Evidence map›Paper›PMID 31187233›Full record

Observational studySurgical endoscopy2020

Endoscopic full-thickness resection of gastric subepithelial tumors with the gFTRD-system: a prospective pilot study (RESET trial).

Benjamin Meier, Arthur Schmidt, Nicolas Glaser, Alexander Meining, Benjamin Walter, Andreas Wannhoff, Bettina Riecken, Karel Caca

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. It is linked to 2 registered trials, which are not on this map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 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.

NCT03096236 unknown statusnot on this map

Endoscopic Full-thickness Resection of Gastric Subepithelial Tumors With the gFTRD

TypeobservationalSponsorKliniken Ludwigsburg-Bietigheim gGmbHRan2017 to 2019Enrolled20ConditionsFeasibility, ComplicationsArmsEFTR
NCT07142902 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Gastroduodenal Full Thickness Resection Device Registry - gdFTRD® Registry

Typeobservational_patient_registrySponsorOvesco Endoscopy AGRan2025 to 2030Enrolled306ConditionsSubepithelial Gastrointestinal Tumors, AdenomaArmsData processing only, treatment is not part of the registry
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Methods for Endoscopic Removal of Over-the-Scope Clip: A Systematic Review.Canadian journal of gastroenterology & hepatology · 2020
    Pooled it
  4. Trial
  5. Article
  6. Review
  7. Expanded options for removal of an old over-the-scope clip.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2026
    Article
  8. Comparison Between the Efficacy of EFR and CASL in the Treatment of Small Gastric Stromal Tumors: A Retrospective Study.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Endoscopic Full Thickness Resection Device (FTRDDiagnostics (Basel, Switzerland) · 2025
    Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Modern Management of Gastric Neuroendocrine Neoplasms.Current treatment options in oncology · 2024
    Review
  18. Article
  19. Article
  20. Review
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.

Benjamin MeierDepartment of Gastroenterology, Klinikum Ludwigsburg, Posilipostraße 4, 71640, Ludwigsburg, Germany.
Arthur SchmidtDepartment of Medicine II, Medical Center, University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Nicolas GlaserDepartment of Medicine II, Medical Center, University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Alexander MeiningDepartment of Gastroenterology, University Hospital Ulm, Ulm, Germany.
Benjamin WalterDepartment of Gastroenterology, University Hospital Ulm, Ulm, Germany.
Andreas WannhoffDepartment of Gastroenterology, Klinikum Ludwigsburg, Posilipostraße 4, 71640, Ludwigsburg, Germany.
Bettina RieckenDepartment of Gastroenterology, Klinikum Ludwigsburg, Posilipostraße 4, 71640, Ludwigsburg, Germany.
Karel CacaDepartment of Gastroenterology, Klinikum Ludwigsburg, Posilipostraße 4, 71640, Ludwigsburg, Germany. karel.caca@rkh-kliniken.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastric subepithelial tumors (SET) are rare and usually benign. However, up to 13% are malignant. Histology after conventional biopsy often is inconclusive. Surveillance endoscopies are the consequence in the majority of gastric SET cases. For SET arising from deeper layers endoscopic resection (ER) with the standard techniques is difficult and associated with the risk of perforation. The RESET trial further evaluates feasibility, efficacy and safety of clip-assisted endoscopic full-thickness resection (EFTR) for gastric SET using the novel gastric full-thickness-resection device (gFTRD). MATERIALS AND

methodsThe RESET trial was initiated in March 2017 (NCT03096236) and designed as prospective observational multicenter pilot trial. Gastric SET up to 15 mm were included. Primary endpoint was technical success (complete enbloc resection). Secondary endpoints were R0 resection, full-thickness resection, adverse events and recurrency at 3-months follow-up. For resection we used the gFTRD (Ovesco Endoscopy, Tübingen, Germany).

results29 patients underwent gastric EFTR. Histology prior EFTR after conventional biopsy could define histological tumor type in only 31.2%. Primary endpoint was reached in 89.7%. Histology of the full-thickness-resection specimen could define histological tumor type in 100%. 76% of all SET could be resected histologically complete (R0) and a full-thickness-resection specimen could be obtained in 65.5%. In 31% periprocedural minor bleeding was observed and managed endoscopically. Follow-up was available in 79.3% (OTSC detachment in 78.3%, OTSC in position in 21.7%). No signs of residual or recurrent tumors were observed after 3 months.

conclusionEFTR of gastric SET with gFTRD is feasible and safe. EFTR allows a definite histological diagnosis (including sufficient risk stratification in case of GIST or NET) in contrast to conventional biopsy. R0-resection is possible in most cases and might obviate the need for further surveillance endoscopies for selected patients.

Indexed as

GastrectomySurgical InstrumentsAdultAgedAged, 80 and overEndoscopyFemaleGermanyHumansMaleMiddle AgedNeoplasm Recurrence, LocalPilot ProjectsProspective StudiesRetrospective StudiesStomach NeoplasmsEndoscopic full-thickness-resectionFTRDGastric subepithelial tumorgFTRD

Identifiers

What OpenQuestion holds

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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.