Evidence map›Paper›PMID 31772569›Full record

ArticleGastroenterology research and practice2019

Endoscopic Removal of Gastrointestinal Stromal Tumors in the Stomach: A Single-Center Experience.

Yingjie Guo, Xue Jing, Jian Zhang, Xueli Ding, Xiaoyu Li, Tao Mao, Zibin Tian

Abstract read
In one paragraph

Article in Gastroenterology research and practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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.

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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

7 authors.

Yingjie GuoDepartment of Gastroenterology, The Affiliated Hospital of QingDao University, Qingdao, 266003 Shandong Province, China.ORCID https://orcid.org/0000-0003-2909-9887
Xue JingDepartment of Gastroenterology, The Affiliated Hospital of QingDao University, Qingdao, 266003 Shandong Province, China.ORCID https://orcid.org/0000-0001-6957-1811
Jian ZhangDepartment of General Surgery, The Affiliated Hospital of QingDao University, Qingdao, 266003 Shandong Province, China.
Xueli DingDepartment of Gastroenterology, The Affiliated Hospital of QingDao University, Qingdao, 266003 Shandong Province, China.
Xiaoyu LiDepartment of Gastroenterology, The Affiliated Hospital of QingDao University, Qingdao, 266003 Shandong Province, China.ORCID https://orcid.org/0000-0001-8017-207X
Tao MaoDepartment of Gastroenterology, The Affiliated Hospital of QingDao University, Qingdao, 266003 Shandong Province, China.ORCID https://orcid.org/0000-0003-1635-5335
Zibin TianDepartment of Gastroenterology, The Affiliated Hospital of QingDao University, Qingdao, 266003 Shandong Province, China.ORCID https://orcid.org/0000-0002-8607-4339

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsEndoscopic removal of GISTs (gastrointestinal stromal tumors) is recently recognized, but less is known about its efficacy and safety. This study is aimed at assessing the feasibility, clinical efficacy, and safety of the endoscopic removal of gastric GISTs. PATIENTS AND

methodsEndoscopic removal (ER) of GISTs was performed in 134 patients at our hospital between January 2015 and January 2019. The clinical features, surgical outcomes, complications, pathological diagnosis, and risk classification were evaluated retrospectively.

resultsER was successful in 131 cases (98%), including 58 by ESD (endoscopic submucosal dissection), 43 by ESE (endoscopic submucosal excavation), 25 by EFTR (endoscopic full-thickness resection), and 5 by STER (submucosal tunneling endoscopic resection). In addition, GISTs of two cases were resected using LECS (laparoscopic and luminal endoscopic cooperative surgery) for the extraluminal and intraluminal growth pattern. The average tumor size was 1.89 ± 1.25 cm (range: 0.5-6.0 cm). Of these patients, 26 cases had a large tumor size (range: 2.0-6.0 cm), and endoscopic removal was successful in all of them. During the procedure, endoclips were used to close the perforation in all cases, without conversion to open surgery. The average length of hospital stay was 5.50 ± 2.15 days (range: 3-10 days). In the risk classification, 106 (79.7%) were of a very low risk, 25 (18.8%) of a low risk, and 2 (1.5%) of a moderate risk. The moderate-risk cases were treated with imatinib mesylate after ER. No recurrence or metastasis was observed during the follow-up period of 23 ± 8 months (range: 3-48 months).

conclusionsThe endoscopic treatment is feasible, effective, and safe for gastric GISTs, and individualized choice of approaches is recommended for GISTs.

Identifiers

PMID31772569
PMCPMC6854245

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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.