Evidence map›Paper›PMID 31341367›Full record

SynthesisWorld journal of gastroenterology2019

Synchronous resection of esophageal cancer and other organ malignancies: A systematic review.

Dimitrios Papaconstantinou, Diamantis I Tsilimigras, Dimitrios Moris, Adamantios Michalinos, Aikaterini Mastoraki, Efstratia Mpaili, Natasha Hasemaki, Anargyros Bakopoulos, Dimitrios Filippou, Dimitrios Schizas

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in World journal of gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.3field-weighted citation impact, top 20% 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.

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

13 citing papers in PubMed, 14 citations in OpenAlex.

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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

10 authors at 4 institutions in 3 countries.

Dimitrios PapaconstantinouThird Department of Surgery, National and Kapodistrian University of Athens, Attikon University Hospital, Athens 12462, Greece.
Diamantis I TsilimigrasDepartment of Surgery, Division of Surgical Oncology, The Ohio State University Wexner Medical Center and James Cancer Hospital and Solove Research Institute, Columbus, OH 43210, United States.
Dimitrios MorisDepartment of Surgery, Duke University Medical Center, Durham, NC 27710, United States.
Adamantios MichalinosDepartment of Anatomy, European University of Cyprus, Nicosia 2404, Cyprus.
Aikaterini MastorakiFirst Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens 11527, Greece.
Efstratia MpailiFirst Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens 11527, Greece.
Natasha HasemakiFirst Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens 11527, Greece.
Anargyros BakopoulosThird Department of Surgery, National and Kapodistrian University of Athens, Attikon University Hospital, Athens 12462, Greece.
Dimitrios FilippouDepartment of Anatomy and Surgical Anatomy, National and Kapodistrian University of Athens, Medical School, Athens 11527, Greece.
Dimitrios SchizasFirst Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens 11527, Greece. d_filippou@hotmail.com.
Duke Medical Center · USLaiko General Hospital of Athens · GRNational and Kapodistrian University of Athens · GRThe Ohio State University Wexner Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeoplasms arising in the esophagus may coexist with other solid organ or gastrointestinal tract neoplasms in 6% to 15% of patients. Resection of both tumors synchronously or in a staged procedure provides the best chances for long-term survival. Synchronous resection of both esophageal and second primary malignancy may be feasible in a subset of patients; however, literature on this topic remains rather scarce.

aimTo analyze the operative techniques employed in esophageal resections combined with gastric, pancreatic, lung, colorectal, kidney and liver resections and define postoperative outcomes in each case.

methodsWe conducted a systematic review according to PRISMA guidelines. We searched the Medline database for cases of patients with esophageal tumors coexisting with a second primary tumor located in another organ that underwent synchronous resection of both neoplasms. All English language articles deemed eligible for inclusion were accessed in full text. Exclusion criteria included: (1) Hematological malignancies; (2) Head/neck/pharyngeal neoplasms; (3) Second primary neoplasms in the esophagus or the gastroesophageal junction; (4) Second primary neoplasms not surgically excised; and (5) Preclinical studies. Data regarding the operative strategy employed, perioperative outcomes and long-term outcomes were extracted and analyzed using descriptive statistics.

resultsThe systematic literature search yielded 23 eligible studies incorporating a total of 117 patients. Of these patients, 71% had a second primary neoplasm in the stomach. Those who underwent total gastrectomy had a reconstruction using either a colonic (

conclusionDespite the poor quality of available evidence and the great interstudy heterogeneity, combined procedures may be feasible with acceptable safety and satisfactory oncologic outcomes on individual basis.

Indexed as

Patient SelectionClinical Decision-MakingColorectal NeoplasmsEsophageal NeoplasmsEsophagectomyFeasibility StudiesGastrectomyHepatectomyHumansKidney NeoplasmsLiver NeoplasmsLung NeoplasmsNeoplasms, Multiple PrimaryNephrectomyPancreatic NeoplasmsPancreaticoduodenectomyConcurrent neoplasmsEsophageal neoplasmEsophagectomyManagementMultiple primarySecond primary

Identifiers

PMID31341367
PMCPMC6639548
OpenAlexW2958861842

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.