi GuardiolaHospital Universitari de Bellvitge, Barcelona, Spain.
Eva IglesiasHospital Universitario Reina Sofía, Córdoba, Spain.
María José CasanovaHospital Universitario de La Princesa, Madrid, Spain.
Yolanda BerHospital Lozano Blesa, Zaragoza, Spain.
David MonfortConsorci Sanitari de Terrassa, Barcelona, Spain.
Antonio López-SanrománHospital Universitario Ramón y Cajal, Madrid, Spain.
Iago Rodríguez-LagoHospital de Galdakao, Bizkaia, Spain.
Luís BujandaHospital Universitario Donostia/Instituto Biodonostia, Universidad del País Vasco (UPV/EHU), Gipuzkua, Spain.
Lucía MárquezHospital del Mar, Barcelona, Spain.
María Dolores Martín-ArranzHospital La Paz, Madrid, Spain.
Yamile ZabanaDepartment of Gastroenterology, Endoscopy Unit, Hospital Universitari Mútua de Terrassa, Universitat de Barcelona, Plaça Dr Robert nº 5, Terrassa, 08221, Barcelona, Catalonia, Spain.
Fernando Fernández-BañaresDepartment of Gastroenterology, Endoscopy Unit, Hospital Universitari Mútua de Terrassa, Universitat de Barcelona, Plaça Dr Robert nº 5, Terrassa, 08221, Barcelona, Catalonia, Spain.
María EsteveDepartment of Gastroenterology, Endoscopy Unit, Hospital Universitari Mútua de Terrassa, Universitat de Barcelona, Plaça Dr Robert nº 5, Terrassa, 08221, Barcelona, Catalonia, Spain.
ENEIDA registry of GETECCU
Mútua Terrassa · ESHospital Clínico Universitario de Valencia · ESBellvitge University Hospital · ESConsorci Sanitari de Terrassa · ESCorporació Sanitària Parc Taulí · ESHospital Universitario La Paz · ESHospital Universitario Nuestra Señora de Candelaria · ESUniversity of the Basque Country · ESHospital Clínic de Barcelona · ESHospital de Galdakao · ESHospital Universitari Germans Trias i Pujol · ESHospital Universitario de La Princesa · ESHospital Universitario Reina Sofía · ESUniversity Hospital Mútua de Terrassa · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is no information regarding the outcome of Crohn's disease (CD) patients treated with endoscopic balloon dilation (EBD) in non-referral hospitals, nor on the efficacy of EBD in ulcerative colitis (UC). We report herein the results of the largest series published to date.

aimTo assess the efficacy and safety of EBD for inflammatory bowel disease (IBD) stenosis performed in 19 hospitals with different levels of complexity and to determine factors related to therapeutic success.

methodsWe identified IBD patients undergoing EBD in the ENEIDA database. Efficacy of EBD was compared between CD and UC and between secondary and tertiary hospitals. Predictive factors of therapeutic success were assessed with multivariate analysis.

resultsFour-hundred dilations (41.2% anastomotic) were performed in 187 IBD patients (13 UC/Indeterminate colitis). Technical and therapeutic success per dilation was achieved in 79.5% and 55.3%, respectively. Therapeutic success per patient was achieved in 78.1% of cases (median follow-up: 40 months) with 49.7% requiring more than one dilation. No differences related to either diagnosis or hospital complexity was found. Technical success [OR 4.12 (95%CI 2.4-7.1)] and not receiving anti-TNF at the time of dilation [OR 1.7 (95% CI 1.1-2.6)] were independently related to therapeutic success per dilation. A stricture length ≤ 2 cm [HR 2.43 (95% CI 1.11-5.31)] was a predictive factor of long-term success per patient. The rate of major complications was 1.3%.

conclusionsEBD can be performed with similar efficacy and safety in hospitals with differing levels of complexity and it might be a suitable treatment for UC with short stenosis. To achieve a technical success and the short length of the stenosis seem to be critical for long-term therapeutic success.

Indexed as

RegistriesColitis, UlcerativeConstriction, PathologicCrohn DiseaseDilatationEndoscopy, GastrointestinalFemaleHumansMaleMiddle AgedMultivariate AnalysisProbabilityTertiary Care CentersTreatment OutcomeCrohn’s diseaseEndoscopic balloon dilationInflammatory bowel disease

Identifiers

PMID31144122
OpenAlexW2947679768

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.