Evidence map›Paper›PMID 31243201›Full record

SynthesisInternal medicine (Tokyo, Japan)2019

Electric Endocut and Autocut Resection for Endoscopic Papillectomy: A Systematic Review.

Kazuhiro Minami, Eisuke Iwasaki, Seiichiro Fukuhara, Masayasu Horibe, Takashi Seino, Shintaro Kawasaki, Tadashi Katayama, Youichi Takimoto, Hiroki Tamagawa, Yujiro Machida and 2 more

Abstract readSystematic Review
In one paragraph

Synthesis in Internal medicine (Tokyo, Japan), 2019. 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

12 authors.

Kazuhiro MinamiDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Japan.
Eisuke IwasakiDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Japan.
Seiichiro FukuharaCenter for Diagnostic and Therapeutic Endoscopy, Keio University School of Medicine, Japan.
Masayasu HoribeDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Japan.
Takashi SeinoDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Japan.
Shintaro KawasakiDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Japan.
Tadashi KatayamaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Japan.
Youichi TakimotoDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Japan.
Hiroki TamagawaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Japan.
Yujiro MachidaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Japan.
Takanori KanaiDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Japan.
Takao ItoiDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective Risks of bleeding and pancreatitis after mucosal resection using the purecut/autocut and blendcut/endocut modes for endoscopic papillectomy have not been fully clarified. Thus, a systematic review on electrosurgical cutting modes for endoscopic papillectomy was conducted focusing on the types and incidence of adverse events. Methods We searched the PubMed and Cochrane library for cases of endoscopic papillectomy recorded as of April 2017. Studies reporting the methods of electrically excising a tumor in the duodenal papilla and the number of adverse events were extracted. Studies were collected and examined separately based on the electrosurgical cutting mode, and the incidence rate for each adverse event was summarized. Results A total of 159 relevant articles were found; among them, 20 studies were included and 139 excluded. Five studies analyzed endoscopic papillectomy with the purecut/autocut mode and 16 with the blendcut/endocut mode. Only one study investigated both modes (purecut and endocut). With the purecut/autocut mode, the incidence of bleeding was 2.8-50%, and that of pancreatitis was 0-50% (mean: 12.8%). With the blendcut/endocut mode, the incidence of bleeding was 0-42.3%, and that of pancreatitis was 0%-17.9% (mean: 9.5%). Conclusion Both methods had high adverse event rates for endoscopic papillectomy. Thus, a standard method of endoscopic papillectomy, including the electrosurgical cutting mode, needs to be established.

Indexed as

Ampulla of VaterCommon Bile Duct NeoplasmsElectrosurgeryEndoscopy, Digestive SystemHumansTreatment Outcomeampullary tumorelectrosurgical cutting modeendoscopic papillectomy

Identifiers

PMID31243201
PMCPMC6815892

What OpenQuestion holds

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Registered trials

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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.