Evidence map›Paper›PMID 31781187›Full record

ArticleGastroenterology research and practice2019

Usefulness of 3-Dimensional Flexible Endoscopy in Esophageal Endoscopic Submucosal Dissection in an

Kazutoshi Higuchi, Mitsuru Kaise, Hiroto Noda, Go Ikeda, Teppei Akimoto, Hiroshi Yamawaki, Osamu Goto, Nobue Ueki, Seiji Futagami, Katsuhiko Iwakiri

Open access · goldAbstract 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 7 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 1 institution in 1 country.

Kazutoshi HiguchiDepartment of Gastroenterology, Nippon Medical School, Tokyo 113-8603, Japan.ORCID https://orcid.org/0000-0003-4386-6288
Mitsuru KaiseDepartment of Gastroenterology, Nippon Medical School, Tokyo 113-8603, Japan.
Hiroto NodaDepartment of Gastroenterology, Nippon Medical School, Tokyo 113-8603, Japan.
Go IkedaDepartment of Gastroenterology, Nippon Medical School, Tokyo 113-8603, Japan.
Teppei AkimotoDepartment of Gastroenterology, Nippon Medical School, Tokyo 113-8603, Japan.
Hiroshi YamawakiDepartment of Gastroenterology, Nippon Medical School, Tokyo 113-8603, Japan.
Osamu GotoDepartment of Gastroenterology, Nippon Medical School, Tokyo 113-8603, Japan.
Nobue UekiDepartment of Gastroenterology, Nippon Medical School, Tokyo 113-8603, Japan.
Seiji FutagamiDepartment of Gastroenterology, Nippon Medical School, Tokyo 113-8603, Japan.
Katsuhiko IwakiriDepartment of Gastroenterology, Nippon Medical School, Tokyo 113-8603, Japan.
Nippon Medical School · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsThree-dimensional (3D) rigid endoscopy has been clinically introduced in surgical fields to enable safer and more accurate procedures. To explore the feasibility of 3D flexible endoscopy, we conducted a study comparing 2-dimensional (2D) and 3D visions for the performance of esophageal endoscopic submucosal dissection (ESD).

methodsSix endoscopists (3 experts and 3 trainees) performed ESD of target lesions in isolated porcine esophagus using a prototype 3D flexible endoscope under 2D or 3D vision. Study endpoints were procedure time, speed of mucosal incision and submucosal dissection, number of technical adverse events (perforation, muscle layer damage, and sample damage), and degree of sense of security, fatigue, and eye strain.

resultsProcedure time and speed of mucosal incision/submucosal dissection were equivalent for 2D and 3D visions in both experts and trainees. The number of technical adverse events using 2D vision (mean [standard deviation], 3.5 [4.09]) tended to be higher than that using 3D vision in trainees (1.33 [2.80];

conclusions3D vision improves the sense of security during ESD and may reduce technical errors, especially in trainees, indicating the feasibility of a clinical trial of ESD under 3D vision.

Identifiers

PMID31781187
PMCPMC6875183
OpenAlexW2985194534

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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.